Background: Communication between patients and providers is a crucial component of effective care coordination and is associated with a number of desired patient and provider outcomes. Despite these benefits, physicianYpatient and physicianYphysician communication occurs infrequently.
Purpose: The purpose of this studywas to examine the relationship between amedical practices external environment and physician engagement in communication activities.
Methodology/Approach: This was a cross-sectional examination of 4,299 U.S. physicians self-reported engagement in communication activities. Communication was operationalized as physicians time spent on communication with patients and other providers during a typical work day. The explanatory variables were measures of environmental complexity, dynamism, and munificence. Data sources were the Health Tracking Physician Survey, the Area Resource File database, and the Dartmouth Atlas. Binary logistic regression was used to estimate the association between the environmental factors and physician engagement in communication activities.
Findings: Several environmental factors, including per capita income (odds ratio range, 1.17-1.38), urban location (odds ratio range, 1.08-1.45), fluctuations in Health Maintenance Organization penetration (odds ratio range, 3.47-13.22), poverty (odds ratio range, 0.80-0.97) and population rates (odds ratio range, 1.01-1.02), and the presence of a malpractice crisis (odds ratio range, 0.22-0.43), were significantly associated with communication.
Practice Implications: Certain aspects of a physicians external environment are associated with different modes of communication with different recipients (patients and providers). This knowledge can be used by health care managers and policy makers who strive to improve communication between different stakeholders within the health care system (e.g., patient and providers).
- market environment
ASJC Scopus subject areas
- Leadership and Management
- Health Policy
- Strategy and Management