The social gradient in doctor-patient communication

• Main Authors: Verlinde Evelyn (Author), De Laender Nele (Author), De Maesschalck Stéphanie (Author), Deveugele Myriam (Author), Willems Sara (Author)
• Format: Book
• Published: BMC, 2012-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<p>Abstract</p> <p>Objective</p> <p>In recent years, the importance of social differences in the physician-patient relationship has frequently been the subject of research. A 2002 review synthesised the evidence on this topic. Considering the increasing importance of social inequalities in health care, an actualization of this review seemed appropriate.</p> <p>Methods</p> <p>A systematic search of literature published between 1965 and 2011 on the social gradient in doctor-patient communication. In this review social class was determined by patient's income, education or occupation.</p> <p>Results</p> <p>Twenty original research papers and meta-analyses were included. Social differences in doctor-patient communication were described according to the following classification: verbal behaviour including instrumental and affective behaviour, non-verbal behaviour and patient-centred behaviour.</p> <p>Conclusion</p> <p>This review indicates that the literature on the social gradient in doctor-patient communication that was published in the last decade, addresses new issues and themes. Firstly, most of the found studies emphasize the importance of the reciprocity of communication.</p> <p>Secondly, there seems to be a growing interest in patient's perception of doctor-patient communication.</p> <p>Practice implications</p> <p>By increasing the doctors' awareness of the communicative differences and by empowering patients to express concerns and preferences, a more effective communication could be established.</p>

Item Description

10.1186/1475-9276-11-12
1475-9276