Is more patient empowerment always better? Examining the moderating role of perceived physician’s argument quality

IF 5.4 3区 材料科学 Q2 CHEMISTRY, PHYSICAL
Jiajing Zhai, Jinghong Nie
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引用次数: 0

Abstract

Patient empowerment is an important concept in the study of physician–patient communication and is becoming increasingly popular in medical practices. However, previous studies have yielded inconsistent results regarding its effects. To reconcile these findings and establish a robust connection between empowerment and patient adherence, our study blends dyadic power theory with patient empowerment research. Using mixed methods, including both empirical modeling and controlled experiments, we found that patients who are equally empowered, as compared to those who are under- or over-empowered, exhibit a stronger dominance intention, which subsequently positively affects their adherence and satisfaction. Underlying this nonlinear influence of empowerment on adherence are two independent pathways: one channeling the effect through dominance intention and the other through perceived physician incompetence. Perceived physician’s argument quality represents a boundary condition. This research offers meaningful theoretical and practical implications to the literatures on patient empowerment and adherence by revealing the curvilinear relationship.
患者授权越多越好吗?研究医生论证质量的调节作用
患者授权是医患沟通研究中的一个重要概念,在医疗实践中也越来越受欢迎。然而,以往的研究对其影响的结果并不一致。为了调和这些研究结果,并在赋权与患者依从性之间建立稳固的联系,我们的研究将二元权力理论与患者赋权研究相结合。我们采用包括实证建模和对照实验在内的混合方法发现,与授权不足或授权过度的患者相比,获得同等授权的患者会表现出更强的支配意图,从而对其依从性和满意度产生积极影响。授权对坚持治疗的非线性影响有两个独立的途径:一个是通过支配意图产生影响,另一个是通过感知到的医生无能产生影响。感知到的医生论证质量是一个边界条件。这项研究通过揭示曲线关系,为有关患者授权和依从性的文献提供了有意义的理论和实践启示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Energy Materials
ACS Applied Energy Materials Materials Science-Materials Chemistry
CiteScore
10.30
自引率
6.20%
发文量
1368
期刊介绍: ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.
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