Do patient autonomy preferences matter? Linking patient-centered care to patient–physician relationships and health outcomes

Lee, Yin-Yang; Lin, Julia L.

doi:10.1016/j.socscimed.2010.08.008

Cited by 162 publications

(158 citation statements)

References 41 publications

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“…Although a variety of programmes show positive results, most lack evidence that they are effective in different populations 19. Additional research to investigate the relationship between autonomy support and clinical outcomes has been suggested 20. The results of the present study may contribute to the discussion regarding how to create more successful and theory‐based motivational interventions.…”

Section: Discussionmentioning

confidence: 85%

Self‐reported diabetes self‐management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes

et al. 2015

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AimTo investigate the associations of self‐perceived competence in diabetes management and autonomy support from healthcare providers with diabetes distress in adults with Type 1 diabetes mellitus that is not optimally controlled [HbA1c ≥ 64 mmol/mol (8.0%)].MethodsThis cross‐sectional study comprised blood sampling and three self‐report questionnaires, the Problem Areas in Diabetes scale, the Perceived Competence in Diabetes Scale and a measure of autonomy support by healthcare providers, the Health Care Climate Questionnaire. We fitted blockwise linear regression models to assess the associations between Problem Areas in Diabetes score and the variables of interest (autonomy support and perceived diabetes competence), controlling for clinical and sociodemographic variables.ResultsOf the study sample [n = 178; mean age 36.7 (±10.7) years], 31.5% had long‐term complications and 43.2% reported elevated (≥40) Problem Areas in Diabetes scores. A significant negative association was found between autonomy support and Problem Areas in Diabetes score (B = ‐3.61, P = 0.001), indicating that lower autonomy support was associated with greater diabetes distress. When perceived competence was controlled, it mediated the association of autonomy support with diabetes distress, reducing it to non‐significance. There was a significant negative association between perceived competence and Problem Areas in Diabetes score (B = ‐8.89, P < 0.001), indicating that lower perceived competence was associated with greater perceived distress.ConclusionsThere was an indirect (fully mediated) relationship between autonomy support and diabetes distress; autonomy support was associated with increased perceived competence, which, in turn, was associated with reduced distress. Healthcare providers' communication styles enhancing perceived competence through autonomy support may contribute to effective treatment for people with Type 1 diabetes and suboptimum glycaemic control.

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Section: Discussionmentioning

confidence: 85%

Self‐reported diabetes self‐management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes

et al. 2015

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“…We used structural equation modeling (SEM) to estimate the relationships in our model (for an example of how this approach has been used by others to address health care questions, see Lee & Lin, 2010). SEM allows us to explicitly examine the mediating effects of variables on awareness of PQI (Baron & Kenny, 1986).…”

Section: Methodsmentioning

confidence: 99%

What Influences the Awareness of Physician Quality Information? Implications for Medicare

Christianson¹,

Maeng

Abraham³

et al. 2014

MMRR

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Objective: Examine the factors that are associated with awareness of physician quality information (PQI) among older people with one or more chronic illnesses and the implications for Medicare.Data Sources/Study Setting: Random digit-dial survey of adults with one or more chronic illnesses.Research Design: Structural equation modeling to examine factors related to awareness of PQI.Results: Awareness of PQI is low (13 percent), but comparable to findings in general population surveys. Age, race, education, and self-reported health status are associated with PQI awareness. Trust in the Internet as a source of health care information and not trusting one's physician as a source of information both are associated with a greater likelihood of being aware of PQI. Patients with high levels of activation have greater trust in physicians as information sources, but this is not associated with awareness, nor is degree of satisfaction with their care experience. Conclusions: Awareness of PQI among olderpersons with chronic illnesses is relatively low across all socio-economic and demographic subgroups. Changes in population characteristics over time are unlikely to improve awareness in this population, nor are changes in patient activation or satisfaction with care. Medicare would need a broad-based effort if it wishes to raise PQI awareness among Medicare beneficiaries in the near term. Before undertaking resource-intensive efforts to increase awareness, Medicare may want to consider what level of awareness actually is needed to accomplish the overall objective for PQI transparency, which is raising the quality of care received by beneficiaries. It may be that relatively low levels of awareness are sufficient. Keywords

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“…Touyz, dans son commentaire, remarque que le type de démonstration auquel le jeune Verpaelst a participé est maintenant chose du passé. La montée du courant des soins axés sur le patient (« patient-centered care ») [7,8] combinée à l'arrivée de nouveaux outils médiatiques ont rendu caduque l'usage de mannequins vivants pour la formation des nouveaux médecins. Dans la lignée de Foucault, ouvrir les cadavres n'est plus aujourd'hui un passage obligé de la formation médicale.…”

Section: Mots Clés Abstractunclassified

La reconnaissance d’autrui comme prérequis à toute forme de consentement et d’assentiment : une réponse à Verpaelst et Touyz

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Do patient autonomy preferences matter? Linking patient-centered care to patient–physician relationships and health outcomes

Cited by 162 publications

References 41 publications

Self‐reported diabetes self‐management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes

Self‐reported diabetes self‐management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes

What Influences the Awareness of Physician Quality Information? Implications for Medicare

La reconnaissance d’autrui comme prérequis à toute forme de consentement et d’assentiment : une réponse à Verpaelst et Touyz

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