患者为中心的沟通的影响：探索信任在医疗服务提供者中的中介作用。
The Effects of Patient-Centered Communication: Exploring the Mediating Role of Trust in Healthcare Providers.
机构信息
Department of Advertising & Public Relations, Chung-Ang University.
Department of Communication Studies, School of Communication, Hong Kong Baptist University.
出版信息
Health Commun. 2020 Apr;35(4):502-511. doi: 10.1080/10410236.2019.1570427. Epub 2019 Feb 1.
This study examined the effects of patient-centered communication (PCC) on two major outcomes: patients' trust in healthcare providers and their evaluation of the quality of healthcare received. Based on conceptual model regarding the impacts of PCC, the former is considered a proximal communication outcome and the latter an intermediate outcome. Both are known to be associated with ultimate health outcomes. Analyses conducted on a dataset of 3273 respondents from the 2012 Health Information National Trends Survey in the U.S. showed that PCC was positively associated with both patients' trust in healthcare providers and evaluation of healthcare quality. Moreover, trust was a significant mediator between PCC and patients' perceptions of the quality of healthcare, and stronger mediation of trust was observed as the frequency of hospital visits increased. Some theoretical and practical implications are discussed.
本研究考察了以患者为中心的沟通（PCC）对两个主要结果的影响：患者对医疗保健提供者的信任以及他们对所接受医疗保健质量的评价。基于关于 PCC 影响的概念模型，前者被认为是一个近端沟通结果，后者是一个中间结果。两者都与最终的健康结果有关。对来自美国 2012 年健康信息国家趋势调查的 3273 名受访者的数据集进行的分析表明，PCC 与患者对医疗保健提供者的信任以及对医疗保健质量的评价均呈正相关。此外，信任是 PCC 与患者对医疗保健质量的看法之间的重要中介，随着就诊频率的增加，信任的中介作用更为明显。讨论了一些理论和实际意义。
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