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Religions 2017, 8(8), 158; doi:10.3390/rel8080158 (registering DOI)

Patient or Physician Centered Care?: Structural Implications for Clinical Interactions and the Overlooked Patient

Sociology and Social Work Department, Hope college, VanZoeren 266, 41 Graves Place, Holland, MI 49423-3698, USA
Received: 20 July 2017 / Revised: 14 August 2017 / Accepted: 16 August 2017 / Published: 22 August 2017
View Full-Text   |   Download PDF [249 KB, uploaded 22 August 2017]


Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious locations report more frequent religious interactions and is this dependent on whether the physician is also religious? Or does the religiosity of patient populations fail to explain variance in the frequency of inclusion? Logistic regressions with spatial lag terms highlight the importance of physicians’ background for inclusion of religiosity/spirituality. County-level variance of religious concentration is largely unrelated to the inclusion of religiosity/spirituality. The provision of patient-centered care is complicated. The inclusion of something patient-specific, such as religious/spiritual content, may not depend on the characteristics of the patient population, but those of the physician they see. View Full-Text
Keywords: role perception; physicians; patient interactions; religion; patient-centered care role perception; physicians; patient interactions; religion; patient-centered care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Franzen, A.B. Patient or Physician Centered Care?: Structural Implications for Clinical Interactions and the Overlooked Patient. Religions 2017, 8, 158.

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