Testing a healthcare provider-patient communicative relationship quality model of pharmaceutical care in hospitals
Testing a healthcare provider-patient communicative relationship quality model of pharmaceutical care in hospitals
复制标题
测试医院药学服务的医疗保健提供者-患者沟通关系质量模型
DOI：
10.1007/s11096-018-0618-8
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发表时间：
2018
影响因子：
2.4
通讯作者：
Zhang Xinping
中科院分区：
文献类型：
--
作者：
Wang Dan;Liu Chenxi;Zhang Zinan;Ye Liping;Zhang Xinping
背景：以病人为中心的参与式护理越来越被视为高质量人际护理的代表。考虑到药师-患者领域以患者为中心和参与式护理关系模式的发展，探讨药师和患者参与行为对关系质量和患者结局的影响机制具有重要意义。地点：2017年4所三级医院。方法调查药学服务提供情况。采用横断面问卷调查方法，对不同结构的沟通关系质量模型进行问卷调查，并对研究结构间的关联性进行分析。根据验证性因素分析的结果，对所提出的沟通关系质量模型进行通径分析，主要结果测量模型拟合度指标包括Tucker-Lewis指数(TLI)、比较拟合度指数(CFI)、逼近均方根误差(RMSEA)和加权均方根残差(WRMR)。最终的路径模型具有很好的拟合度(TLI = 0.98，CFI = 0.98，RMSEA = 0.05；WRMR = 1.06)。参与行为/以患者为中心(β = 0.79，p<； 0.001)和人际交往(β = 0.13，p<； 0.001)直接影响人际关系质量。结论HCP参与行为/以患者为中心、人际沟通与患者关系质量呈正相关，而关系质量在HCP参与行为与人际沟通与患者满意度之间起中介作用。
BackgroundPatient-centeredness and participatory care is increasingly regarded as a proxy for high-quality interpersonal care. Considering the development of patient-centeredness and participatory care relationship model in pharmacist–patient domain, it is of great significance to explore the mechanism of how pharmacist and patient participative behaviors influence relationship quality and patient outcomes.ObjectiveTo validate pharmacist–patient relationship quality model in Chinese hospitals. Setting: Four tertiary hospitals in 2017.MethodsThe provision of pharmaceutical care was investigated. A cross-sectional questionnaire survey covering different constructs of communicative relationship quality model was conducted and the associations among pairs of the study constructs were explored. Based on the results of confirmatory factor analysis, path analysis was conducted to validate the proposed communicative relationship quality model.Main outcome measureModel fit indicators including Tucker–Lewis index (TLI), comparative fit index (CFI), root mean square error of approximation (RMSEA) and weighted root mean square residual(WRMR).ResultsThere were 589 patients included in our study. The final path model had an excellent fit (TLI = 0.98, CFI = 0.98, RMSEA = 0.05; WRMR = 1.06). HCP participative behavior/patient-centeredness (β = 0.79,p< 0.001) and interpersonal communication (β = 0.13,p< 0.001) directly impact the communicative relationship quality. But patient participative behavior was not a predictor of either communicative relationship quality or patient satisfaction.ConclusionHCP participative behavior/patient-centeredness and interpersonal communication are positively related to relationship quality, and relationship quality is mediator between HCP participative behavior and interpersonal communication with patient satisfaction.