Universidad César Vallejo, Lima, Perú.
Universidad Señor de Sipán, Chiclayo, Perú.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221114850. doi: 10.1177/21501319221114850.
Non-communicable diseases and psychiatric pathologies are the health problems that most affect the population in the United States.
This study aimed to examine the mediating role of patient-centered communication (PCC) in the relationship between satisfaction with medical care, physical health, and emotional well-being in American men.
A cross-sectional - predictive study was carried out. The variables analyzed were satisfaction with medical care, physical health, and emotional well-being. Information from the Health Information National Trends Survey Data (HINTS) was used; HINTS 5, cycle 3 (collected between January and June 2019) and 4 (2020). Data from 3338 men were considered (mean age: = 55.40, SD = 19.53). Data analyses were carried out using structural equation modeling (SEM) to represent the statistical mediation model with latent and observable variables.
Analyses showed that the variables were significantly related ( < .01). In the mediation model, there is evidence that satisfaction predicts communication (β = .764, < .001) and this, in turn, is related to physical health (β = .079, = .007) and emotional well-being (β = .145, < .001). In addition, the standardized estimates of the structural multiple mediation model presented acceptable goodness-of-fit indices: χ/gl = 2.24, CFI = 0.999, TLI = 0.999, RMSEA = 0.019 [90% CI: 0.013-0.022], SRMR = 0.018.
Patient-centered communication plays a significant dual mediating role in the relationship between satisfaction with medical care, physical health, and emotional well-being, respectively. Therefore, PCC is essential in healthcare for American men.
非传染性疾病和精神病理学是影响美国人口健康的主要问题。
本研究旨在探讨以患者为中心的沟通（PCC）在医疗保健满意度、身体健康和情绪健康之间的关系中的中介作用，以评估其对美国男性的影响。
本研究采用了横断面预测性研究设计。分析的变量包括医疗保健满意度、身体健康和情绪健康。使用了健康信息全国趋势调查数据（HINTS）；HINTS 5，第 3 轮（2019 年 1 月至 6 月收集）和第 4 轮（2020 年）。共纳入了 3338 名男性的数据（平均年龄：55.40 岁，标准差：19.53 岁）。使用结构方程模型（SEM）对数据进行分析，以表示具有潜在和可观察变量的统计中介模型。
分析结果表明，这些变量之间存在显著相关性（ < .01）。在中介模型中，有证据表明满意度预测沟通（β = .764， < .001），而这种沟通反过来又与身体健康（β = .079， = .007）和情绪健康（β = .145， < .001）相关。此外，结构多重中介模型的标准化估计值呈现出可接受的拟合优度指数：χ/gl = 2.24，CFI = 0.999，TLI = 0.999，RMSEA = 0.019 [90% CI：0.013-0.022]，SRMR = 0.018。
以患者为中心的沟通在医疗保健满意度、身体健康和情绪健康之间的关系中起到显著的双重中介作用。因此，PCC 对于美国男性的医疗保健至关重要。
