Journal
HEALTH SERVICES RESEARCH
Volume 47, Issue 3, Pages 1201-1223Publisher
WILEY
DOI: 10.1111/j.1475-6773.2011.01354.x
Keywords
Sociology; chronic disease; patient assessment; satisfaction; racial; ethnic differences in health and health care
Funding
- Robert Wood Johnson Foundation
- Aligning Forces for Quality Program
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Objective To examine whether chronically ill patients perceptions of their role relationships with their physicians are associated with levels of patient activation. Data Sources Random digit dial survey of 8,140 chronically ill patients and the Area Resource File. Study Design Cross-sectional, multivariate analysis of the relationship between dimensions of patientphysician role relationships and level of patient activation. The study controlled for variables related to patient demographics, socioeconomic status, health status, and market and family context. Principal Findings Higher perceived quality of interpersonal exchange with physicians, greater fairness in the treatment process, and more out-of-office contact with physicians were associated with higher levels of patient activation. Treatment goal setting was not significantly associated with patient activation. Conclusion Patientphysician relationships are an important factor in patients taking a more active role in their health and health care. Efforts to increase activation that focus only on individual patients ignore the important fact that the nature of roles and relationships between provider and patient can shape the behaviors and attitudes of patients in ways that support or discourage patient activation.
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