DiMatteo M R, Sherbourne C D, Hays R D, Ordway L, Kravitz R L, McGlynn E A, Kaplan S, Rogers W H
RAND Corporation, Santa Monica, California.
Health Psychol. 1993 Mar;12(2):93-102. doi: 10.1037/0278-6133.12.2.93.
The influence of physicians' attributes and practice style on patients' adherence to treatment was examined in a 2-year longitudinal study of 186 physicians and their diabetes, hypertension, and heart disease patients. A physician-level analysis was conducted, controlling for baseline patient adherence rates and for patient characteristics predictive of adherence in previous analyses. General adherence and adherence to medication, exercise, and diet recommendations were examined. Baseline adherence rates were associated with adherence rates 2 years later. Other predictors were physician job satisfaction (general adherence), number of patients seen per week (medication), scheduling a follow-up appointment (medication), tendency to answer patients' questions (exercise), number of tests ordered (diet), seriousness of illness (diet), physician specialty (medication, diet), and patient health distress (medication, exercise).
在一项针对186名医生及其糖尿病、高血压和心脏病患者的为期两年的纵向研究中，考察了医生的属性和执业风格对患者治疗依从性的影响。进行了医生层面的分析，控制了基线患者依从率以及先前分析中预测依从性的患者特征。考察了总体依从性以及对药物治疗、运动和饮食建议的依从性。基线依从率与两年后的依从率相关。其他预测因素包括医生工作满意度（总体依从性）、每周看诊患者数量（药物治疗）、安排随访预约（药物治疗）、回答患者问题的倾向（运动）、开出的检查数量（饮食）、疾病严重程度（饮食）、医生专业（药物治疗、饮食）以及患者健康困扰（药物治疗、运动）。
