The Influence of Doctor-Patient Communication on Patients' Trust: The Role of Patient-Physician Consistency and Perceived Threat of Disease.

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychology Research and Behavior Management Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI:10.2147/PRBM.S460689
Xiaofan Liu, Jianji Zeng, Liuxiang Li, Qixiu Wang, Junyi Chen, Li Ding
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引用次数: 0

Abstract

Purpose: To investigate the influence mechanism of doctor-patient communication on patients' trust, especially the mediating role of patient-physician consistency and the moderating role of perceived threat of disease.

Methods: A total of 699 patients in Guangzhou, China was investigated by questionnaire. The main effect, mediating effect, and moderating effect of the model was verified by SPSS23.0 and LISREL8.71 statistical software.

Results: It was revealed that doctor-patient communication has a significant positive effect on patients' trust. The consistency between patient and physician partially mediates the relationship between doctor-patient communication and patients' trust. Additionally, the perceived threat of the disease moderates the psychological process through which doctor-patient communication affects patients' trust.

Conclusion: Both doctor-patient communication and patient-physician consistency have predictive effects on patients' trust. Doctor-patient communication is not only a direct influence on patient trust but also an indirect influence mediated by patient-physician consistency. Perceived threat of disease moderates the psychological process through which doctor-patient communication affects patients' trust. Specifically, compared to a high level of perceived threat of disease, a low level of perceived threat of disease can enhance the effect of doctor-patient communication on patients' trust. The results of this study underscore the importance of doctor-patient communication and the value of patient-physician consistency for building patients' trust. To foster a harmonious doctor-patient relationship, medical colleges should place great emphasis on cultivating medical students' communication skills. Hospitals should enhance on-the-job training and provide institutional support for doctors, encourage agreements between doctors and patients regarding disease diagnosis and decision-making, and be attentive to patients' perceived threat of disease, particularly for those with high level of perceived threat of disease.

医患沟通对患者信任的影响:医患一致性和疾病威胁感的作用。
目的:探讨医患沟通对患者信任的影响机制,尤其是医患一致性的中介作用和疾病威胁感的调节作用:方法:对广州市 699 名患者进行问卷调查。方法:对广州市 699 名患者进行问卷调查,采用 SPSS23.0 和 LISREL8.71 统计软件对模型的主效应、中介效应和调节效应进行验证:结果表明,医患沟通对患者的信任度有显著的正向影响。医患之间的一致性在一定程度上调节了医患沟通与患者信任之间的关系。此外,感知到的疾病威胁也调节了医患沟通影响患者信任的心理过程:结论:医患沟通和医患一致性对患者的信任都有预测作用。医患沟通不仅直接影响患者的信任,还通过医患一致性间接影响患者的信任。疾病威胁感调节了医患沟通影响患者信任的心理过程。具体而言,与高水平的疾病威胁感知相比,低水平的疾病威胁感知会增强医患沟通对患者信任的影响。本研究结果强调了医患沟通的重要性以及医患一致性对建立患者信任的价值。为培养和谐的医患关系,医学院校应重视医学生沟通能力的培养。医院应加强对医生的在职培训和制度支持,鼓励医患双方就疾病诊断和决策达成一致,关注患者对疾病威胁的感知,尤其是对疾病威胁感知程度较高的患者。
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
CiteScore
4.50
自引率
4.70%
发文量
341
审稿时长
16 weeks
期刊介绍: Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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