Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation

碩士 === 義守大學 === 管理學院碩士班 === 97 === It is argued that patient-physician relationships are associated with patients’ health care behaviors and thus influence their health outcomes. However, previous research has not focused on the mechanisms by which patient-physician relationships affect patient adhe...

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Main Authors: Chun-yi Lin, 林君怡
Other Authors: Fen-Ju Chen
Format: Others
Language:zh-TW
Published: 2009
Online Access:http://ndltd.ncl.edu.tw/handle/56786221298291765013
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spelling ndltd-TW-097ISU051210622016-05-04T04:25:28Z http://ndltd.ncl.edu.tw/handle/56786221298291765013 Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation 探討自我效能與結果預期於醫病關係與醫囑順從行為之中介效果 Chun-yi Lin 林君怡 碩士 義守大學 管理學院碩士班 97 It is argued that patient-physician relationships are associated with patients’ health care behaviors and thus influence their health outcomes. However, previous research has not focused on the mechanisms by which patient-physician relationships affect patient adherence to treatment recommendations. Based on self-efficacy theory, this study tested a theoretical model of variables influencing the relationships of trust and satisfaction to patient adherence. We hypothesized that patients who have better relations with their physicians were likely to have stronger self-efficacy and outcome expectations. This, in turn, were associated with better treatment adherence. Data for this research came from a sample of 480 adult patients with type 2 diabetes, which was collected from three teaching hospitals in Taiwan. Patients completed measures of trust, satisfaction, self-efficacy, outcome expectations, and adherence. Following Baron and Kenny’s mediation procedures, the mediating roles of self-efficacy and outcome expectations were confirmed. This study provides the empirical evidence and clarifies the effect of patient-physician relationships on patients’ behaviors. Our health care providers should make more efforts to promote patient trust and satisfaction. However, a longitudinal study design is necessary to precisely determine both the strength and causality of these relationships. Fen-Ju Chen 陳芬如 2009 學位論文 ; thesis 64 zh-TW
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description 碩士 === 義守大學 === 管理學院碩士班 === 97 === It is argued that patient-physician relationships are associated with patients’ health care behaviors and thus influence their health outcomes. However, previous research has not focused on the mechanisms by which patient-physician relationships affect patient adherence to treatment recommendations. Based on self-efficacy theory, this study tested a theoretical model of variables influencing the relationships of trust and satisfaction to patient adherence. We hypothesized that patients who have better relations with their physicians were likely to have stronger self-efficacy and outcome expectations. This, in turn, were associated with better treatment adherence. Data for this research came from a sample of 480 adult patients with type 2 diabetes, which was collected from three teaching hospitals in Taiwan. Patients completed measures of trust, satisfaction, self-efficacy, outcome expectations, and adherence. Following Baron and Kenny’s mediation procedures, the mediating roles of self-efficacy and outcome expectations were confirmed. This study provides the empirical evidence and clarifies the effect of patient-physician relationships on patients’ behaviors. Our health care providers should make more efforts to promote patient trust and satisfaction. However, a longitudinal study design is necessary to precisely determine both the strength and causality of these relationships.
author2 Fen-Ju Chen
author_facet Fen-Ju Chen
Chun-yi Lin
林君怡
author Chun-yi Lin
林君怡
spellingShingle Chun-yi Lin
林君怡
Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
author_sort Chun-yi Lin
title Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
title_short Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
title_full Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
title_fullStr Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
title_full_unstemmed Patient-Physician Relationship and Patient Adherence: the Mediating effects of Self-Efficacy and Outcome Expectation
title_sort patient-physician relationship and patient adherence: the mediating effects of self-efficacy and outcome expectation
publishDate 2009
url http://ndltd.ncl.edu.tw/handle/56786221298291765013
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