School of Medical Management and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China.
Int J Environ Res Public Health. 2020 Sep 2;17(17):6393. doi: 10.3390/ijerph17176393.
Promoting patient-centered communication among physicians is one core strategy for improving physician-patient relationships and patient outcomes. Our study aims to understand the physicians' attitudes towards patient-centered communication and its effects on physicians' intention and behavior of involving patients in medical decisions in primary care in China. One cross-sectional study was conducted in primary facilities in Hubei province, China, from December 2019 to January 2020, where physicians' attitudes towards patient-centered communication were measured by the Chinese-revised patient-practitioner orientation scale. Multilevel ordinal logistic regression was conducted for estimating the effects of physicians' attitudes on their intention and behavior of patient involvement in medical decisions. Six hundred and seventeen physicians were investigated for the main study. Physicians had a medium score of patient-centered communication (3.78, SD = 0.56), with relatively high caring subscale score (4.59, SD = 0.64), and low sharing subscale score (3.09, SD = 0.75). After controlling physicians' covariates, physicians' attitudes towards patient-centered communication was significantly associated with a higher intention of involving patients in medical decisions (OR > 1, = 0.020). Physicians' positive attitudes towards patient-centered communication affected their intention of involving patients in medical decisions, which implies the importance of taking the physicians' attitudes into account for the accomplishment of patient involvement processes.
促进医患之间以患者为中心的沟通是改善医患关系和患者结局的核心策略之一。我们的研究旨在了解医生对以患者为中心的沟通的态度及其对中国基层医疗中医生参与患者医疗决策的意愿和行为的影响。2019 年 12 月至 2020 年 1 月，在中国湖北省的基层医疗机构进行了一项横断面研究，使用中文版医患定向量表来衡量医生对以患者为中心的沟通的态度。采用多水平有序逻辑回归来估计医生态度对其参与患者医疗决策的意愿和行为的影响。对 617 名医生进行了主要研究。医生对以患者为中心的沟通的评分处于中等水平（3.78，SD=0.56），关怀分量表的得分相对较高（4.59，SD=0.64），而共享分量表的得分较低（3.09，SD=0.75）。在控制医生的协变量后，医生对以患者为中心的沟通的态度与更高的参与患者医疗决策的意愿显著相关（OR>1， =0.020）。医生对以患者为中心的沟通的积极态度影响他们参与患者医疗决策的意愿，这意味着在实现患者参与过程时，考虑医生的态度非常重要。
