Do Physicians' Attitudes towards Patient-Centered Communication Promote Physicians' Intention and Behavior of Involving Patients in Medical Decisions?
Do Physicians' Attitudes towards Patient-Centered Communication Promote Physicians' Intention and Behavior of Involving Patients in Medical Decisions?
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医生对以患者为中心的沟通态度是否会促进医生让患者参与医疗决策的意愿和行为？
DOI：
10.3390/ijerph17176393
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发表时间：
2020-09-02
影响因子：
--
通讯作者：
Zhang X
中科院分区：
文献类型：
--
作者：
Wang D;Liu C;Zhang X
促进医生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。本研究旨在了解中国基层医疗机构医生对以患者为中心的沟通的态度及其对医生让患者参与医疗决策的意愿和行为的影响。一项横断面研究于2019年12月至2020年1月在中国湖北省的一级医疗机构进行，其中医生对以患者为中心的沟通的态度采用中国修订的患者-医生取向量表进行测量。采用多水平有序Logistic回归分析，探讨医生态度对患者参与医疗决策的意向和行为的影响。主要研究调查了617名医生。医生以患者为中心的沟通得分中等（3.78，SD = 0.56），关心分量表得分相对较高（4.59，SD = 0.64），分享分量表得分较低（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患者参与医疗决策的意愿显著相关（OR > 1，p = 0.020）。医生对以病人为中心的沟通的积极态度影响他们参与医疗决策的意图，这意味着考虑医生的态度对病人参与过程的重要性。
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, p = 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.
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影响因子：
9.7
作者：
Legare, France;Witteman, Holly O.
通讯作者：
Witteman, Holly O.
影响因子：
28.4
作者：
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通讯作者：
Kravitz RL
影响因子：
9.7
作者：
Levinson, Wendy;Lesser, Cara S.;Epstein, Ronald M.
通讯作者：
Epstein, Ronald M.
影响因子：
3.5
作者：
Bieber, Christiane;Nicolai, Jennifer;Loh, Andreas
通讯作者：
Loh, Andreas
影响因子：
--
作者：
King, Ann;Hoppe, Ruth B
通讯作者：
Hoppe, Ruth B