Differences Between Patient and Physician Perceptions of Predicted Compliance

Abstract

One approach to improving patient compliance is for physicians to adapt their behaviour to fit patients' psychological characteristics. Previous university-based research has suggested that physician adaptation to patients' locus of control interferes with patient-physician congruence on expected compliance, but not with congruence on satisfaction with their relationship. This study was conducted in a community practice to clarify the relationship between the physician's adaptation to locus of control and likelihood of and commitment to compliance, and satisfaction with the doctor-patient match. One physician saw 148 patients with a variety of illnesses after they had completed the Health Locus of Control (HLC) questionnaire. The physician altered how he spoke with a patient based on whether the patient scored internally or externally on the HLC. After the encounter, both patient and physician rated the patient's likelihood of and commitment to complying with each of the three recommendations. The physician and each patient also rated their satisfaction with the match between them. Patients' ratings of commitment, likelihood, and satisfaction were significantly higher than those of the physician. Unlike earlier results, there were strong correlations between the patients' and physician's estimates of compliance (commitment and likelihood). Just as with the previous study, there was no correlation between the levels of physician and patient satisfaction with their match. This study indicates that physician adaptation to patients' locus of control does not interfere with compliance outcomes of doctor-patient encounters. Whether such adaptation will improve compliance outcomes is yet to be determined.

Association between parental expectation, parenting stress, and parents' adherence intention to medication therapy for children with asthma

“…Path analyses and multiple regression both indicated that the higher expectation a parent had for their child's asthma medications to perform well, the more likely the parent would intend to adhere to their treatment. Improving expectation can improve satisfaction and consequently, improve adherence . Horne and Weinman also reported that negative perception of asthma medications was associated with poor adherence .…”

“…Only a few observational studies have explored the association between PIAAM and ECT constructs as well as parenting stress . Furthermore, no study has comprehensively evaluated the relationship between all above‐mentioned variables.…”

Exploring the dynamics of physician‐patient relationships: Factors affecting patient satisfaction and complaints

“…Previous work demonstrates that certain individual traits and skills of both physicians and patients can have significant impact on the relationship between physicians and patients. 5,9,[11][12][13][14][15][16][17][18]…”

“…The literature has suggested that physicians with certain personality characteristics may be less at risk of medico-legal complaints. 12 The ability to listen, 19,20 a sense of carefulness and the quality of care they provide, 21 attention and awareness to patients' needs, 13,19 and creating a sense of familiarity and trust 19,20,[22][23][24][25][26][27][28] have been repeatedly described as predictors of patient satisfaction which can lower the risk of a medico-legal complaint. 9,10 Showing empathy towards patients seems to significantly reduce medico-legal risk.…”

The Development of an Instrument for the Assessment of Doctor-Patient Relationship (Dopraq-16)

“…Hjortdahl and Borchgrevink [99] Questionnaire Related to Continuity and Use of Resources Hjortdahl and Laerum [34] Continuity of Care -Consultation Hodges et al [100] OSCE Format (Observed Structured Clinical Exam) Hogan [101] Development of an Empathy Scale Holloway and Rogers [102] Level of Congruence -Likehood of Compliance -Commitment to Compliance -Satisfaction with Match Holloway et al [103] 3 Questions…”