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West J Med. 1998 May; 168(5): 328–333.
PMCID: PMC1304975

The role of the physician in the emerging health care environment.


What do patients want from their physicians? This article reviews research on the role of the physician attained through surveys of the public and of physicians. The results from the two groups are surprisingly similar; communication is seen as an essential component of the physician's role. Further, we found that the public's ratings of the medical profession depend heavily on their experience with personal physicians. This paper reviews previous research on the importance of effective communication to patient satisfaction, adherence, and the outcomes of treatment, and it considers ways in which physician-patient communication is being affected by recent changes in the health care system. Suggestions for medical education and for the structure of primary and specialty patient care are offered.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Blendon RJ, Leitman R, Morrison I, Donelan K. Satisfaction with health systems in ten nations. Health Aff (Millwood) 1990 Summer;9(2):185–192. [PubMed]
  • Jajich-Toth C, Roper BW. Americans' views on health care: a study in contradictions. Health Aff (Millwood) 1990 Winter;9(4):149–157. [PubMed]
  • McBride CA, Shugars DA, DiMatteo MR, Lepper HS, O'Neil EH, Damush TM. The physician's role. Views of the public and the profession on seven aspects of patient care. Arch Fam Med. 1994 Nov;3(11):948–953. [PubMed]
  • Shugars DA, Vernon TM, Richardson WC, O'Neil EH, Bader JD. Is health professions education part of the solution? Health Aff (Millwood) 1991 Winter;10(4):280–282. [PubMed]
  • Mazur DJ, Hickam DH. Patients' preferences for risk disclosure and role in decision making for invasive medical procedures. J Gen Intern Med. 1997 Feb;12(2):114–117. [PMC free article] [PubMed]
  • Wu WC, Pearlman RA. Consent in medical decision making: the role of communication. J Gen Intern Med. 1988 Jan-Feb;3(1):9–14. [PubMed]
  • Waitzkin H, Stoeckle JD. Information control and the micropolitics of health care: summary of an ongoing research project. Soc Sci Med. 1976 Jun;10(6):263–276. [PubMed]
  • Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993 Jan 28;328(4):246–252. [PubMed]
  • Mechanic D, Schlesinger M. The impact of managed care on patients' trust in medical care and their physicians. JAMA. 1996 Jun 5;275(21):1693–1697. [PubMed]
  • DiMatteo MR. The physician-patient relationship: effects on the quality of health care. Clin Obstet Gynecol. 1994 Mar;37(1):149–161. [PubMed]
  • Leape LL, Park RE, Solomon DH, Chassin MR, Kosecoff J, Brook RH. Does inappropriate use explain small-area variations in the use of health care services? JAMA. 1990 Feb 2;263(5):669–672. [PubMed]
  • Helfer RE. An objective comparison of the pediatric interviewing skills of freshman and senior medical students. Pediatrics. 1970 Apr;45(4):623–627. [PubMed]
  • Greenfield S, Kaplan S, Ware JE., Jr Expanding patient involvement in care. Effects on patient outcomes. Ann Intern Med. 1985 Apr;102(4):520–528. [PubMed]
  • Fischbach RL, Sionelo-Bayog A, Needle A, Delbanco TL. The patient and practitioner as co-authors of the medical record. Patient Couns Health Educ. 1980 1st Quart;2(1):1–5. [PubMed]

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