Physician Interactions According to CPG Adherence Status*
Physician Interaction | Adherent to CPGs | Non-Adherent to CPGs | P | ||
---|---|---|---|---|---|
(n = 891) | (n = 56) | ||||
Mean | 95% CI | Mean | 95% CI | ||
Physician communication behavior | |||||
Patient participation and patient orientation | 68.7 | 66.9 to 70.4 | 75.3 | 69.3 to 81.3 | 0.04 |
Effective and open communication | 69.7 | 68.0 to 71.4 | 75.7 | 69.7 to 81.8 | 0.09 |
Emotionally supportive communication | 74.0 | 72.4 to 75.6 | 77.1 | 72.4 to 81.9 | 0.21 |
Communication about personal circumstances | 58.1 | 56.2 to 59.9 | 59.5 | 51.4 to 67.6 | 0.71 |
Physician empathy | 38.7 | 38.0 to 39.5 | 39.0 | 36.1 to 41.9 | 0.86 |
Satisfaction with physician characteristics | |||||
Technical quality | 3.8 | 3.7 to 3.8 | 3.8 | 3.6 to 4.0 | 0.66 |
Interpersonal manner | 4.1 | 4.1 to 4.2 | 4.1 | 3.9 to 4.3 | 0.80 |
Communications | 4.0 | 3.9 to 4.1 | 3.9 | 3.7 to 4.1 | 0.65 |
Time spent with patient | 3.6 | 3.6 to 3.7 | 3.5 | 3.2 to 3.8 | 0.28 |
↵* Interactions were self-reported by participants using the Communication Behavior Questionnaire, Consultation and Relational Empathy Measure, and Patient Satisfaction Questionnaire with 18 items, respectively. Analysis includes only those participants whose low back pain onset occurred during the time period in which they were treated by their current physician. Higher scores represent better physician interaction. CPG denotes clinical practice guideline.
Abbreviations: CI, confidence interval.