The quality of therapeutic alliance between patient and provider predicts general satisfaction
The quality of therapeutic alliance between patient and provider predicts general satisfaction
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DOI：
10.7205/milmed.173.1.85
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发表时间：
2008-01-01
影响因子：
1.2
通讯作者：
Boren, Denise
中科院分区：
文献类型：
--
作者：
Kim, Son Chae;Kim, Sinil;Boren, Denise
目标：治疗联盟被认为是一种理想的医患关系。 Kim 联盟量表 (KAS) 衡量治疗联盟的质量，包括患者赋权。目标是完善 KAS 并衡量治疗联盟与患者总体满意度之间的关系。方法：总共招募了 601 名可评估患者，其中探索性系列患者 304 名，验证系列患者 297 名。患者完成了人口统计调查问卷、KAS 和患者对医疗保健提供者满意度量表。结果：利用探索性系列，KAS 被细化为由协作、整合、授权和沟通分量表组成的 16 项 KAS-R。 KAS-R的内部一致性信度为0.89。两个系列的分层多元回归分析表明，KAS-R 占总体满意度得分方差的 35% 至 36%。结论：根据 KAS-R 测量，治疗联盟可预测大约三分之一的患者总体满意度，授权是一个重要的预测变量。
Objectives: Therapeutic alliance has been proposed as an ideal patient-provider relationship. The Kim Alliance Scale (KAS) measures the quality of therapeutic alliance, including patient empowerment. The objectives were to refine KAS and to measure the relationship between therapeutic alliance and patients' general satisfaction. Methods: A total of 601 evaluable patients was recruited, 304 patients in exploratory series and 297 patients in validation series. Patients completed a demographics questionnaire, the KAS, and Patient Satisfaction with Health Care Provider Scale. Results: Using the exploratory series, KAS was refined into a 16-item KAS-R consisting of collaboration, integration, empowerment, and communication subscales. Internal consistency reliability of KAS-R was 0.89. Hierarchical multiple regression analyses of the two series showed that KAS-R accounts for 35% to 36% of the variance in general satisfaction scores. Conclusions: Therapeutic alliance, as measured by KAS-R, predicted approximately one-third of patients' general satisfaction and empowerment was a significant predictor variable.