Although, in actual practice, physicians have to subjectively judge the level of the explanation that they provide, little is known about this judgment. Therefore, making use of 630 physician-patient pairs in Japan, we investigated the association between patient and physician evaluations of physician explanations of medical test results and diagnoses. We found that the physician’s judgment does not always agree with that of the patient, with regard to the level of explanation necessary. In addition, we first identified factors relating to the accuracy of physician judgments with regard to their explanations to patients. More studies will be necessary to verify the present findings.
Akabayashi, A. , & Fetters, M. D. (1999). Family consent, communication, and advance directives for cancer disclosure: A Japanese case and discussion . Journal of Medical Ethics, 25, 296-301 .
2.
Beisecker, A. E. , & Beisecker, T. D. (1990). Patient information-seeking behaviors when communicating with doctors . Medical Care, 28, 19-28 .
3.
Bensing, J. (1991). Doctor-patient communication and the quality of care . Social Science of Medicine, 32, 1301-1310 .
4.
Ben-Sira, Z. (1976). The function of the professional’s affective behavior in client satisfaction: A revised approach to social interaction theory . Journal of Health and Social Behavior, 17, 3-11 .
5.
Ben-Sira, Z. (1980). Affective and instrumental components in the physician-patient relationship: An additional dimension of interaction theory . Journal of Health and Social Behavior, 21, 170-180 .
6.
Buller, M. K. , & Buller, D. B. (1987). Physicians’ communication style and patient satisfaction . Journal of Health and Social Behavior, 28, 375-388 .
7.
Burns, E. , Austin, C. A. , & Bax, N. D. S. (1990). Elderly patients’ understanding of their drug therapy: The effect of cognitive function . Age and Aging, 19, 236-240 .
8.
Fischer, G. S. , Tulsky, J. A. , Rose, M. R. , Siminoff, L. A. , & Arnold, R. M. (1998). Patient knowledge and physician predictions of treatment preferences after discussion of advance directives . Journal of General Internal Medicine, 13, 447-454 .
9.
Hagihara, A. , Tarumi, K. , & Nobutomo, K. (2002). Grouping participants for tailored worksite weight-loss programs: A signal detection approach . American Journal of Industrial Medicine, 41, 269-278 .
10.
Hall, J. A. , Roter, D. L. , & Katz, N. R. (1987). Task versus socio-emotional behaviors in physicians . Medical Care, 25, 399-412 .
11.
Hall, J. A. , Roter, D. L. , & Katz, N. R. (1988). Meta-analysis of correlates of provider behavior in medical encounters . Medical Care, 26, 657-675 .
12.
Inui, T. S. , & Carter, W. B. (1985). Problems and prospects for health services research on provider-patient communication . Medical Care, 23, 521-538 .
13.
Irish, J. T. (1997). Deciphering the physician-older patient interaction . International Journal of Psychiatry Medicine, 27, 251-267 .
14.
Kai, I. , Ohi, G. , Yano, E. , Kobayashi, Y. , Miyata, T. , Niino, N.et al. (1993). Communication between patients and physicians about terminal care: A survey in Japan . Social Science & Medicine, 36, 1151-1159 .
15.
Kasahara, S. , Ohno, Y. , & Sugo, A. (2002). A report on medication adherence among outpatients . Nippon Koshu Eisei Zasshi (Japanese Journal of Public Health), 49, 1259-1267 (in Japanese).
16.
Kraemer, H. C. (1988). Assessment of 2 × 2 associations: Generalization of signal detection methodology . American Statistician, 42, 37-49 .
17.
Kraemer, H. C. (1992). Evaluating medical tests: Objective and quantitative guidelines. Thousand Oaks, CA: Sage Publications .
18.
Kreps, G. L. , & Kunimoto, E. (1994). Effective communication in multicultural health care settings. Newbury Park, CA: Sage Publications , 1994.
19.
Kurata, J. H. , Watanabe, Y. , McBrige, C. , Kawai, K. , & Andersen, R. (1994). A comparative study of patient satisfaction with health care in Japan and the United States . Social Science & Medicine, 39, 1069-1076 .
20.
Lipkin, M. (1996). Physician-patient interaction in retrospective counseling . Obstetrics and Gynecology, 88, 31S-40S .
21.
MacGregor, E. A. (1997). The doctor and the migraine patient: Improving compliance . Neurology, 48(3 Supp. 3), S16-S20 .
22.
Miura, H. , Taira, O. , Hiraguri, S. , Hagiwara, M. , & Kato, H. (1998). Currents trends and problems in disclosure to lung cancer patients . Nihon Kokyuki Gakkai Zasshi, 36, 963-968 (in Japanese).
23.
Northouse, P. G. , & Northouse, L. L. (1992). Health communication: Strategies for health professionals (pp. 73-95). Norwalk, CT: Appleton & Lange .
24.
Ohtaki, S. , Ohtaki, T. , & Fetters, M. D. (2003). Doctor-patient communications: A comparison of the USA and Japan . Family Practice, 20, 276-282 .
25.
Ong, L. M. L. , Haes, J. C. J. M. , Hoos, A. M. , & Lammes, F. B. (1995). Doctor-patient communications: A review of the literature . Social Science of Medicine, 40, 903-918 .
26.
Pitkin, J. (2002). Compliance with estrogen replacement therapy: Current issues . Climacteric, 5(Supp. 2), 12-19 .
27.
Ruhnke, G. W. , Willson, S. R. , Akamatsu, T. , Kinoue, T. , Takashima, Y. , Goldstein, M. K.et al. (2000). Ethical decision making and patient autonomy: A comparison of physicians and patients in Japan and the United States . Chest, 118, 1172-1182 .
28.
Sekimoto, M. , Asai, A. , Ohnishi, M. , Nishigaki, E. , Fukui, T. , Shimbo, T. , et al. (2004). Patients’ preference for involvement in treatment decision making in Japan . BMC Family Practice, 5, 1-10 .
29.
Snedecor, G. W. , & Cochran, W. G. (1989). Statistical methods, 8th edn(pp. 188-189). Ames: Iowa University Press .
30.
Street, R. L. (1992). Communicative styles and adaptations in physician-parent consultations . Social Science & Medicine, 34, 1155-1163 .
31.
Takayama, T. , Yamazaki, Y. , & Katsumata, N. (2001). Relationship between outpatients’ perceptions of physicians’ communication styles and patients’ anxiety levels in a Japanese oncology setting . Social Science & Medicine, 53, 1335-1350 .
32.
Vieder, J. N. , Krafchick, M. A. , Kovach, A. C. , & Galluzzi, K. E. (2002). Physician-patient interaction: What do elders want?Journal of the American Osteopathic Association, 102(2), 73-78 .
33.
Willson, P. , & McNamara, R. (1982). How perceptions of a simulated physician-patient interaction influence intended satisfaction and compliance . Social Science & Medicine, 16, 1699-1704 .
34.
Winklby, M. A. , Flora, J. A. , & Kraemer, H. A. (1994). A community-based heart disease intervention: Predictors of change . American Journal of Public Health, 84, 767-772 .
35.
Young, J. W. (1980). The effects of perceived physician competence on patients’ symptom disclosure to male and female physicians . Journal of Behavioral Medicine, 3, 279-290 .
