The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.

<h4>Objective</h4>To determine whether the patient-clinician relationship has a beneficial effect on either objective or validated subjective healthcare outcomes.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>Electronic databases EMBASE an...

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Autores principales:	John M Kelley, Gordon Kraft-Todd, Lidia Schapira, Joe Kossowsky, Helen Riess
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bc9eb9412d764bedb84387b9d4e3de63
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spelling	oai:doaj.org-article:bc9eb9412d764bedb84387b9d4e3de632021-11-18T08:24:09ZThe influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.1932-620310.1371/journal.pone.0094207https://doaj.org/article/bc9eb9412d764bedb84387b9d4e3de632014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24718585/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To determine whether the patient-clinician relationship has a beneficial effect on either objective or validated subjective healthcare outcomes.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>Electronic databases EMBASE and MEDLINE and the reference sections of previous reviews.<h4>Eligibility criteria for selecting studies</h4>Included studies were randomized controlled trials (RCTs) in adult patients in which the patient-clinician relationship was systematically manipulated and healthcare outcomes were either objective (e.g., blood pressure) or validated subjective measures (e.g., pain scores). Studies were excluded if the encounter was a routine physical, or a mental health or substance abuse visit; if the outcome was an intermediate outcome such as patient satisfaction or adherence to treatment; if the patient-clinician relationship was manipulated solely by intervening with patients; or if the duration of the clinical encounter was unequal across conditions.<h4>Results</h4>Thirteen RCTs met eligibility criteria. Observed effect sizes for the individual studies ranged from d = -.23 to .66. Using a random-effects model, the estimate of the overall effect size was small (d = .11), but statistically significant (p = .02).<h4>Conclusions</h4>This systematic review and meta-analysis of RCTs suggests that the patient-clinician relationship has a small, but statistically significant effect on healthcare outcomes. Given that relatively few RCTs met our eligibility criteria, and that the majority of these trials were not specifically designed to test the effect of the patient-clinician relationship on healthcare outcomes, we conclude with a call for more research on this important topic.John M KelleyGordon Kraft-ToddLidia SchapiraJoe KossowskyHelen RiessPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e94207 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q John M Kelley Gordon Kraft-Todd Lidia Schapira Joe Kossowsky Helen Riess The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
description	<h4>Objective</h4>To determine whether the patient-clinician relationship has a beneficial effect on either objective or validated subjective healthcare outcomes.<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>Electronic databases EMBASE and MEDLINE and the reference sections of previous reviews.<h4>Eligibility criteria for selecting studies</h4>Included studies were randomized controlled trials (RCTs) in adult patients in which the patient-clinician relationship was systematically manipulated and healthcare outcomes were either objective (e.g., blood pressure) or validated subjective measures (e.g., pain scores). Studies were excluded if the encounter was a routine physical, or a mental health or substance abuse visit; if the outcome was an intermediate outcome such as patient satisfaction or adherence to treatment; if the patient-clinician relationship was manipulated solely by intervening with patients; or if the duration of the clinical encounter was unequal across conditions.<h4>Results</h4>Thirteen RCTs met eligibility criteria. Observed effect sizes for the individual studies ranged from d = -.23 to .66. Using a random-effects model, the estimate of the overall effect size was small (d = .11), but statistically significant (p = .02).<h4>Conclusions</h4>This systematic review and meta-analysis of RCTs suggests that the patient-clinician relationship has a small, but statistically significant effect on healthcare outcomes. Given that relatively few RCTs met our eligibility criteria, and that the majority of these trials were not specifically designed to test the effect of the patient-clinician relationship on healthcare outcomes, we conclude with a call for more research on this important topic.
format	article
author	John M Kelley Gordon Kraft-Todd Lidia Schapira Joe Kossowsky Helen Riess
author_facet	John M Kelley Gordon Kraft-Todd Lidia Schapira Joe Kossowsky Helen Riess
author_sort	John M Kelley
title	The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
title_short	The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
title_full	The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
title_fullStr	The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
title_full_unstemmed	The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
title_sort	influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/bc9eb9412d764bedb84387b9d4e3de63
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The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials.

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