Psychosocial factors in medical and psychological treatment avoidance: The role of the doctor-patient relationship

Psychosocial factors in medical and psychological treatment avoidance: The role of the doctor-patient relationship
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DOI:
10.1177/1359105304042351
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发表时间:
2004-05-01
影响因子:
3.2
通讯作者:
Adler, NE
Adler, NE
中科院分区:
心理学3区
文献类型:
--
作者:
Moore, PJ;Sickel, AE;Adler, NE

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一个社区样本的1106名成年人进行了检查,以评估影响的医患关系参与者的避免治疗公认的医疗或心理问题。在参与者以前与医生的经历的五个方面中,除了等待时间外,所有方面都预测了参与者自我报告的治疗回避。在两个逻辑回归模型中,那些觉得医生更多地倾听他们的担忧的参与者在过去的12个月里不太可能避免治疗医疗和心理问题。这些发现表明,患者对医生如何治疗他们的看法可能有助于解释为什么许多人延迟或避免医疗保健治疗,即使面临重大的健康问题。
A community sample of 1106 adults was examined to assess the impact of the doctor-patient relationship on participants' avoidance of treatment for a recognized medical or psychological problem. Of five aspects of participants' previous experience with their physicians, all but waiting time predicted participants' self-reported treatment avoidance. In two logistic regression models participants who felt their physicians listened more to their concerns were less likely to avoid treatment for both medical and psychological problems during the previous 12 months. These findings suggest that patients' perceptions of how they are treated by physicians may help explain why many people delay or avoid healthcare treatment, even when faced with a significant health problem.