The Role of Object Relations in the Physician-Patient Relationship in a Primary Care Setting.

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY
John H Porcerelli, Laura A Richardson, Steven K Huprich
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引用次数: 0

Abstract

Abstract: A good physician-patient relationship is essential for the delivery of quality health care and is associated with better health outcomes. This study explored the association between patients' object relations and the physician-patient relationship. Primary care patients (n = 72) and physicians (n = 21) participated in the study. Patients' early memories were obtained prior to their medical visit and were coded with the Social Cognition and Object Relations-Global Method (SCORS-G). Patients and physicians independently rated the quality of the physician-patient encounter. Results indicated that object relations (SCORS-G Cognitive-structural and Self factors) incrementally predicted physician-patient relationship ratings, as rated by the patient, above and beyond psychological distress, somatization, and level of physician training. Patient education, psychological distress, and level of physician training predicted physician ratings of the medical encounter. The authors discuss the discrepancy between physician and patient ratings as they relate to patients' object relations.

客体关系在初级医疗机构医患关系中的作用》(The Role of Object Relations in the Physician-Patient Relationship in a Primary Care Setting.
摘要:良好的医患关系对于提供高质量的医疗服务至关重要,并与更好的健康结果相关联。本研究探讨了患者的客体关系与医患关系之间的关联。参与研究的有初级保健患者(72 人)和医生(21 人)。患者的早期记忆是在就诊前获得的,并采用社会认知和客体关系全局法(SCORS-G)进行编码。患者和医生对医患接触的质量进行独立评分。结果表明,客体关系(SCORS-G 认知结构和自我因素)对医患关系评分的预测作用逐步增强,由患者评分,高于心理困扰、躯体化和医生培训水平。患者教育、心理困扰和医生培训水平预测了医生对医疗接触的评分。作者讨论了医生和患者评分之间的差异,因为它们与患者的客体关系有关。
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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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