Introducing an Observational Rating System for Studying Concordance in Patient–Physician Relationships-Reference-Cited by-同舟云学术

Introducing an Observational Rating System for Studying Concordance in Patient–Physician Relationships

Published:2019-07 Issue:5 Volume:47 Page:796-819
ISSN:0011-0000
Container-title:The Counseling Psychologist
language:en
Short-container-title:The Counseling Psychologist

Author:

Friedlander Myrna L.¹²,Kangos Kelsey A.¹²,Maestro Kieran J.¹²,Muetzelfeld Hannah K.¹²,Wright Scott T.¹²,Da Silva Nicole¹²,Kimber Justin M.¹²,Helmer Drew A.³⁴,McAndrew Lisa M.¹³^ORCID

Affiliation:

1. University at Albany, SUNY, Albany, NY, USA

2. Albany Stratton Veterans Affairs Medical Center, Albany, NY, USA

3. Veterans Affairs New Jersey Health Care System, East Orange, NJ, USA

4. Rutgers New Jersey Medical School, Newark, NJ, USA

Abstract

We developed the System for Observing Medical Alliances (SOMA) to study relationships between medical providers and patients with medically unexplained symptoms (MUS). Based on literature in health psychology, medicine, and the psychotherapeutic alliance, the SOMA operationalizes three medical alliance dimensions: Engagement in the Consultation Process, Trust in the Provider, and Concordance of Illness Beliefs and Treatment Recommendations. Specific behavioral indicators, tallied as observed by trained judges, are used as the basis for rating each dimension. In a sample of 33 medical consultations with veterans who had MUS, interrater reliabilities ranged from .79 to .94. Notably, the other dimension ratings accounted for 40% of the variability in Concordance, with Trust in the Provider contributing unique variance. In addition to research, psychologists in integrated health settings can use the SOMA to consult and train medical providers on communication skills that enhance concordance.

Publisher

SAGE Publications

Subject

Applied Psychology

Link

http://journals.sagepub.com/doi/pdf/10.1177/0011000019891434

Reference65 articles.

1. Helpful ways providers can communicate about persistent medically unexplained physical symptoms

2. Patient empowerment: Myths and misconceptions

3. Concordance is not synonymous with compliance or adherence

4. The generalizability of the psychoanalytic concept of the working alliance.

5. A Gulf of Difference: Disputes over Gulf War-Related Illnesses

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