THE ROLE OF PATIENT ACTIVATION AND PERSONAL FACTORS ON PATIENT-PHYSICIAN INTERACTION

Year 2020, Volume: 5 Issue: 2, 170 - 180, 31.08.2020

Fedayi Yağar , Mehveş Tarım

https://doi.org/10.31201/ijhmt.789711

Abstract

This study examines whether the patient-physician interaction level differs according to some personal factors of the patients. 244 patients who came to the university hospital between certain dates to be treated constitute the sample of the study. In the research, a moderately significant positive relationship was found between patient-physician interaction and patient activity and educational status. It was observed that there was a negative and low level relationship between age variable and patient-physician interaction. It has been determined that the individuals with health insurance have better interaction with physicians. No significant difference was found between gender and income status and patient-physician interaction. As a result, this study shows that patient-physician interaction perceptions in healthcare settings vary according to personal patient characteristics. We think that these differences provide important evidence in designing policies to improve health systems at the individual application level.

Keywords

Patient Physician Interaction, Patient Activation, Age, Education Level, Health Insurance

References

• Aelbrecht, K., Hanssens, L., Detollenaere, J., Willems, S., Deveugele, M. and Pype, P. (2019). Determinants of physician–patient communication: The role of language, education and ethnicity. Patient Education and Counseling, 102(4), 776-781. https://doi.org/10.1016/j.pec.2018.11.006
• Akbolat, M. (2016). Sağlık okuryazarlığı hasta-hekim ilişkisini etkiler mi?: Sakarya ilinde bir araştırma. TAF Preventive Medicine Bulletin, 15(4), 354-362. https://www.doi.org/10.5455/pmb.1-1455008901
• Alegría, M., Sribney, W., Perez, D., Laderman, M. and Keefe, K. (2009). The role of patient activation on patient–provider communication and quality of care for US and foreign born Latino patients. Journal of General Internal Medicine, 24(3), 534-541. https://www.doi.org/10.1007/s11606-009-1074-x
• Alexander, J. A., Hearld, L. R., Mittler, J. N. and Harvey, J. (2012). Patient–physician role relationships and patient activation among individuals with chronic illness. Health Services Research, 47(3), 1201-1223. doi:10.1111/j.1475-6773.2011.01354.x
• Belcher, V. N., Fried, T. R., Agostini, J. V. and Tinetti, M. E. (2006). Views of older adults on patient participation in medication-related decision making. Journal of General Internal Medicine, 21(4), 298-303. doi:10.1111/j.1525-1497.2006.00329.x
• Berry, L. L., Parish, J. T., Janakiraman, R., Ogburn-Russell, L., Couchman, G. R., Rayburn, W. L. and Grisel, J. (2008). Patients’ commitment to their primary physician and why it matters. The Annals of Family Medicine, 6(1), 6-13. doi:10.1370/afm.757
• Berry, D. (2007). Health communication: Theory and practice. Typeset by Refine Catch Ltd, Bungay.
• Birkhäuer, J., Gaab, J., Kossowsky, J., Hasler, S., Krummenacher, P., Werner, C. and Gerger, H. (2017). Trust in the health care professional and health outcome: a meta-analysis. Plos One, 12(2), 1-13. doi:10.1371/journal.pone.0170988
• Boissy, A., Windover, A. K., Bokar, D., Karafa, M., Neuendorf, K., Frankel, R. M. and Rothberg, M. B. (2016). Communication skills training for physicians improves patient satisfaction. Journal of General Internal Medicine, 31(7), 755-761. doi:10.1007/s11606-016-3597-2
• Budych, K., Helms, T. M. and Schultz, C. (2012). How do patients with rare diseases experience the medical encounter? Exploring role behavior and its impact on patient–physician interaction. Health Policy, 105(2-3), 154-164. doi:10.1016/j.healthpol.2012.02.018
• Chen, J. Y., Tao, M. L., Tisnado, D., Malin, J., Ko, C., Timmer, M. and Kahn, K. L. (2008). Impact of physician–patient discussions on patient satisfaction. Medical Care, 46(11), 1157-1162. doi:10.1097/MLR.0b013e31817924bc
• DeVoe, J. E., Wallace, L. S. and Fryer, G. E. (2009). Measuring patients’ perceptions of communication with healthcare providers: do differences in demographic and socioeconomic characteristics matter?. Health Expectations, 12(1), 70-80. doi:10.1111/j.1369-7625.2008.00516.x
• Emanuel, E. J. and Emanuel, L. L. (1992). Four models of the physician-patient relationship. JAMA, 267(16), 2221-2226. doi:10.1001/jama.1992.03480160079038
• Guzman, A.B. and Dino, M.J.S. (2020). Examining the role of Filipino elderly attitudes toward computer and internet on their behavioral intention for telehealth participation, Educational Gerontology, 46(3), 140-149. doi:10.1080/03601277.2020.1715589
• Hibbard, J.H., Mahoney, E.R., Stockard, J., Tusler, M. (2005). Development and testing of a short form of the patient activation measure. Health Services Research, 40(6), 1918-30. doi:10.1111/j.1475-6773.2005.00438.x
• Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C. and Gonnella, J. S. (2011). Physicians' empathy and clinical outcomes for diabetic patients. Academic Medicine, 86(3), 359-364. doi:10.1097/ACM.0b013e3182086fe1
• Jalil, A., Zakar, R., Zakar, M. Z. and Fischer, F. (2017). Patient satisfaction with doctor-patient interactions: a mixed methods study among diabetes mellitus patients in Pakistan. BMC Health Services Research, 17(1), 1-13. doi:10.1186/s12913-017-2094-6
• Jensen, J. D., King, A. J., Guntzviller, L. M. and Davis, L. A. (2010). Patient–provider communication and low-income adults: Age, race, literacy, and optimism predict communication satisfaction. Patient Education and Counseling, 79(1), 30-35. doi:10.1016/j.pec.2009.09.041
• Kahramanmaraş Governorship. (2020). Distribution of health institutions, bed availability and number of health personnel. www.kahramanmaras.gov.tr/saglik, (Date of access: 30.08.2020).
• Kosar, C. and Besen, D.B. (2019). Adaptation of a patient activatıon measure (PAM) into Turkish: reliability and validity test. African Health Sciences, 19(1), 1811-20. doi:10.4314/ahs. v19i1.58
• KSU. (2020). Presentation of the institution. hastane.ksu.edu.tr/Default.aspx?SId=18876, (Access Date: 30.08.2020)
• Kuteyi, E. A., Bello, I. S., Olaleye, T. M., Ayeni, I. O. and Amedi, M. I. (2010). Determinants of patient satisfaction with physician interaction: a cross-sectional survey at the Obafemi Awolowo University Health Centre, Ile-Ife, Nigeria. South African Family Practice, 52(6), 557-562. doi:10.1080/20786204.2010.10874047
• Liang, C. Y., Wang, K. Y., Hwang, S. J., Lin, K. C. and Pan, H. H. (2013). Factors affecting the physician–patient relationship of older veterans with inadequate health literacy: an observational study. Br. J. Gen. Pract., 63(610), 354-360. doi:10.3399/bjgp13X667222
• Lu, X. and Zhang, R. (2019). Impact of physician-patient communication in online health communities on patient compliance: cross-sectional questionnaire study. Journal of Medical Internet Research, 21(5), 1-18. doi:10.2196/12891
• Maly, R. C. (1998). Perceived efficacy in patient‐physician interactions (PEPPI): validation of an instrument in older persons. Journal of the American Geriatrics Society, 46(7), 889-894. doi:10.1111/j.1532-5415.1998.tb02725.x
• Maly, R. C., Leake, B. and Silliman, R. A. (2004). Breast cancer treatment in older women: impact of the patient‐physician interaction. Journal of the American Geriatrics Society, 52(7), 1138-1145. doi:10.1111/j.1532-5415.2004.52312.x
• Mosen, D. M., Schmittdiel, J., Hibbard, J., Sobel, D., Remmers, C. and Bellows, J. (2007). Is patient activation associated with outcomes of care for adults with chronic conditions?. The Journal of Ambulatory Care Management, 30(1), 21-29. doi:10.1097/00004479-200701000-00005
• Parchman, M. L., Zeber, J. E. and Palmer, R. F. (2010). Participatory decision making, patient activation, medication adherence, and intermediate clinical outcomes in type 2 diabetes: a STARNet study. The Annals of Family Medicine, 8(5), 410-417. doi:10.1370/afm.1161
• Razzaghi, M. R. and Afshar, L. (2016). A conceptual model of physician-patient relationships: a qualitative study. Journal of Medical Ethics and History of Medicine, 9(14), 1-7.
• Remmers, C., Hibbard, J., Mosen, D. M., Wagenfield, M., Hoye, R. E. and Jones, C. (2009). Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?. The Journal of Ambulatory Care Management, 32(4), 320-327. doi:10.1097/JAC.0b013e3181ba6e77
• Roter, D.L. and Hall, J.A. (2006). Doctors Talking with Patients / Patients Talking with Doctors Improving Communication In Medical Visits. Second Edition. Greenwood Publishing, Connecticut.
• Szasz, T. S. and Hollender, M. H. (1956). A contribution to the philosophy of medicine: the basic models of the doctor-patient relationship. AMA Archives of Internal Medicine, 97(5), 585-592. doi:10.1001/archinte.1956.00250230079008
• Williams, G. C., McGregor, H., Zeldman, A., Freedman, Z. R., Deci, E. L. and Elder, D. (2005). Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention. Patient Education and Counseling, 56(1), 28-34. doi:10.1016/j.pec.2003.11.008
• Worrall, L., Hickson, L., Barnett, H. and Yiu, E. (1998). An evaluation of the keep on talking program for maintaining communication skills into old age. Educational Gerontology, 24(2), 129-140. doi:10.1080/0360127980240203
• Yağar, F. 2019. What are the factors affecting the interaction between the patient and the physician?. International Journal of Health Management and Tourism, 4(2), 129-139. doi:10.31201/20ijhmt.595677