Hall Judith A, Horgan Terrence G, Stein Terry S, Roter Debra L
Department of Psychology, 125 NI, Northeastern University, Boston, MA 02115, USA.
Patient Educ Couns. 2002 Sep;48(1):69-77. doi: 10.1016/s0738-3991(02)00071-x.
Patients and physicians in established relationships (261 patients and their 44 physicians) were asked after a medical visit how much they liked each other and how much they felt liked, along with questions concerning patient health, physician and patient satisfaction, and the patient's affective state. Patients were re-contacted 1 year later and asked about their satisfaction with the same physician and whether they had considered changing physicians during the year. Patients' and physicians' ratings indicated mutuality of liking, as well as accuracy of estimating the other's liking for the self. The physician's liking for the patient was positively associated with the following variables: better patient health, more positive patient affective state after the visit, more favorable patient ratings of the physician's behavior, greater patient satisfaction with the visit, and greater physician satisfaction with the visit. The patient's liking for the physician was positively associated with better self-reported health, a more positive affective state after the visit, more favorable ratings of the physician's behavior, and greater visit satisfaction. Both the physician's liking for the patient and the patient's liking for the physician positively predicted the patient's satisfaction 1 year later and were associated with a lower likelihood that the patient considered changing physicians during the year. Female physicians reported liking their patients more than male physicians did, and patients' ratings of how much they felt liked corroborated this difference. Patients also reported liking female physicians more than male physicians. A number of these results remained significant even after controlling for the patient's overall satisfaction with the medical visit.
在医患关系已确立的患者和医生（261名患者及其44名医生）就诊后，询问他们彼此喜欢的程度以及感觉被对方喜欢的程度，同时还询问了有关患者健康、医患满意度以及患者情感状态的问题。一年后再次联系患者，询问他们对同一位医生的满意度以及在这一年中是否考虑过更换医生。患者和医生的评分表明了喜欢的相互性，以及对对方喜欢自己程度估计的准确性。医生对患者的喜欢与以下变量呈正相关：患者健康状况更好、就诊后患者情感状态更积极、患者对医生行为的评价更正面、患者对就诊的满意度更高以及医生对就诊的满意度更高。患者对医生的喜欢与自我报告的健康状况更好、就诊后情感状态更积极、对医生行为的评价更正面以及就诊满意度更高呈正相关。医生对患者的喜欢和患者对医生的喜欢都能正向预测患者一年后的满意度，并且与患者在这一年中考虑更换医生的可能性较低相关。女医生报告说比男医生更喜欢她们的患者，患者对自己被喜欢程度的评分证实了这种差异。患者还报告说比男医生更喜欢女医生。即使在控制了患者对就诊的总体满意度之后，许多这些结果仍然显著。
