HOW DOES THE NATURE AND QUALITY OF THE HEALTH CARE PROVIDER-HEALTH GUARDIAN RELATIONSHIP AFFECT HEALTH OUTCOMES?

There are many different outcome measures. However, these measures can be divided into 3 main domains:

• physiologic/objective measures
• behavioral measures
• and subjective measures

Examples of outcome measures for each of these categories are shown below:

Health Outcome Variables Related to the Health Care Provider-Health Guardian Relationship

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According to the PMC-US National Library of Medicine/National Institutes of Health the physician’s knowledge of the Health Guardian’s ailments and emotional state is associated positively with whether those physical ailments resolve. In this instance, the outcome measure is resolution of symptoms (ie, recovery).

In a follow-up meta-analysis of how Provider and Health Guardian communication affected outcomes, it was noted that the quality of communication during history-taking and management also affects outcomes (eg, frequency of visits, emotional health, and symptom resolution) and that such communication extended beyond creation of the “plan.” The way a physician communicates with a Health Guardian (even while gathering information) influences how often, and if at all, a Health Guardian will return to the physician.

Furthermore, the quality of communication between Provider and Health Guardian involves assessment of the Provider’s willingness to include a Health Guardian in the decision-making process, to provide a Health Guardian with information programs, and to ask a Health Guardian about his or her explanatory model of illness (ie, the perception of the disease as influenced by personal customs and beliefs).

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