Patient-clinician relationship seems to affect adherence to analgesic use in cancer patients

a cross sectional study in a Taiwanese population

Pi-Ling Chou, Kun-Ming Rau, Ta-Wei Yu, Tai-Lin Huang, Jia-Ling Sun, Shu-Yi Wang, Chia-Chin Lin

Research output: Contribution to journalArticle

Abstract

Objectives: Patient satisfaction can provide a measure of service quality and serve as a predictor of health-related behaviors. Little is known about how patients' satisfaction with clinician-patient interactions affects their adherence to taking analgesics. The purposes of this study were to (1) investigate the predictors of patients' satisfaction with clinicians, and (2) examine whether patients' satisfaction with their clinicians can improve adherence to analgesic use.

Design: A cross-sectional and descriptive design was used.

Setting: Outpatient oncology clinic at a medical center in Taiwan.

Participants: A convenience sample (N = 309) was recruited.

Main outcome measures: The Medical Interview Satisfaction Scale 21 - Chinese Version, Short Version of the Barriers Questionnaire - Taiwan Form, Taiwanese version of the Morisky Medication Adherence Measure, and Interpersonal Physician Trust Scale - Chinese version, and Brief Pain Inventory Chinese Version.

Results: Variables that could significantly predict patients' satisfaction were patient age and trust in clinicians, which together accounted for 33% of the total variance. Patients' satisfaction with their clinicians significantly predicted patients' adherence to medication use (OR = 3.10, P < 0.05). There was an interactive effect (OR = 0.12, P < 0.05) between patients' satisfaction and barriers to analgesic use. Correlation coefficients between barriers to analgesic use and patients' adherence are -0.52 (P < 0.001) and -0.13 (P = 0.20) in the higher satisfaction and lower satisfaction patients, respectively.

Conclusions: Patients' satisfaction with their clinicians can have a positive effect on changing analgesics adherence behaviors when patients hold incorrect beliefs about analgesics. Patients' satisfaction has an important role in enhancement of analgesics adherence behaviors.

Original languageEnglish
Pages (from-to)935-940
Number of pages6
JournalInternational Journal for Quality in Health Care
Volume29
Issue number7
DOIs
Publication statusPublished - Nov 1 2017

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Patient Satisfaction
Analgesics
Cross-Sectional Studies
Population
Neoplasms
Patient Compliance
Taiwan
Medication Adherence
Ambulatory Care Facilities
Outcome Assessment (Health Care)
Interviews
Physicians
Pain
Equipment and Supplies
Health

Keywords

  • Journal Article

Cite this

Patient-clinician relationship seems to affect adherence to analgesic use in cancer patients : a cross sectional study in a Taiwanese population. / Chou, Pi-Ling; Rau, Kun-Ming; Yu, Ta-Wei; Huang, Tai-Lin; Sun, Jia-Ling; Wang, Shu-Yi; Lin, Chia-Chin.

In: International Journal for Quality in Health Care, Vol. 29, No. 7, 01.11.2017, p. 935-940.

Research output: Contribution to journalArticle

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N2 - Objectives: Patient satisfaction can provide a measure of service quality and serve as a predictor of health-related behaviors. Little is known about how patients' satisfaction with clinician-patient interactions affects their adherence to taking analgesics. The purposes of this study were to (1) investigate the predictors of patients' satisfaction with clinicians, and (2) examine whether patients' satisfaction with their clinicians can improve adherence to analgesic use.Design: A cross-sectional and descriptive design was used.Setting: Outpatient oncology clinic at a medical center in Taiwan.Participants: A convenience sample (N = 309) was recruited.Main outcome measures: The Medical Interview Satisfaction Scale 21 - Chinese Version, Short Version of the Barriers Questionnaire - Taiwan Form, Taiwanese version of the Morisky Medication Adherence Measure, and Interpersonal Physician Trust Scale - Chinese version, and Brief Pain Inventory Chinese Version.Results: Variables that could significantly predict patients' satisfaction were patient age and trust in clinicians, which together accounted for 33% of the total variance. Patients' satisfaction with their clinicians significantly predicted patients' adherence to medication use (OR = 3.10, P < 0.05). There was an interactive effect (OR = 0.12, P < 0.05) between patients' satisfaction and barriers to analgesic use. Correlation coefficients between barriers to analgesic use and patients' adherence are -0.52 (P < 0.001) and -0.13 (P = 0.20) in the higher satisfaction and lower satisfaction patients, respectively.Conclusions: Patients' satisfaction with their clinicians can have a positive effect on changing analgesics adherence behaviors when patients hold incorrect beliefs about analgesics. Patients' satisfaction has an important role in enhancement of analgesics adherence behaviors.

AB - Objectives: Patient satisfaction can provide a measure of service quality and serve as a predictor of health-related behaviors. Little is known about how patients' satisfaction with clinician-patient interactions affects their adherence to taking analgesics. The purposes of this study were to (1) investigate the predictors of patients' satisfaction with clinicians, and (2) examine whether patients' satisfaction with their clinicians can improve adherence to analgesic use.Design: A cross-sectional and descriptive design was used.Setting: Outpatient oncology clinic at a medical center in Taiwan.Participants: A convenience sample (N = 309) was recruited.Main outcome measures: The Medical Interview Satisfaction Scale 21 - Chinese Version, Short Version of the Barriers Questionnaire - Taiwan Form, Taiwanese version of the Morisky Medication Adherence Measure, and Interpersonal Physician Trust Scale - Chinese version, and Brief Pain Inventory Chinese Version.Results: Variables that could significantly predict patients' satisfaction were patient age and trust in clinicians, which together accounted for 33% of the total variance. Patients' satisfaction with their clinicians significantly predicted patients' adherence to medication use (OR = 3.10, P < 0.05). There was an interactive effect (OR = 0.12, P < 0.05) between patients' satisfaction and barriers to analgesic use. Correlation coefficients between barriers to analgesic use and patients' adherence are -0.52 (P < 0.001) and -0.13 (P = 0.20) in the higher satisfaction and lower satisfaction patients, respectively.Conclusions: Patients' satisfaction with their clinicians can have a positive effect on changing analgesics adherence behaviors when patients hold incorrect beliefs about analgesics. Patients' satisfaction has an important role in enhancement of analgesics adherence behaviors.

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