Effects of continuity of care and patient dispositional factors on the physician-patient relationship

Russell Noyes; Oladipo A Kukoyi; Susan L Longley; Douglas R Langbehn; Scott P Stuart

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Effects of continuity of care and patient dispositional factors on the physician-patient relationship

Journal article

Peer reviewed

Effects of continuity of care and patient dispositional factors on the physician-patient relationship

Russell Noyes, Oladipo A Kukoyi, Susan L Longley, Douglas R Langbehn and Scott P Stuart

Annals of clinical psychiatry, Vol.23(3), pp.180-185

08/2011

PMCID: PMC4920260

PMID: 21808749

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Abstract

BACKGROUND: We developed a questionnaire to examine the influence of physician and patient variables on the quality of the physician-patient relationship. METHODS: More than 300 family medicine patients completed self-report measures of the physician-patient relationship and variables likely to influence it. RESULTS: The quality of relationship was related to continuity of physician care (having a primary physician, duration of that relationship, and frequency of visits) and to patient dispositional variables (neuroticism, positive and negative affectivity) but not to demographic variables. The regression model included having a primary physician, duration of relationship with that physician, and positive affectivity. Relationship quality was, in turn, associated with outcomes (adherence to care, treatment response, satisfaction with care, and commitment to physician). CONCLUSIONS: The quality of physician-patient relationship is influenced by physician continuity and patient dispositional variables. Better understanding of these may contribute to the therapeutic potential of this important relationship.

Physician-patient relationship

continuity

alliance

satisfaction

positive affectivity

Details

Title: Subtitle: Effects of continuity of care and patient dispositional factors on the physician-patient relationship
Creators: Russell Noyes - Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA 52242 USA
Oladipo A Kukoyi - Veterans Administration, Northern California Health Care System, Sacramento, CA, USA
Susan L Longley - Department of Psychology, Rosalind Franklin School of Medicine and Science, North Chicago, IL, USA
Douglas R Langbehn - Departments of Biostatistics and Psychiatry, Carver College of Medicine, College of Public Health, University of Iowa, Iowa City, IA, USA
Scott P Stuart - Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Annals of clinical psychiatry, Vol.23(3), pp.180-185
PMID: 21808749
PMCID: PMC4920260
NLM abbreviation: Ann Clin Psychiatry
ISSN: 1040-1237
eISSN: 1547-3325
Language: English
Date published: 08/2011
Academic Unit: Psychiatry; Stead Family Department of Pediatrics; Iowa Neuroscience Institute
Record Identifier: 9984004187602771

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