The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment

PsyCh Journal ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 383-391 ◽  
Author(s):  
Dong Wei ◽  
Anqi Xu ◽  
Xue Wu
Keyword(s):  
Risk Perception ◽  
Patient Communication ◽  
Mediating Effect ◽  
Doctor Patient Communication ◽  
The Relationship

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

2021 ◽  
Author(s):  
Caixia Han ◽  
Qing Wu ◽  
Chenchen Liu ◽  
Pei Wang
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

scholarly journals Analysis of the Mediating Effect of Risk Perception on the Relationship Between Time Perception and Mental Health of College Students During the COVID-19 Epidemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Hua Cao ◽  
Hui Wen Zhang ◽  
Ling Yang ◽  
Ling Li ◽  
Jun Zhi Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Risk Perception ◽  
Correlation Analysis ◽  
Time Perception ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mediating Effect ◽  
Mediating Role ◽  
The Relationship

Background: COVID-19 has had a wide impact on the mental health of college students. This study aims to explore the relationship between time perception, risk perception, and the mental health of college students during COVID-19 through a questionnaire survey.Subjects: One thousand two hundred and eighteen college students, 449 male and 769 female, who studied online during the COVID-19 epidemic were selected.Methods: Time Perception Scale, Risk Perception Scale, and SCL-90 were used to investigate the relationship using correlation analysis.Results: During the COVID-19 period, mental health problems of college students were widespread, and 65.93% of college students reported moderate to severe mental health problems. The correlation analysis showed that risk perception, time perception, and the mental health of college students were significantly related. Risk perception played a partial mediating role between present enjoyment and mental health, and risk perception played a partial mediating role between future time perception and mental health.Conclusion: In the case of sudden public crises, we should pay close attention to the mental health of college students, adjust their attitude toward the present and the future, and pay attention to their perception of risk so as to improve their mental health level under crisis.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction in China

2021 ◽  
Author(s):  
Caixia HAN ◽  
Qing WU ◽  
CHENCHEN LIU ◽  
Pei WANG
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract ObjectiveTo explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.MethodsFrom November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.ConclusionThe age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implicationsMedical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

scholarly journals Rebuild doctor–patient trust in medical service delivery in China

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Liang Du ◽  
Jia Xu ◽  
Xu Chen ◽  
Xuexue Zhu ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Service Quality ◽  
Service Delivery ◽  
Structural Equation ◽  
Medical Service ◽  
Patient Communication ◽  
Service Satisfaction ◽  
Patient Trust ◽  
Cross Sectional ◽  
Doctor Patient Communication ◽  
The Relationship

AbstractDoctor–patient trust is not strong in China, but studies examining this factor remain insufficient. The present study aimed to explore the effect of doctor–patient communication, medical service quality, and service satisfaction on patient trust in doctors. Five hundred sixty-four patients with tuberculosis participated in this cross-sectional study in Dalian, China. They completed questionnaires assessing socio-demographic characteristics, doctor–patient communication, medical service quality, service satisfaction and patient trust in medical staff. A structural equation model was applied to examine the hypotheses, and all the study hypotheses were supported: (1) doctor–patient communication, medical service quality and service satisfaction were positively associated with building doctor–patient trust; (2) service quality positively mediated the relationship between doctor–patient communication and trust; (3) medical service satisfaction positively mediated the relationship between doctor–patient communication and trust; (4) medical service satisfaction positively mediated the relationship between medical service quality and doctor–patient trust; and (5) medical service quality and service satisfaction were the positively sequential mediators between communication and doctor–patient trust. Based on these findings, improvements in doctor–patient communication, medical service quality, and service satisfaction are the important issues contributing to the rebuilding of doctor–patient trust in medical service delivery.

scholarly journals Illness cognitions, doctor-patient communication and prescription adherence among first diagnosed hypertensive patients from a rural teaching hospital in South Africa

2003 ◽  
Vol 8 (1) ◽  
Author(s):  
K Peltzer ◽  
L Khoza ◽  
M E Lekhuleni ◽  
Alberts M ◽  
J Mekwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Teaching Hospital ◽  
Patient Communication ◽  
Rural South ◽  
Hypertensive Patients ◽  
Doctor Patient Communication ◽  
Illness Cognitions ◽  
Rural Teaching ◽  
The Relationship

This study examines the relationship between illness cognitions, doctor-patient communication and the use of prescribed medication among patients first diagnosed with hypertension in the outpatient department of a rural South African teaching hospital. ABSTRAK Hierdie studie ondersoek die verwantskap tussen siekte-kognisies, dokter-pasiënt kommunikasie en die gebruik van voorskrifmedisyne onder pasiënte wat die eerste keer met hipertensie gediagnoseer is, in die buitepasiëntafdeling van ‘n landelike Suid-Afrikaanse opleidingshospitaal.

scholarly journals Illness cognitions, doctor-patient communication and prescription adherence among first diagnosed hypertensive patients from a rural teaching hospital in South Africa

2003 ◽  
Vol 8 (1) ◽  
Author(s):  
K Peltzer ◽  
L B Khoza ◽  
M E Lekhuleni ◽  
M Alberts ◽  
J Mekwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Teaching Hospital ◽  
Patient Communication ◽  
Rural South ◽  
Hypertensive Patients ◽  
Doctor Patient Communication ◽  
Illness Cognitions ◽  
Rural Teaching ◽  
The Relationship

This study examines the relationship between illness cognitions, doctor-patient communication and the use of prescribed medication among patients first diagnosed with hypertension in the outpatient department of a rural South African teaching hospital. Opsomming Hierdie studie ondersoek die verwantskap tussen siekte-kognisies, dokter-pasiënt kommunikasie en die gebruik van voorskrifmedisyne onder pasiënte wat die eerste keer met hipertensie gediagnoseer is, in die buitepasiëntafdeling van ‘n landelike Suid-Afrikaanse opleidingshospitaal. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

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