Physician expressions of uncertainty during patient encounters

Patient Education and Counseling

Volumn 40, Issue 1, 2000, Pages 59-65

  Gordon, Geoffrey H ^a   Joos, Sandra K ^b   Byrne, Jennifer ^c  

^a Staff Physician   (United States)

^b PORTLAND VA MEDICAL CENTER   (United States)

^c OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

Patient education; Patient physician communication; Uncertainty

Indexed keywords

ARTICLE; DOCTOR PATIENT RELATION; HUMAN; PATIENT EDUCATION; PATIENT INFORMATION; PATIENT SATISFACTION; PHYSICIAN; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; VERBAL COMMUNICATION;

ADULT; AGED; COMMUNICATION; HUMANS; MALE; MIDDLE AGED; PATIENT EDUCATION; PATIENT SATISFACTION; PHYSICIAN-PATIENT RELATIONS; PROFESSIONAL PRACTICE; TRUTH DISCLOSURE;

EID: 0033977467     PISSN: 07383991     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0738-3991(99)00069-5     Document Type: Article

References (41)

1. Toulmin S. On the nature of the physician's understanding. J Med Philos. 1:1976;32-50.
2. Fox R.C. The evolution of medical uncertainty. Milbank Memorial Fund Quarterly. 58:1980;1-49.
3. Kahneman D., Slovik P., Tversky A. Judgment under uncertainty: heuristics and biases. 1982;Cambridge University Press, New York.
4. Bursztajn H.J., Feinbloom R.I., Hamm R.M., Brodsky A. Medical choices, medical chances: how patients, families, and physicians can cope with uncertainty. 1990;Routledge, New York.
5. Gerrity M.S. Conceptual models for understanding and measuring physicians' reactions to uncertainty. Primary Care Research: Theory and Methods. 1991;167-174 U.S. Dept. of Health and Human Services, and Agency for Health Care Policy and Research, Rockville, MD.
6. Beresford E. Uncertainty and the shaping of medical decisions. Hastings Center Report. 1991;July-August:6-11.
7. Eddy D.M. Variations in physician practice: The role of uncertainty. Health Affairs. 4:1984;74-89.
8. Kassirer J.P. Our stubborn quest for diagnostic certainty: A cause of excessive testing. N Engl J Med. 320:1989;1489-1491.
9. Davidoff F., Goodspeed R., Clive J. Changing test ordering behavior: A randomized controlled trial comparing probabilistic reasoning with cost-containment education. Med Care. 27:1989;45-58.
10. Johnson C.G., Levenkron J.C., Suchman A.L., Manchester R. Does physician uncertainty affect patient satisfaction? J Gen Intern Med. 3:1988;144-149.
11. Curley S.P., Young M.J., Eraker S.A., Yates J.F. An investigation of patients' reactions to therapeutic uncertainty. Med Decis Making. 9:1989;116-124.
12. Bosk C.L. Occupational rituals in patient management. N Engl J Med. 303:1980;71-76.
13. Katz J. Why doctors don't disclose uncertainty. The Hastings Center Report. 14:1984;35-44.
14. Hershey J.C., Baron J. Clinical reasoning and cognitive processes. Med Decis Making. 7:1987;203-211.
15. Mirvis D.M., Chang C.F. Managed care, managing uncertainty. Arch Intern Med. 1997;157:385-388. J Med Philos. 1:1976;51-71.
16. Eddy D.M., Billings J. The quality of medical evidence: Implications for quality of care. Health Affairs. 4:1988;74-89.
17. Gutheil T.G., Bursztajn H., Broadsky A. Malpractice prevention through sharing of uncertainty: Informed consent and the therapeutic alliance. N Engl J Med. 311:1984;49-51.
18. Sorenson J.R. Biomedical innovation, uncertainty, and doctor-patient interaction. J Health Soc Behav. 15:1974;366-374.
19. Tannenbaum S.J. What physicians know. N Engl J Med. 329:1993;1268-1271.
20. Quill T.E., Suchman A. Uncertainty and control: Learning to live with medicine's limitations. Humane Med. 9:1993;109-120.
21. Lynn J.T. On medical uncertainty. Am J Med. 96:1994;186-187.
22. Hewson M.G., Kindy P.J., Van Kirk J., Gennis V.A., Day R.P. Strategies for managing uncertainty and complexity. J Gen Intern Med. 11:1996;481-485.
23. Brody D.S. The patient's role in clinical decision-making. Ann Intern Med. 93:1980;718-722.
24. Roter D. Which facets of communication have strong effects on outcome - a meta-analysis. Stewart M., Roter D. Communicating with medical patients. 1989;183-196 Sage Publications, Beverly Hills, CA.
25. Joos S.K., Hickam D.H., Gordon G.H., Baker L.H. Effects of a physician communication intervention on patient care outcomes. J Gen Intern Med. 11:1996;147-155.
26. Roter D.L. Patient participation in the patient-provider interaction: The effects of patient question asking on the quality of interaction. Health Educ Monog. 5:1977;281-315.
27. Nakao M.A., Axelrod S. Numbers are better than words: Verbal specifications of frequency have no place in medicine. Am J Med. 74:1983;1061-1065.
28. Kong A.M., Barnett G.O., Mosteller F., Youtz C. How medical professionals evaluate expressions of probability. N Engl J Med. 315:1986;740-744.
29. Moskowitz A.J., Kuipers B.J., Kassirer J.P. Dealing with uncertainty, risks, and tradeoffs in clinical decisions: A cognitive science approach. Ann Intern Med. 108:1988;435-449.
30. Gerrity M.S., Devellis R.F., Earp J. Physicians' reactions to uncertainty in patient care: A new measure and new insights. Med Care. 28:1990;724-735.
31. Gerrity M.S., White K.P., DeVellis R.E., Dittus R.S. Physicians' reactions to uncertainty: Refining the constructs and scales. Motivation and Emotion. 19:1995;175-191.
32. Kranz D.S., Baum A., Wideman M. Assessment of preferences for self-treatment and information in health care. J Pers Soc Psychol. 39:1980;977-990.
33. Carter W.B., Inui T.S. How Patients Judge the Humanistic Skills of Their Physicians. 1989;American Board of Internal Medicine Final Report on the Patient Satisfaction Questionnaire Project, Philadelphia.
34. Hall J.A., Roter D.L., Katz N.R. Meta-analysis of correlates of provider behavior in medical encounters. Med Care. 26:1988;657-675.
35. Barcikowski R.S. Statistical power with group mean as the unit of analysis. J of Educational Statistics. 6:1981;267-285.
36. Norusis M.J. Spss Base Manual, Advanced statistics and professional statistics 6.1. 1994;SPSS Inc, Chicago, IL.
37. Fox R.C. Training for uncertainty. Merton R., Reader R.C., Kendall P. The student-physician: introductory studies in the sociology of medical education. 1957;Harvard University Press, Cambridge, MA.
38. Atkinson P. Training for certainty. Soc Sci Med. 19:1984;949-956.
39. Armstrong D. Health care and the structure of medical education. Noack H. Medical education and primary health care. 1980;Crune Helm, London.
40. Light D. Uncertainty and control in professional training. J Health Soc Behav. 20:1979;310-322.
41. Levinson W., Roter D.L., Mullooly J.P., Dull V.T., Frankel R.M. Physician-patient communication: The relationship with malpractice claims among primary care physicians and surgeons. J Am Med Assoc. 277:1997;553-559.