Patient-centredness, self-rated health, and patient empowerment: should providers spend more time communicating with their patients?
Article first published online: 2 MAY 2008
© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd
Journal of Evaluation in Clinical Practice
Volume 14, Issue 4, pages 548–551, August 2008
How to Cite
Rohrer, J. E., Wilshusen, L., Adamson, S. C. and Merry, S. (2008), Patient-centredness, self-rated health, and patient empowerment: should providers spend more time communicating with their patients?. Journal of Evaluation in Clinical Practice, 14: 548–551. doi: 10.1111/j.1365-2753.2007.00914.x
- Issue published online: 9 JUL 2008
- Article first published online: 2 MAY 2008
- Accepted for publication: 13 June 2007
- community health;
- health confidence;
- patient-centred care;
- self-rated health
Objective Patient-centred communication is often employed as a strategy for empowering patients. The purpose of this study was to investigate the relationship between a direct measure of patient empowerment, feeling that one is in control of one's own health and patient satisfaction with communication.
Design A cross-sectional survey of family medicine patients was used to test the theory that, in primary care patients, empowerment is related to satisfaction with several aspects of communication after adjusting for health status, age and gender. Interviews were completed with 680 adult patients for whom complete data were available.
Results Multiple logistic regression analysis revealed that being highly satisfied with overall communication [adjusted odds ratio (AOR) = 2.08], explanations (AOR = 2.04), listening (AOR = 2.63), use of understandable words (AOR = 2.41) and involvement in decisions (2.34) were positively associated with empowerment. Self-rated health was more strongly related to empowerment than satisfaction with communication in every model tested (AORs ranged from 2.8 to 3.0).
Conclusions Reliance solely on patient-centred communication to promote empowerment may be insufficient as well as costly. Instead, improved one-to-one communication between patients and providers should be reserved for clinically complex and urgent situations. For other health matters, referral of patients to community health promotion and education programmes should be considered because this may offer a lower-cost approach to empowerment.