title: Communication that values patient autonomy is associated with satisfaction with care: a systematic review.
abstract: OBJECTIVE
  Which communication factors used by clinicians during patient-clinician interactions are associated with satisfaction with care?
  
  
  METHODS
  Systematic review with meta-analysis of studies investigating the association of verbal or nonverbal factors or interaction styles used by clinicians with patient satisfaction during an encounter between clinician and patient.
  
  
  METHODS
  : Clinicians interacting with patients in primary care or rehabilitation settings.
  
  
  RESULTS
  Twenty seven studies investigated 129 verbal, nonverbal, and interaction style factors. Of these, 38 factors were consistently associated with satisfaction. Verbal factors concerning clinicians involving, facilitating, and supporting patients were associated with satisfaction with care. Most communication factors presented a fair correlation (r≥0.21 but <0.41) with satisfaction with care. Nonverbal factors such as time spent discussing prevention and time spent reading patient charts had a fair association with satisfaction with care (correlations range from 0.21 to 0.40). A moderate association was found between interaction styles such as caring (pooled r=0.51, 95% CI 0.42 to 0.60) and satisfaction with care. Over half (58%) of the 129 identified factors never associated with satisfaction with care and the remainder associated inconsistently.
  
  
  CONCLUSIONS
  The number of potential modifiable communication factors associated with satisfaction with care and the magnitude of their association partially support interventions to train clinicians in communication skills that value patient autonomy.
authors.affiliation: Faculty of Health Sciences, The University of Sydney, Sydney, Australia. viniciuscunhaoliveira@yahoo.com.br
authors.forename: Vinicius C
authors.initials: VC
authors.lastname: Oliveira
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Refshauge
authors.forename: Manuela L
authors.initials: ML
authors.lastname: Ferreira
authors.forename: Rafael Z
authors.initials: RZ
authors.lastname: Pinto
authors.forename: Paula R
authors.initials: PR
authors.lastname: Beckenkamp
authors.forename: Ruben F
authors.initials: RF
authors.lastname: Negrao Filho
authors.forename: Paulo H
authors.initials: PH
authors.lastname: Ferreira
mesh_terms: D003142:Communication; D006801:Humans; D017060:Patient Satisfaction; D026684:Personal Autonomy; D059825:Physical Therapists / Q000523:psychology*; D011369:Professional-Patient Relations