Liking in the physician-patient relationship

Liking in the physician-patient relationship
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DOI:
10.1016/s0738-3991(02)00071-x
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发表时间:
2002-09-01
影响因子:
3.5
通讯作者:
Roter, DL
Roter, DL
中科院分区:
医学2区
文献类型:
--
作者:
Hall, JA;Horgan, TG;Roter, DL

文献摘要

被引文献

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已建立关系的患者和医生(261 名患者和他们的 44 名医生)在就诊后被问及他们对彼此的喜欢程度以及他们感觉被喜欢的程度,以及有关患者健康、医生和患者满意度以及患者情感状态的问题。一年后再次联系患者,询问他们对同一位医生的满意度以及他们在这一年中是否考虑过更换医生。患者和医生的评分表明了喜好的相互性,以及估计对方对自己的喜好的准确性。医生对患者的好感与以下变量呈正相关:更好的患者健康状况、患者就诊后更积极的情感状态、患者对医生行为的更有利评价、患者对就诊的满意度更高以及医生对就诊的满意度更高。患者对医生的好感与更好的自我报告健康状况、就诊后更积极的情感状态、对医生行为的更有利评价以及更高的就诊满意度呈正相关。医生对患者的喜好和患者对医生的喜好都积极预测一年后患者的满意度,并且与患者在这一年中考虑更换医生的可能性较低相关。据报告,女医生比男医生更喜欢自己的病人,而病人对自己喜欢程度的评价也证实了这种差异。患者还报告称,与男医生相比,更喜欢女医生。即使在控制了患者对就诊的总体满意度之后,其中许多结果仍然很重要。 (C) 2002 Elsevier Science Ireland Ltd. 保留所有权利。
Patients and physicians in established relationships (261 patients and their 44 physicians) were asked after a medical visit how much they liked each other and how much they felt liked, along with questions concerning patient health, physician and patient satisfaction, and the patient's affective state. Patients were re-contacted 1 year later and asked about their satisfaction with the same physician and whether they had considered changing physicians during the year. Patients' and physicians' ratings indicated Mutuality of liking, as well as accuracy of estimating the other's liking for the self. The physician's liking for the patient was positively associated with the following variables: better patient health, more positive patient affective state after the visit, more favorable patient ratings of the physician's behavior, greater patient satisfaction with the visit, and greater physician satisfaction with the visit. The patient's liking for the physician was positively associated with better self-reported health, a more positive affective state after the visit, more favorable ratings of the physician's behavior, and greater visit satisfaction. Both the physician's liking for the patient and the patient's liking for the physician positively predicted the patient's satisfaction I year later and were associated with a lower likelihood that the patient considered changing physicians during the year. Female physicians reported liking their patients more than male physicians did, and patients' ratings of how much they felt liked corroborated this difference. Patients also reported liking female physicians more than male physicians. A number of these results remained significant even after controlling for the patient's overall satisfaction with the medical visit. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.