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DOCTOR TO PATIENT: THE INTERPERSONAL CHANNEL<br />

Interpersonal channels have shown great success in delivering credible messages that<br />

produce desired results. When the one-to-one message comes from the doctor, people are<br />

especially likely to listen. Good communication between health care providers and<br />

individuals is so important to achieving positive health outcomes that the Health<br />

Communication chapter of Healthy People 2010 includes an objective to “increase the<br />

proportion of persons who report that their health care providers have satisfactory<br />

communication skills” (objective 11-6). In addition, the chapter on cancer includes an<br />

objective to “increase the proportion of physicians and dentists who counsel their at-risk<br />

patients about tobacco-use cessation, physical activity, and cancer screening”<br />

(objective 3-10).<br />

STAGE 1<br />

Examples of the results of physician-patient communication include:<br />

• Doctor-patient communication has been associated with improved recovery from<br />

surgery, shortened hospital stays, lower blood pressure and blood sugar, and better<br />

health status.<br />

• People who quit smoking in response to physician advice are more likely to make<br />

repeated attempts to quit and are more likely to remain off cigarettes.<br />

• Women in a national survey said a major reason they never had a mammogram was,<br />

“My doctor never recommended one.” When a Massachusetts program increased the<br />

number of physicians who recommended mammography, screening rates also rose.<br />

• Most people in a national survey said their preferred source of information about<br />

prescription medicines is their physician. When patients and physicians communicate,<br />

compliance improves.<br />

Making Health Communication Programs Work 29

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