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The impact of patients' participation on physicians' patient-centered communication
Patient Education and Counselling, 07/30/09

Cegala DJ et al. – When interacting with high participation patients, physicians engaged in significantly more patient–centered communication overall than when interacting with low participation patients. Analyses on separate components of patient–centeredness indicated that physicians engaged in significantly more exploring of patients’ disease and illness, but did not engage in significantly more understanding of the whole person or finding of common ground. Patients who actively participate in medical interviews influence physicians to adopt a more patient–centered style of communication.

Exclusive Author Commentary
Donald J. Cegala, 07/31/09

In my view, the most important message in this study is that patients have the means to input into the medical interview and influence the course of medical decisions regarding their own health. Most physicians will be responsive to patients' need for information and/or participation in medical decision making, but patients must make their needs and intentions known to physicians. While some patients understand this and participate in their medical interviews, many patients require direction and even instruction for doing so. The good news is that many patients are responsive to even minimal communication interventions. On the other hand, some patients require more extensive interventions and others require interventions that are culturally sensitive. The challenge for researchers is to identify patients who are in most need of communication skills training and develop interventions that will most effectively reach and help those individuals.

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