Physician personality and patient confidence
Abstract
The Myers-Briggs Type Indicator (MBTI) is a reliable and valid screening test for describing the natural personality of an individual, especially in the medical field. The indicator gives an individual a four-letter abbreviation summarizing his/her personality characteristics. The categories include: extraverted (E) / introverted (I), sensing (S) / intuition (N), feeling (F) / thinking (T), and perception (P) / judgment (J). The personality types of physicians vary considerably across the medical field. Specific personality types indicated by the Myers-Briggs fit better with certain medical specialties than others. The alignment of physician-patient personalities and its effect on patient confidence and compliance have potential importance in the management of some disorders, such as, for example, substance abuse. This review will examine the alignment of physician-patient personalities and its effect on patient confidence and treatment outcomes.
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References
Smith R. All changed, changed utterly. British Medical J 1998;316.
Francis V, Korsch BM, Morris MJ. Gaps in doctor patient communication. Pediatrics 1969; 280:535-40.
Richards T. Chasms in communication. BMJ: British Medical J 1990; 301:1407-8.
Simpson M, Buckman R, Stewart M, et al. Doctor-patient communication: The Toronto Consensus Statement. British Medical J 1991; 303:1385-7.
Ha JF, Longnecker N. Doctor-patient communication: A review. The Ochsner J 2010; 10:38-43.
Calnan M, Sanford E. Public trust in health care: the system or the doctor? Quality Safety in Health Care 2004; 13:92-7.
Easter DW, Beach WA. Competent patient care is dependent upon attending to empathic opportunities presented during interview sessions. Current Surgery 2004; 61:313-8.
Axelrod DA, Goold S. Maintaining trust in the surgeon-patient relationship: challenges for the new millennium. Archives Surgery 2000; 135:55-61.
Urbaniak JR. Presidential address: Physician accountability- winning the public trust. American Society for Surgery of the Hand 1993;18A.
Dibben M, Davies H. Trustworthy doctors in confidence building systems. Quality Safety in Health Care 2004; 13:88-9.
Ommen O, Them S, Pfaff H, et al. The relationship between social support, shared decision-making and patient's trust in doctors: a cross-sectional survey of 2,197 inpatients using the Cologne Patient Questionnaire. International J Public Health 2011; 56:319-27.
Britten N, Stevenson FA, Barry CA, et al. Misunderstandings in prescribing decisions in general practice: qualitative study. British Medical J 2000; 320:484.
Redman CWE, McFarlane T, Cottrell D, et al. Improving Communication between Doctors and Patients having a Hysterectomy. J Obstetrics Gynaecology 1986; 6:275-6.
Stewart M, Brown JB, Hammerton J, et al. Improving communication Between doctors and breast cancer patients. Annals Family Medicine 2007; 5:1-8.
Wright EB, Holcombe C, Salmon P. Doctors’ communication of trust, care, and respect in breast cancer: qualitative study. British Medical J 2004; 328:864.
Clever SL, Jin L, Levinson W, et al. Does Doctor-patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health Services Research 2008; 43:1505-19.
Williams S, Weinman J, Dale J. Doctor-patient communication and patient satisfaction: a review. Family Practice 1998; 15:480-92.
Williams SJ, Calnan M. Key determinants of consumer satisfaction with general Practice. Family Practice 1991; 8:237-42.
Pollak KI, Alexander SC, Tulsky JA, et al. Physician empathy and listening: associations with patient satisfaction and autonomy. J American Board Family Medicine 2011; 24:665-72.
Clack GB, Allen J, Cooper D, et al. Personality differences between doctors and their patients: implications for the teaching of communication skills. Medical Education 2004; 38:177-86.
Bonvicini KA, Perlin MJ, Bylund CL, et al. Impact of communication training on physician expression of empathy in patient encounters. Patient Education Counseling 2009; 75:3-10.
Clack GB, Allen J, Cooper D, et al. Personality differences between doctors and their patients: implications for the teaching of communication skills. Medical Education 2004; 38:177-86.
Duffy FD, Gordon GH, Whelan G, et al. Assessing competence in communication and interpersonal kkills: The Kalamazoo II report. Academic Medicine 2004; 79:495-507.
Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ 1995; 152:1423-33.
Ha JF, Anat DS, Longnecker N. Doctor-patient communication: a review. The Ochsner Journal 2010; 10:38-43.
Capraro RM, Capraro MM. Myers-Briggs type indicator score reliability across studies: A Meta-analytic reliability generalization study. Educational Psychological Measurement 2002; 62:590-602.
Yang C, Richard G, Durkin M. The association between Myers-Briggs Type Indicator and psychiatry as the specialty choice. International J Medical Education 2016; 7:48-51.
Borges NJ, Savickas ML. Personality and medical specialty choice: A literature review and integration. J Career Assessment 2002; 10:362-80.
Stilwell NA, Wallick MM, Thal SE, et al. Myers-Briggs type and medical specialty choice: a new look at an old question. Teaching and Learning in Medicine 2000; 12:14-20.
Carlson JG. Recent assessments of the Myers-Briggs type indicator. J Personality Assessment 1985; 49:356-65.
Thompson B, Borrello CM. Construct validity of the Myers-Briggs type indicator. Educational Psychological Measurement 1986; 46:745-52.
McCaulley MH. Looking at Type: The Fundamentals. Gainesville, Florida: Center for Applications of Psychological Type, Inc.; 1997.
Cunningham PB. Improved communication and teamwork use of Myers-Briggs type indicator. EMTB '00 Proceedings of the 1st Austin Workshop On Engineering Management In Technology-Base Organizations 2000:31.
Little P, Everitt H, Williamson I, et al. Preferences of patients for patient centered approach to consultation in primary care: observational study. British Medical J 2001; 322:468-.
Allen J. Doctor-patient communication. British Medical J 2005;330: s36.
Krupat E, Bell R, Kravitz RL, et al. When physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust. J Family Practice 2001; 50:1057-62.
Hamelin ND, Nikolis A, Armano J, et al. Evaluation of factors influencing confidence and trust in the patient-physician relationship: A survey of patient in a hand clinic. Chirurgie de la Main 2012; 31:83-90.
Singhal I, Singhal A, Singhal S, et al. Factors influencing patients’ preference and confidence in a surgeon. Indian J Basic and Applied Medical Research 2015; 4:693-7.
Croker JE, Swancutt DR, Roberts MJ, et al. Factors affecting patients’ trust and confidence in GPs: evidence from the English national GP patient survey. British Medical J Open 2013;3: e002762.
