{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:25:48Z","timestamp":1782311148027,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,5,24]],"date-time":"2006-05-24T00:00:00Z","timestamp":1148428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> Several measures, such as the frequency, duration and ratio of quantitative communication behaviours, have been used to evaluate patient\u2013doctor communication; however, these measures have several major problems. Therefore, we examined whether doctors\u2019 and patients\u2019 perceptions of the level of doctors\u2019 explanations provide a better measure for evaluating the quality of patient\u2013doctor communication.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> The subjects were 630 doctor\u2013patient pairs in Japan. One\u2010way <jats:sc>anova<\/jats:sc> and multiple logistic regression analysis were used for the data analysis.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Of 190 doctors and 950 patients selected randomly, 126 doctors and 630 patients returned questionnaires (response rates, both 66.3%). We found the following. (i) With respect to the sufficiency of the doctor explanation, the \u2018patient\u2010better\u2019 situation (i.e. when patients\u2019 evaluations were better than doctors\u2019 evaluations) had a more positive influence on patients\u2019 outcome measures than did other situations. (ii) The \u2018doctor better\u2019 situation (i.e. when doctors\u2019 evaluations were better than patients\u2019 evaluations) had the most negative influence on patient outcome measures compared with the other situations. (iii) The length of clinical experience, patient gender and guidance concerning a change in lifestyle were predictors of the doctor\u2010better condition in the two types of doctor explanations.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> A measure that classifies patient\u2013doctor pairs into doctor\u2010better and the other situations might be effective for evaluating the quality of patient\u2013doctor communication. As this is a new approach to evaluating patient\u2013doctor communication, more studies are necessary to verify these findings.<\/jats:p>","DOI":"10.1111\/j.1471-6712.2006.00420.x","type":"journal-article","created":{"date-parts":[[2006,5,24]],"date-time":"2006-05-24T07:35:08Z","timestamp":1148456108000},"page":"143-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Doctor and patient perceptions of the level of doctor explanation and quality of patient\u2013doctor 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