Derner Institute of Advanced Psychological Studies, Hy Weinberg Center, Adelphi University, 158 Cambridge Avenue, Garden City, NY, 11530, USA.
Psychiatr Q. 2017 Dec;88(4):711-720. doi: 10.1007/s11126-017-9492-0.
The physician-patient working alliance has been associated with improved patient satisfaction and adherence. However, up until now there has only been a patient form with which to assess the working alliance in medicine. The current study presents the provider form of the physician-patient working alliance, along with psychometric evidence and support. Participants were 106 psychiatrists (61 men and 45 women). They were selected from a database of providers in the Northeast of the U.S. and were asked to complete a mailed survey and to return it in stamped addressed envelope. We found evidence that the provider form is reliable and valid, and that the providers' ratings' of the working alliance were closely and significantly associated with their satisfaction with the treatment and with ratings of treatment outcome. The provider form of the physician-patient working alliance appears to be a reliable and valid measure of the working alliance. Providers' ratings of the working alliance can now be assessed and examined along with patients' ratings of the working alliance. Use of the measures may inform the relationship in medical treatment and advance the quality of care provided to patients.
医患工作联盟与提高患者满意度和依从性有关。然而，到目前为止，只有一种评估医学中工作联盟的患者表格。本研究提出了医患工作联盟的提供者表格，以及心理测量学的证据和支持。参与者为 106 名精神科医生（61 名男性和 45 名女性）。他们是从美国东北部的一个提供者数据库中挑选出来的，并被要求完成一份邮寄调查，并将其装入已贴好邮票的回邮信封中寄回。我们发现有证据表明，提供者表格是可靠和有效的，并且提供者对工作联盟的评价与他们对治疗的满意度以及对治疗结果的评价密切相关。医患工作联盟的提供者表格似乎是工作联盟的一种可靠有效的衡量标准。现在可以评估和检查提供者对工作联盟的评价，以及患者对工作联盟的评价。这些措施的使用可以为医疗关系提供信息，并提高为患者提供的护理质量。
