Liu Xiaofan, Zeng Jianji, Li Liuxiang, Wang Qixiu, Chen Junyi, Ding Li
School of Pharmacy, Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.
School of Medical Business, Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.
Psychol Res Behav Manag. 2024 Jul 22;17:2727-2737. doi: 10.2147/PRBM.S460689. eCollection 2024.
To investigate the influence mechanism of doctor-patient communication on patients' trust, especially the mediating role of patient-physician consistency and the moderating role of perceived threat of disease.
A total of 699 patients in Guangzhou, China was investigated by questionnaire. The main effect, mediating effect, and moderating effect of the model was verified by SPSS23.0 and LISREL8.71 statistical software.
It was revealed that doctor-patient communication has a significant positive effect on patients' trust. The consistency between patient and physician partially mediates the relationship between doctor-patient communication and patients' trust. Additionally, the perceived threat of the disease moderates the psychological process through which doctor-patient communication affects patients' trust.
Both doctor-patient communication and patient-physician consistency have predictive effects on patients' trust. Doctor-patient communication is not only a direct influence on patient trust but also an indirect influence mediated by patient-physician consistency. Perceived threat of disease moderates the psychological process through which doctor-patient communication affects patients' trust. Specifically, compared to a high level of perceived threat of disease, a low level of perceived threat of disease can enhance the effect of doctor-patient communication on patients' trust. The results of this study underscore the importance of doctor-patient communication and the value of patient-physician consistency for building patients' trust. To foster a harmonious doctor-patient relationship, medical colleges should place great emphasis on cultivating medical students' communication skills. Hospitals should enhance on-the-job training and provide institutional support for doctors, encourage agreements between doctors and patients regarding disease diagnosis and decision-making, and be attentive to patients' perceived threat of disease, particularly for those with high level of perceived threat of disease.
探讨医患沟通对患者信任的影响机制，尤其是医患一致性的中介作用和疾病感知威胁的调节作用。
采用问卷调查法对中国广州的699名患者进行调查。运用SPSS23.0和LISREL8.71统计软件对模型的主效应、中介效应和调节效应进行验证。
研究发现，医患沟通对患者信任有显著的正向影响。医患一致性部分中介了医患沟通与患者信任之间的关系。此外，疾病感知威胁调节了医患沟通影响患者信任的心理过程。
医患沟通和医患一致性对患者信任均具有预测作用。医患沟通不仅对患者信任有直接影响，还通过医患一致性产生间接影响。疾病感知威胁调节了医患沟通影响患者信任的心理过程。具体而言，与疾病感知威胁程度高相比，疾病感知威胁程度低时，医患沟通对患者信任的影响作用更强。本研究结果强调了医患沟通的重要性以及医患一致性在建立患者信任方面的价值。为构建和谐的医患关系，医学院校应高度重视培养医学生的沟通技巧。医院应加强在职培训并为医生提供制度支持，鼓励医患在疾病诊断和决策方面达成共识，关注患者的疾病感知威胁，尤其是对那些疾病感知威胁程度高的患者。
