Factors associated with the quality of the doctor-patient relationship in Brazil.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-12-11 DOI:10.1590/1413-81232025307.13332024
Lucas Wollmann, Lisiane Hauser, Christina van der Feltz-Cornelis, Sotero Serrate Mengue, Rudi Roman, Milena Rodrigues Agostinho Rech, Erno Harzheim
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引用次数: 0

Abstract

This study investigated the influence of patient- and doctor-related factors on the quality of this relationship, measured by the Patient-Doctor Relationship Questionnaire (PDRQ-9), within the primary care setting of Brazil's SUS (Unified Health System). Data were collected from 5,971 adult patients and 494 doctors from Family Health Units (USF) across all regions of Brazil. Multivariate analysis indicated that only patient characteristics were significantly associated with the quality of the doctor-patient relationship. These included living in urban areas, being male, having ten or more years of education, obtaining a same-day consultation, having more than three consultations per year with the same doctor, and being seen at a USF with high-quality primary care. The findings highlight inequalities in the doctor-patient relationship, showing that patients who share common characteristics with their doctors (urban background and higher education) or consult in higher-quality primary care settings report more satisfactory relationships. This underscores the importance of developing doctors' cultural competence and the impact of service organization on relationship quality.

与巴西医患关系质量相关的因素。
本研究调查了患者和医生相关因素对这种关系质量的影响,通过患者-医生关系问卷(PDRQ-9)测量,在巴西SUS(统一卫生系统)的初级保健环境中。数据收集自巴西所有地区家庭保健单位(USF)的5,971名成年患者和494名医生。多变量分析表明,只有患者特征与医患关系质量显著相关。这些条件包括居住在城市地区,是男性,受过10年或以上的教育,获得当天咨询,每年与同一医生进行三次以上咨询,并在USF接受高质量的初级保健。研究结果强调了医患关系中的不平等,表明与医生有共同特征(城市背景和高等教育)或在高质量初级保健机构咨询的患者报告的关系更令人满意。这凸显了培养医生文化能力的重要性以及服务组织对关系质量的影响。
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
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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