The impact of physicians' communication styles on evaluation of physicians and information processing: A randomized study with simulated video consultations on contraception with an intrauterine device

Health Expect. 2017 Oct;20(5):845-851. doi: 10.1111/hex.12521. Epub 2016 Nov 18.

Abstract

Objective: This study aimed at examining the impact of different types of physicians' communication styles on people's subsequent evaluation of physician attributes as well as on their information processing, attitude and decision making.

Method: In a between-group experiment, 80 participants watched one of three videos in which a gynaecologist displayed a particular communication style in a consultation situation on contraception with an intrauterine device. We compared doctor-centred communication (DCC) vs patient-centred communication (PCC) vs patient-centred communication with need-orientation (PCC-N).

Results: In the PCC condition, participants perceived the physician to be more empathetic and more competent than in the DCC condition. In the DCC condition, participants showed less attitude change compared to the other conditions. In the PCC-N condition, the physician was perceived as more empathetic and more socially competent than in the other conditions. However, participants acquired less knowledge in the PCC-N condition.

Conclusion: We conclude that appropriate application of particular communication styles depends on specific consultation goals. Our results suggest that patients' needs should be addressed if the main goal is to build a good relationship, whereas a traditional PCC style appears to be more effective in communicating factual information.

Keywords: attitudes; communication; decision making; information processing; intrauterine device; knowledge; physician attributes.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Clinical Competence
  • Cognition
  • Communication*
  • Contraception / statistics & numerical data*
  • Decision Making*
  • Empathy
  • Female
  • Humans
  • Intrauterine Devices / statistics & numerical data*
  • Patient Satisfaction
  • Perception
  • Physician-Patient Relations
  • Physicians / psychology*
  • Social Skills
  • Videotape Recording
  • Young Adult