Patient preference for and reports of provider behavior: Impact of symmetry on patient outcomes.

Abstract

Objective: Research has suggested that congruence between patient characteristics and contextual characteristics is a more robust predictor of outcomes than either patient or context characteristics alone. The goal of the present study was to examine the degree of congruence between patient preferences for the clinical encounter and reports of analogous dimensions of provider behavior and the effects of this congruence on patient outcomes. Design: Two hundred eighteen patients with diabetes (predominately Type II) completed measures of preference for and ratings of perceived provider behavior in three domains (1) information sharing, (2) behavioral involvement, and (3) socioemotional support. Main Outcome Measures: Patient satisfaction, self-reported adherence, and a clinical marker of diabetic control (hemoglobin A1c) were the outcomes of interest. Results: Congruence in information sharing and congruence in behavioral involvement were predictive of glycemic control and self-reported adherence, respectively. Congruence in behavioral involvement and congruence in socioemotional support were predictive of greater patient satisfaction. Conclusion: These findings provide further support for the importance of congruence between patient characteristics and contextual characteristics in predicting patient outcomes.

Understanding the Growth Hormone Therapy Adherence Paradigm: A Systematic Review

“…Important outcomes to be examined would include adherence, final height, HRQOL, body composition and the health-economic implications. It would also be useful to test the hypothesis that there may be an interaction between offering the patient a choice of devices and the patient's desire to be given such a choice [62]. …”

Bedside information technology to support patient-centered care

“…Cognitively impaired brain injured patients benefited from an intervention to provide personalized information designed to enhance their sense of control and involvement in their own care [18]. Congruence in both information sharing and behavioral involvement predicted positive glycemic control outcomes and improved self-reported adherence to diabetes care regimens [21].…”

Deutsche Übersetzung und Konstruktvalidierung des „Patient-Provider-Orientation Scale“ (PPOS-D12)

“…Diese Studienergebnisse konnten in Malaysia mit Krebspatienten und ihren behandelnden Ärzten repliziert werden [ 18 ] . Cvengros und Kollegen konnten in einer weiteren Studie zeigen, dass Kongruenz zwischen Arzt und Patient bezogen auf Partizipation prädiktiv war für die selbst eingeschätzte Adhärenz von Patienten mit Diabetes mellitus sowie für die Patientenzufriedenheit [ 19 ] . Im deutschsprachigen Raum liegen bisher kaum Studienergebnisse zu diesem Themenkreis vor, was unter anderem daran liegt, dass es keine deutschsprachigen Instrumente gibt, die es erlauben würden, Patientenzentrierung bei Medizinstudierenden, Ärzten und Patienten reliabel und valide zu überprüfen.…”