scholarly journals Relationship-Centered Care in the Physician-Patient Interaction: Improving Your Understanding of Metacognitive Interventions

2021 ◽  
Vol 107 (6) ◽  
Author(s):  
Christine Ko
2015 ◽  
Vol 128 (9) ◽  
pp. 1025-1028 ◽  
Author(s):  
Anita D. Misra-Hebert ◽  
Andrew Rabovsky ◽  
Chen Yan ◽  
Bo Hu ◽  
Michael B. Rothberg

2014 ◽  
Vol 89 (9) ◽  
pp. 1230-1234 ◽  
Author(s):  
Howard Silverman ◽  
Yun-Xian Ho ◽  
Susan Kaib ◽  
Wendy Danto Ellis ◽  
Marícela P. Moffitt ◽  
...  

2014 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.


2018 ◽  
Author(s):  
Andreas Schröder ◽  
Joel E Dimsdale

Somatic symptoms that cannot be attributed to organic disease account for 15 to 20% of primary care consultations and up to 50% in specialized settings. About 6% of the general population has chronic somatic symptoms that affect functioning and quality of life. This chapter focuses on the recognition and effective management of patients with excessive and disabling somatic symptoms. The clinical presentation of somatic symptoms is categorized into three groups of patients: those with multiple somatic symptoms, those with health anxiety, and those with conversion disorder. The chapter provides information to assist with making a diagnosis and differential diagnosis. Management includes ways to improve the physician–patient interaction that will benefit the patient, a step-care model based on illness severity and complexity, and psychological and pharmacologic treatment. The chapter is enhanced by figures and tables that summarize health anxiety, symptoms, differential diagnoses, and management strategies, as well as by case studies and examples. This review contains  5 highly rendered figures, 10 tables, and 235 references.


2018 ◽  
Vol 23 (2) ◽  
pp. 200-212 ◽  
Author(s):  
Andrew C Anderson ◽  
Ellesse Akre ◽  
Jie Chen

We explored national trends in the receipt of high-quality patient–physician communication and patient empowerment through behavioral health counseling among children in the United States. We used data from the Medical Expenditure Panel Survey from 2010 to 2014. We employed two measures of patient- and family-centered care (PFCC): (1) a composite measure of high-quality patient–physician communication ( n = 34,629) and (2) patient empowerment through behavioral health counseling about healthy eating ( n = 36,527) and exercise ( n = 38,318). We used multivariate logistic regression models to estimate the variation of receiving PFCC by social determinants of health over time. Rates of receiving behavioral health counseling about healthy eating (53–60%) and exercise (37–42%) were lower than the rate of receiving high-quality physician–patient communication (92–93%). Parents were significantly more likely to report receiving high-quality physician–patient communication in 2014 than in 2010 (odds ratio 1.37, confidence interval 1.08–1.67); however, no association was found for empowerment through behavioral health counseling. Low income and parental educational attainment, and lack of insurance were associated with lower odds of receiving behavioral health counseling. Results showed significant variation of physician–patient communication and empowerment by social and demographic factors. The results suggest more providers need to empower parents and their children to self-care through behavioral health counseling.


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