连续性护理及患者性格因素对医患关系的影响。
Effects of continuity of care and patient dispositional factors on the physician-patient relationship.
作者信息
Noyes Russell, Kukoyi Oladipo A, Longley Susan L, Langbehn Douglas R, Stuart Scott P
机构信息
Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
出版信息
Ann Clin Psychiatry. 2011 Aug;23(3):180-5.
BACKGROUND
We developed a questionnaire to examine the influence of physician and patient variables on the quality of the physician-patient relationship.
METHODS
More than 300 family medicine patients completed self-report measures of the physician-patient relationship and variables likely to influence it.
RESULTS
The quality of relationship was related to continuity of physician care (having a primary physician, duration of that relationship, and frequency of visits) and to patient dispositional variables (neuroticism, positive and negative affectivity) but not to demographic variables. The regression model included having a primary physician, duration of relationship with that physician, and positive affectivity. Relationship quality was, in turn, associated with outcomes (adherence to care, treatment response, satisfaction with care, and commitment to physician).
CONCLUSIONS
The quality of physician-patient relationship is influenced by physician continuity and patient dispositional variables. Better understanding of these may contribute to the therapeutic potential of this important relationship.
背景
我们编制了一份问卷，以研究医生和患者变量对医患关系质量的影响。
方法
300多名家庭医学患者完成了关于医患关系及可能影响该关系的变量的自我报告测量。
结果
关系质量与医生连续照护情况（有一名初级医生、该关系的持续时间以及就诊频率）和患者性格变量（神经质、积极和消极情感）相关，但与人口统计学变量无关。回归模型包括有一名初级医生、与该医生关系的持续时间以及积极情感。关系质量反过来又与结果（对治疗的依从性、治疗反应、对治疗的满意度以及对医生的忠诚度）相关。
结论
医患关系质量受医生连续性和患者性格变量影响。更好地理解这些因素可能有助于提升这一重要关系的治疗潜力。
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