title: The clinician-patient partnership paradigm: outcomes associated with physician communication behavior.
abstract: OBJECTIVE
  To identify physician communication behaviors associated with perceptions of quality of care and predictive of positive patient outcomes.
  
  
  METHODS
  A total of 452 families seeing 48 pediatricians for a child's asthma participated. Perceptions and health care use were assessed at baseline and after 12 months through interviews and medical records. The measures used were 10 physician communication behaviors and 6 items describing physician's performance, asthma office visits, emergency department visits, and hospitalization.
  
  
  RESULTS
  Positive perceptions of physicians' performance were related to (P < or = .05) careful listening, inquiring about at-home management, nonverbal attention, interactive conversation, tailoring short-term goals, and long-term therapeutic plan. Loss in health care use was predicted (P < or = .05) by interactive conversation, short-term goals, criteria for decision making, long-term treatment plan, and tailoring according to needs. The use of these techniques did not lengthen the patient visit. A clinician-patient partnership paradigm is provided based on these findings.
  
  
  CONCLUSIONS
  The specific clinician communication behaviors predicted reduced health care use and positive perceptions of quality of care.
authors: Center for Managing Chronic Disease University of Michigan, Ann Arbor, MI 48109-2029, USA. nmclark@umich.edu
authors: Noreen M
authors: NM
authors: Clark
authors: Michael D
authors: MD
authors: Cabana
authors: Bin
authors: B
authors: Nan
authors: Z Molly
authors: ZM
authors: Gong
authors: Kathryn K
authors: KK
authors: Slish
authors: Nancy A
authors: NA
authors: Birk
authors: Niko
authors: N
authors: Kaciroti
mesh_terms: D001249:Asthma; D002648:Child; D002675:Child, Preschool; D003142:Communication; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011787:Quality of Health Care