{"title":"Is more patient empowerment always better? Examining the moderating role of perceived physician’s argument quality","authors":"Jiajing Zhai, Jinghong Nie","doi":"10.1093/hcr/hqae002","DOIUrl":null,"url":null,"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.","PeriodicalId":4,"journal":{"name":"ACS Applied Energy Materials","volume":null,"pages":null},"PeriodicalIF":5.4000,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Energy Materials","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1093/hcr/hqae002","RegionNum":3,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CHEMISTRY, PHYSICAL","Score":null,"Total":0}
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.
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.