Objectives: To disentangle the effects of physician gender and patient-centered communication style on patients' oral engagement in depression care. Methods: Physician gender, physician race and communication style (high patient-centered (HPC) and low patient-centered (LPC)) were manipulated and presented as videotaped actors within a computer simulated medical visit to assess effects on analogue patient (AP) verbal responsiveness and care ratings. 307 APs (56% female; 70% African American) were randomly assigned to conditions and instructed to verbally respond to depression-related questions and indicate willingness to continue care. Disclosures were coded using Roter Interaction Analysis System (RIAS). Results: Both male and female APs talked more overall and conveyed more psychosocial and emotional talk to HPC gender discordant doctors (all p <.05). APs were more willing to continue treatment with gender-discordant HPC physicians (p <.05). No effects were evident in the LPC condition. Conclusions: Findings highlight a role for physician gender when considering active patient engagement in patient-centered depression care. This pattern suggests that there may be largely under-appreciated and consequential effects associated with patient expectations in regard to physician gender that these differ by patient gender. Practice implications: High patient-centeredness increases active patient engagement in depression care especially in gender discordant dyads.
|Number of pages||7|
|Journal||Patient Education and Counseling|
|Early online date||14 May 2014|
|Publication status||Published - Sep 2014|
|Event||International Conference on Communication in Healthcare - Montreal, Canada|
Duration: 29 Sep 2013 → 2 Oct 2013
Bibliographical noteCommunication in Healthcare: Lessons from Diversity — Best papers from the International Conference on Communication in Healthcare, Montreal, Canada, 29 September - 2 October 2013.
Funding: National Institute of Mental Health (NIMH) R01MH086339 (Debra Roter, PI) “Understanding Social Contributions to Disparities in Depression Care: US and UK”. This program of research is also funded by the Economic and Social Research Council (ESRC), grant RES-177-25-0014, which forms part of the ESRC/NIH Disparities Initiative.
- analogue patients
- patient–physician communication
- gender concordance
Roter, D. L., Erby, L. H., Adams, A., Buckingham, C. D., Vail, L., Realpe, A., Larson, S., & Hall, J. A. (2014). Talking about depression: an analogue study of physician gender and communication style on patient disclosures. Patient Education and Counseling, 96(3), 339–345. https://doi.org/10.1016/j.pec.2014.05.006