Patient and physician perceptions of the physician's

J Health Psychol · Apr 2009

Patient and physician perceptions of the physician's explanation and patient responses to physicians.

Although theories on meta-cognition and self-monitoring imply the importance of meta-cognition in patient-physician interactions, there is no evidence to support this hypothesis. Thus, we evaluated patient and physician perceptions of the level of a physician's explanation and explored the possible influence of patient meta-cognition on patient responses to physicians. We conducted a questionnaire survey of 579 internist-patient pairs in Japan. The findings show that patient meta-cognition, and not perception, of the sufficiency of a physician's explanation plays a critical role in determining extreme patient responses to a physician, such as ignoring the physician's advice and doctor-shopping, whereas patient perception is a predictor of milder patient responses such as patient understanding and satisfaction.

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- Akihito Hagihara and Kimio Tarumi.
- Kyushu University, Japan. hagihara@hsmp.med.kyushu-u.ac.jp
- J Health Psychol. 2009 Apr 1; 14 (3): 414-24.
AbstractAlthough theories on meta-cognition and self-monitoring imply the importance of meta-cognition in patient-physician interactions, there is no evidence to support this hypothesis. Thus, we evaluated patient and physician perceptions of the level of a physician's explanation and explored the possible influence of patient meta-cognition on patient responses to physicians. We conducted a questionnaire survey of 579 internist-patient pairs in Japan. The findings show that patient meta-cognition, and not perception, of the sufficiency of a physician's explanation plays a critical role in determining extreme patient responses to a physician, such as ignoring the physician's advice and doctor-shopping, whereas patient perception is a predictor of milder patient responses such as patient understanding and satisfaction.

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Patient and physician perceptions of the physician's explanation and patient responses to physicians.

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