Effects of physician communication style on client medication beliefs and adherence with antidepressant treatment
Effects of physician communication style on client medication beliefs and adherence with antidepressant treatment
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DOI：
10.1016/s0738-3991(99)00083-x
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发表时间：
2000-05-01
影响因子：
3.5
通讯作者：
Svarstad, BL
中科院分区：
文献类型：
--
作者：
Bultman, DC;Svarstad, BL
本研究旨在探讨医生沟通方式对抑郁症治疗过程中病人信念及服药行为的影响。该研究采用沟通框架和前瞻性设计，在治疗开始时和2个月后再次检查医生沟通和客户信念。对来自23家社区药房的100名客户进行了两次电话访谈。客户报告说，医生的沟通方式各不相同。在随访中，25%的患者对他们的药物不满意，82%的患者报告漏服剂量或提前停止治疗。通径分析显示，医师初始沟通方式正向影响病人对药物的认知和初始信念。对治疗有更积极信念的患者更有可能在随访中去看医生，并且在尝试使用药物后对治疗更满意。医生随访沟通方式和客户满意度都预示着更好的药物依从性。(C) 2000爱思唯尔科学爱尔兰有限公司版权所有。
The goals of this study were to examine how physician communication style impacts client beliefs and medication taking behavior during treatment for depression. The study uses a communication framework and prospective design to examine physician communication and client beliefs as treatment is initiated and again 2 months later. Two telephone interviews were conducted with 100 clients enrolled from 23 community pharmacies. Clients report that physician communication styles vary. In follow-up, 25% of the clients were not satisfied with their medication and 82% reported missing doses or stopping treatment earlier than recommended. Path analysis showed that physician initial communication style positively influences client knowledge and initial beliefs about the medication. Clients with more positive beliefs about the treatment are more likely to see the physician in follow-up and are more satisfied with treatment after attempting medication use. Physician follow-up communication style and client satisfaction are both predictive of better medication adherence. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.