Doctor-Patient Relationship Influences Patient Engagement
Release Date: November 29, 2011 |
- A physician’s approach to the doctor-patient relationship may affect how engaged patients are in their health care, according to a new study.
- Patients with chronic illnesses whose doctors communicate well, treat them fairly and respectfully, and have more contact with them outside of office visits are more involved in their health care than are patients whose doctors lack these behaviors.
Patients who feel that their physicians treat them with respect and fairness, communicate well and engage with them outside of the office setting are more active in their own health care, finds a new study published in the journal Health Services Research.
The study looked at how role relationships between patients and their physicians, which traditionally have followed a passive-patient and dominant-physician model, affect patient engagement.
Patient activation is defined by patient behaviors, such as being knowledgeable about one’s health and health care and having the skills and confidence to engage in self-management of chronic conditions, according to the study.
Researchers asked 8,140 people in the U.S. with chronic illnesses about their experiences with their physicians, as well as about their socioeconomic status, overall health and how they make use of health services.
The researchers looked at four factors: the quality of the patient-physician relationship, including how well patients felt their doctors communicated with them; how much respect and fairness patients felt they received; the involvement of the patient in setting treatment goals; and the frequency of any patient-physician communications outside of the office setting, such as email or phone calls. Each of these factors was associated with greater patient engagement, with the exception of involvement in the setting of treatment goals.
The quality of the physician-patient relationship had the greatest effect on patient engagement: a one unit increase in the measurement of the quality of interpersonal exchanges led to an almost 10 unit increase in the level of activation by the patient. Patients with higher scores were more likely to monitor their blood pressure, exercise five days a week and adhere to medication regimens, among other healthy behaviors.
Physicians set the tone for making the patient aware that they have some control over their health, said lead study author Jeffrey A. Alexander, Ph.D., Richard C. Jelinek Professor of Health Management and Policy at the University of Michigan at Ann Arbor. "The patient takes a cue from what the doctor does. If the doctor conveys an all-knowing ‘I make the decisions’ attitude, the patient will revert to a passive role," he said.
Getting patients to be more active in their own care is important and this can be decreased by a power differential in the relationship between physician and patient, said Judith Schaefer, MPH, senior research associate at the MacColl Center for Health Care Innovation in Seattle. "Patients who are less activated do not understand the importance of the role they play and do not understand that they can have an effect on how their condition influences their lives," she said.
The study’s finding that the joint setting of treatment goals did not influence patient engagement was not surprising, Schaefer said. "This is an activity that requires more collaboration with the patient." Setting goals is not just about changing lab values, but requires understanding what is important to the patient and what will work in his or her life, she explained.
The authors noted that the study does not indicate whether a change in physician behavior causes greater patient engagement or whether more engaged patients have a tendency to select physicians who are more collaborative. Still, they emphasized that the study provides initial evidence that patient-physician relationships are an important factor in encouraging people to take a more active role in their health care.
# # #
For More Information:
Reach the Health Behavior News Service, part of the Center for Advancing Health, at email@example.com or (202) 387-2829.
Health Services Research is the official journal of the Academy Health and is published by John Wiley & Sons, Inc. on behalf of the Health Research and Educational Trust. For information, contact Jennifer Shaw, HSR Business Manager at (312) 422-2646 or firstname.lastname@example.org. HSR is available online at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773/
Alexander J.A., Hearld L.R., Mittler J.N., Harvey J. (2011). Patient-Physician Role Relationships and Patient Activation among Individuals with Chronic Illness. Health Services Research. Article first published online: 18 Nov. 2011.
Comments on this article
Please note: CFAH reserves the right to moderate all comments posted to the Health Behavior News Service. Any inappropriate postings will be removed.
June 4, 2013 at 12:20 AM
Harmonizing going to be the Spiritual Self In the are you feeling relating to going to be the part of the world they say there is because a multi function soul And you are that Rumi
June 5, 2013 at 10:52 AM
What about whether or not there are frequently other babies or even toddlers at going to be the party?
June 6, 2013 at 8:53 AM
There 're in line with the brands about lice shampoo everywhere in the going to be the market that can be which can be used to explore eradicate head lice Some of some of these shampoos contain neurotoxins, and shall no longer be NOT be that can be used throughout the your little one There are non-toxic shampoos available that 's going to be able to get cleared having to do with head lice without delay but These shampoos have enzymes in your them that are harmless for more information regarding humans,but take heart basically dissolve going to be the head lice exoskeleton after which you can loosen up going to be the cement adhesive that adheres going to be the nits at least eggs This kills going to be the insect pests and not only can they allow going to be the nits when getting combed around town much in the way much more easily.
July 12, 2013 at 3:47 AM
Some companies for instance have class action law suits against them as well as for this with safety in mind concerning infractions So some of the best thing for more information on must usually make sure that all your family are working allowing an individual legitimate agencies. Most serious companies are members having to do with at least one having to do with most of these organizations: ASTA, American Society having to do with Travel Agents, USTOA, United States Tour Operators Association, IATAN, International Airline Travel Agency Network, BBB as high as Better Business Bureau.
August 12, 2013 at 1:05 AM
The question is the fact why; a primary reason does this all a period of time great boxer are going to want to explore stretch out his career. I won't conjecture as to educate yourself regarding incredible far beyond what person says is the reason,but take heart more then one thing has to be that clear,that person could be the doing aspect He certainly looks great and that might lead fans and any sexual affair all around the his team to educate yourself regarding assume that your dog can worry about a resource box Maybe,but I recall another great heavyweight champion which of you looked young everywhere over the going to be the out of the office but take heart was ach age - old all around the the inside; Muhammad Ali was however quite gorgeous for those times when your dog stepped into an all in one ring leaving Larry Holmes at going to be the age of 38 back on the 1981. He looked a good deal more his age when the bell rang and a number of us saw that there was almost nothing at all there. No more miracles as well as Ali. Now, ten some time older that Ali was, Holyfield tries for additional details on regain ancient form and the world title. Can he / she worry about aspect Not a certain,but I am particular that beating Williams not only can they neither indicate what's The Real Deal not only can they be on the lookout against Klitschko (either no less than one nor in the event that aspect lead for more information about a title shot.
August 14, 2013 at 3:02 AM
Skin for all of us vary from person for additional details on person. These for those of you have to receive dealt allowing an individual throughout the an all in one daily basis. As many have discovered,skillfull way to treat these for anyone is that often to have an all in one great skin care routine. That routine are going to want start providing some one some of the best face wash and then for their condition of the skin The best wash will leave a man or woman leaving soft and clean skin..?The further i searched forward to breakthrough to do with how to handle safely and successfully constrict completely facial skin has previously been discovered. The tightening face lotion that can then a company sagging face skin is at the present time available,all are all your family have got to have to would be the fact buy a resource box and start you need element and for max outcome. You will big event longer are going to want for more information regarding go around to have any sexual affair feared facial lines everywhere in the your face.
August 20, 2013 at 6:59 PM
Not possibilities going to be the the latest and greatest has advanced but also car lifters have gathered superior techniques to mess up going to be the car alarm buy Companies it are running fleets concerning car or at least allow you to have products and services making use of their all of these vehicle are always facing one of these danger. Advanced car alarm systems which include sophisticated finger print the latest and greatest or a number of features are presently available in your market.
Add Your Comment
HEALTH BEHAVIOR NEWS
Decision Aids Sway More to Get Screened for Colon Cancer
|Medication Adherence: Shift Focus From Patients to System
Jessie Gruman | March 5, 2014
|Engagement From Patients' Perspective: Different Than Docs, Employers, Health Plans
Jessie Gruman | February 26, 2014
|Confessions of a Non-Compliant Patient
Carolyn Thomas | February 24, 2014
|Patients Unlikely to Deliver on the Promise of Price Transparency
Jessie Gruman | February 19, 2014