Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions?
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Setting
2.2. Sampling and Participants
2.3. Measurements
- Chinese Revised Physician-Practitioner Orientation Scale
- Outcome measures
2.4. Data Collection
2.5. Ethics
2.6. Statistical Analysis
3. Results
3.1. Physicians’ Demographics and Attitudes of Patient-Centered Communication
3.2. Comparisons of CR-PPOS Scores among Groups Based on Physicians’ Intention and Behavior of Involving Patients in Medical Decisions
3.3. Relationship between Physicians’ Attitude of Patient-Centered Communication and Intention and Behavior of Involving Patients in Medical Decisions
4. Discussion
4.1. Study Implications
4.2. Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Paternalistic Way |
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Informative Way |
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Shared Decision-Making Way |
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Characteristics | n (%)/Media n (IQR) | Caring Subscale ‡ | p-Value | Sharing Subscale ‡ | p-Value | Overall CR-PPOS ‡ | p-Value |
---|---|---|---|---|---|---|---|
(>3.5, Good) | (>3.5, Good) | (>3.5, Good) | |||||
Sex | 0.584 | 0.506 | 0.444 | ||||
Male | 389 (63.00) | 4.58 (0.67) | 3.09 (0.78) | 3.77 (0.57) | |||
Female | 228 (37.00) | 4.64 (0.61) | 3.14 (0.73) | 3.82 (0.54) | |||
Age (years) | 0.001 * | 0.301 | 0.301 | ||||
<35 | 102 (17.03) | 4.59 (0.66) | 3.08 (0.74) | 3.76 (0.55) | |||
≥35 and <50 | 355 (59.27) | 4.68 (0.62) | 3.14 (0.75) | 3.84 (0.55) | |||
≥50 | 142 (23.27) | 4.44 (0.67) | 3.05 (0.76) | 3.68 (0.51) | |||
Facility setting | 0.325 | 0.260 | 0.219 | ||||
Community health center (CHC) | 220 (35.70) | 4.59 (0.64) | 3.07 (0.69) | 3.76 (0.55) | |||
Township health center (THC) | 397 (64.30) | 4.61 (0.66) | 3.13 (0.79) | 3.80 (0.57) | |||
Specialties | 0.190 | 0.940 | 0.319 | ||||
General practice | 306 (45.59) | 4.59 (0.64) | 3.11 (0.76) | 3.82 (0.55) | |||
Internal medicine | 132 (21.39) | 4.56 (0.67) | 3.09 (0.76) | 3.86 (0.60) | |||
Surgery | 70 (11.35) | 4.56 (0.66) | 3.10 (0.78) | 3.85 (0.57) | |||
Others | 109 (17.6) | 4.74 (0.61) | 3.14 (0.72) | 3.80 (0.52) | |||
Educational level | 0.313 | 0.975 | 0.631 | ||||
Senior high school and below | 104 (16.90) | 4.54 (0.63) | 3.11 (0.73) | 3.76 (0.51) | |||
University degree | 499 (80.80) | 4.63 (0.65) | 3.11 (0.77) | 3.80 (0.57) | |||
Graduate | 14 (2.30) | 4.40 (0.81) | 3.15 (0.78) | 3.72 (0.70) | |||
Professional title † | 0.401 | 0.504 | 0.754 | ||||
Resident physicians | 302 (49.00) | 4.53 (0.66) | 3.12 (0.79) | 3.80 (3.73) | |||
Attending physicians | 234 (38.00) | 4.60 (0.62) | 3.08 (0.72) | 3.77 (0.54) | |||
Associate or chef physicians | 80 (13.00) | 4.55 (0.69) | 3.17 (0.88) | 3.80 (0.61) | |||
Training regarding antibiotics | 0.031 * | 0.272 | 0.074 | ||||
last year | |||||||
Yes | 502 (81.40) | 4.63 (0.65) | 3.12 (0.77) | 0.38 (0.56) | |||
No/don not know | 115 (18.60) | 4.50 (0.65) | 3.04 (0.71) | 3.71 (0.56) |
The Intention of Patient Involvement | The Behavior of Patient Involvement § | |||||
---|---|---|---|---|---|---|
OR † | 95% CI ‡ | p-Value | OR † | 95% CI ‡ | p-Value | |
CR-PPOS | ||||||
Caring subscale | 1.01 | 0.95~1.06 | 0.652 | 1.04 | 0.98~1.09 | 0.14 |
Sharing subscale | 1.05 | 1.01~1.09 | 0.020 * | 1.01 | 0.98~1.05 | 0.574 |
Physicians’ age (Reference group < 35 years) | ||||||
≥35 years and<50 years | 0.51 | 0.28~0.91 | 0.023 * | 0.68 | 0.41~1.14 | 0.148 |
≥50 years | 0.24 | 0.11~0.50 | <0.001 * | 0.53 | 0.27~1.12 | 0.1 |
Physicians’ gender (Reference group = male) | 1.25 | 0.84~1.85 | 0.261 | 0.93 | 0.62~1.39 | 0.713 |
Years of practice | 1.01 | 0.98~1.02 | 0.677 | 1.02 | 0.96~1.04 | 0.049 * |
Specialties (Reference group: general practice) | ||||||
Internal medicine | 0.7 | 0.46~1.05 | 0.09 | 0.8 | 0.53~1.21 | 0.303 |
Surgery | 0.7 | 0.41~1.18 | 0.183 | 0.56 | 0.28~1.10 | 0.094 |
Others | 0.91 | 0.57~1.44 | 0.71 | 1.13 | 0.51~2.53 | 0.75 |
Education level (Reference group = high school and below) | 1.87 | 1.13~3.11 | 0.014 * | 0.96 | 0.59~1.53 | 0.854 |
Vocational education | 1.65 | 0.86~2.34 | 0.077 | 1.01 | 0.59~1.76 | 0.98 |
College education and above | ||||||
Receiving antibiotics training | 1.3 | 0.84~1.89 | 0.262 | 1.49 | 0.98~2.28 | 0.06 |
Professional title (Reference group: resident physician) | 0.99 | 0.65~1.48 | 0.949 | 0.85 | 0.57~1.26 | 0.435 |
Attending physician | 1.03 | 0.54~1.97 | 0.913 | 0.82 | 0.42~1.59 | 0.56 |
Associate physician or chief physician | ||||||
Facility setting (Reference group: CHCs, community health centers) | 0.75 | 0.50~1.13 | 0.178 | 0.54 | 0.34~0.82 | 0.009 * |
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Wang, D.; Liu, C.; Zhang, X. Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions? Int. J. Environ. Res. Public Health 2020, 17, 6393. https://doi.org/10.3390/ijerph17176393
Wang D, Liu C, Zhang X. Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions? International Journal of Environmental Research and Public Health. 2020; 17(17):6393. https://doi.org/10.3390/ijerph17176393
Chicago/Turabian StyleWang, Dan, Chenxi Liu, and Xinping Zhang. 2020. "Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions?" International Journal of Environmental Research and Public Health 17, no. 17: 6393. https://doi.org/10.3390/ijerph17176393