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Patient and Physician Perceptions of the Physician's Explanation and Patient Responses to PhysiciansKyushu University, Japan, hagihara{at}hsmp.med.kyushu-u.ac.jp
Fukui Prefectural University, Japan Although theories on meta-cognition and self-monitoring imply the importance of meta-cognition in patient—physician interactions, there is no evidence to support this hypothesis. Thus, we evaluated patient and physician perceptions of the level of a physician's explanation and explored the possible influence of patient meta-cognition on patient responses to physicians. We conducted a questionnaire survey of 579 internist—patient pairs in Japan. The findings show that patient meta-cognition, and not perception, of the sufficiency of a physician's explanation plays a critical role in determining extreme patient responses to a physician, such as ignoring the physician's advice and doctor-shopping, whereas patient perception is a predictor of milder patient responses such as patient understanding and satisfaction.
Key Words: explanation • meta-cognition • patient—physician interaction
Journal of Health Psychology, Vol. 14, No. 3,
414-424 (2009) |
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