Patient–provider interaction, patient satisfaction, and health outcomes: testing explanatory models for people living with HIV/AIDS

Oetzel, John; Wilcox, Bryan; Avila, Magdalena; Hill, Ricky; Archiopoli, Ashley; Ginossar, Tamar

doi:10.1080/09540121.2015.1015478

Cited by 41 publications

(28 citation statements)

References 23 publications

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“… 8 Studies suggest that quality patient–provider interaction is a critical element of health care services, while patient satisfaction is an outcome measure. 23 …”

Section: Discussionmentioning

confidence: 99%

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Gele¹,

Ahmed²,

Kour³

et al. 2017

RMHP

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BackgroundIn 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as “access to adequate health care for all at an affordable price”. Despite this, an estimated 90% of Somalia’s largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people’s trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country.MethodsA qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis.ResultsOur findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country’s citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging – including the widespread practice of further appointments for follow-up – which inflates the costs. The study also found poor patient–provider relationship and widespread distrust of the private health care system.ConclusionThe study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor–patient relationship has been – and remains – a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights.

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“… 8 Studies suggest that quality patient–provider interaction is a critical element of health care services, while patient satisfaction is an outcome measure. 23 …”

Section: Discussionmentioning

confidence: 99%

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Gele¹,

Ahmed²,

Kour³

et al. 2017

RMHP

View full text Add to dashboard Cite

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“…The present study is a part of a larger study (Ginossar et al, 2014;Oetzel et al, 2014Oetzel et al, , 2015. Surveys were distributed in several ways.…”

Section: Participantsmentioning

confidence: 99%

Factors of interpersonal communication and behavioral health on medication self-efficacy and medication adherence

et al. 2016

Self Cite

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Despite devastating effects on health outcomes and disease progression, many people living with HIV (PLWH) are non-adherent to their medications. Medication self-efficacy is a pivotal factor in medication adherence, yet its formation and relationship with other factors are understudied. This study examines a model that considers the role of three communicative factors (patient-provider communication, social support, and social undermining) and two behavioral health factors (depression and alcohol abuse) and medication self-efficacy impacting medication adherence. Methods included a cross-sectional design using a survey questionnaire of 344 PLWH. Findings indicated that 25% of variance in medication adherence can be explained by a mediation model where depression (B = -.18) and provider-patient communication (B = .21) affect medication self-efficacy, which in turn impacts medication adherence (B = .64). Other variables, including demographics, did not add any explanatory power. These findings demonstrate the complex nature of medication adherence and the formation of medication self-efficacy.

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“…Effective patient-clinician relationships appear to help patients overcome these challenges and achieve positive outcomes. High-quality interactions with clinicians improve HIV medication adherence [24, 25], satisfaction with care and health-related quality of life [26]. A general measure of relationship quality, feeling known as a person, is associated with better adherence and HIV viral suppression [27].…”

Section: Introductionmentioning

confidence: 99%

Clinician empathy is associated with differences in patient–clinician communication behaviors and higher medication self-efficacy in HIV care

Flickinger

Saha

Roter

et al. 2016

Patient Education and Counseling

102

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Objective We examined associations of clinicians’ empathy with patient-clinician communication behaviors, patients’ rating of care, and medication self-efficacy. Methods We analyzed 435 adult patients and 45 clinicians at four outpatient HIV care sites in the United States. Negative binomial regressions investigated associations between clinician empathy and patient-clinician communication, assessed using the Roter Interaction Analysis System (RIAS). Logistic regressions investigated associations between clinician empathy and patient ratings of clinician communication, overall satisfaction, and medication self-efficacy. Results Clinicians in the highest vs. lowest empathy tertile engaged in less explicitly emotional talk (IRR 0.79, p<0.05), while clinicians in the middle vs. lowest engaged in more positive talk (IRR 1.31, p<0.05), more questions (IRR 1.42, p<0.05), and more patient activating talk (IRR 1.43, p<0.05). Patients of higher empathy clinicians disclosed more psychosocial and biomedical information. Patients of clinicians in both the middle and highest (vs. lowest) empathy tertiles had greater odds of reporting highest medication self-efficacy (OR 1.80, 95% CI 1.16–2.80; OR 2.13, 95% CI 1.37–3.32). Conclusions Clinician empathy may be expressed through addressing patient engagement in care, by fostering cognitive, rather than primarily emotional, processing. Practice Implications Clinicians should consider enhancing their own empathic capacity, which may encourage patients’ self-efficacy in medication adherence.

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Patient–provider interaction, patient satisfaction, and health outcomes: testing explanatory models for people living with HIV/AIDS

Cited by 41 publications

References 23 publications

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Factors of interpersonal communication and behavioral health on medication self-efficacy and medication adherence

Clinician empathy is associated with differences in patient–clinician communication behaviors and higher medication self-efficacy in HIV care

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Patient–provider interaction, patient satisfaction, and health outcomes: testing explanatory models for people living with HIV/AIDS

Cited by 41 publications

References 23 publications

Beneficiaries of conflict: a qualitative study of people&rsquo;s trust in the private health care system in Mogadishu, Somalia

Beneficiaries of conflict: a qualitative study of people&rsquo;s trust in the private health care system in Mogadishu, Somalia

Factors of interpersonal communication and behavioral health on medication self-efficacy and medication adherence

Clinician empathy is associated with differences in patient–clinician communication behaviors and higher medication self-efficacy in HIV care

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Product

Resources

About

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia