Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions
David T Eton,1,2 Jennifer L Ridgeway,1,2 Mark Linzer,3 Deborah H Boehm,4 Elizabeth A Rogers,5 Kathleen J Yost,1,2 Lila J Finney Rutten,1,2 Jennifer L St Sauver,1,2 Sara Poplau,4 Roger T Anderson6 1Department of Health Sciences Research, 2Robert D and Patricia E Kern Center for the Science of Health...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2017-09-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/healthcare-provider-relational-quality-is-associated-with-better-self--peer-reviewed-article-PPA |
| _version_ | 1828348993959100416 |
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| author | Eton DT Ridgeway JL Linzer M Boehm DH Rogers EA Yost KJ Finney Rutten LJ St Sauver JL Poplau S Anderson RT |
| author_facet | Eton DT Ridgeway JL Linzer M Boehm DH Rogers EA Yost KJ Finney Rutten LJ St Sauver JL Poplau S Anderson RT |
| author_sort | Eton DT |
| collection | DOAJ |
| description | David T Eton,1,2 Jennifer L Ridgeway,1,2 Mark Linzer,3 Deborah H Boehm,4 Elizabeth A Rogers,5 Kathleen J Yost,1,2 Lila J Finney Rutten,1,2 Jennifer L St Sauver,1,2 Sara Poplau,4 Roger T Anderson6 1Department of Health Sciences Research, 2Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, 3Division of General Internal Medicine, Hennepin County Medical Center, 4Minneapolis Medical Research Foundation, 5Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, 6Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA Purpose: Having multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) – the communicative and interpersonal skill of the provider – may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial outcomes in adults with MCCs, and 2) determine if certain indicators of HPRQ are more strongly associated than others with these outcomes.Patients and methods: This is a cross-sectional survey study of 332 people with MCCs. Patients completed a 7-item measure of HPRQ and measures of treatment and self-management burden, chronic condition distress, self-efficacy, provider satisfaction, medication adherence, and physical and mental health. Associations between HPRQ, treatment burden, and psychosocial outcomes were determined using correlational analyses and independent samples t-tests, which were repeated in item-level analyses to explore which indicators of HPRQ were most strongly associated with the outcomes.Results: Most respondents (69%) were diagnosed with ≥3 chronic conditions. Better HPRQ was found to be associated with less treatment and self-management burden and better psychosocial outcomes (P<0.001), even after controlling for physical and mental health. Those reporting 100% adherence to prescribed medications had higher HPRQ scores than those reporting less than perfect adherence (P<0.001). HPRQ items showing the strongest associations with outcomes were “my healthcare provider spends enough time with me”, “my healthcare provider listens carefully to me”, and “I have trust in my healthcare provider”.Conclusion: Good communication and interpersonal skills of healthcare providers may lessen feelings of treatment burden and empower patients to feel confident in their self-management. Patient trust in the provider is an important element of HPRQ. Educating healthcare providers about the importance of interpersonal and relational skills could lead to more patient-centered care. Keywords: patient–provider relationship, multi-morbidity, adherence, patient-centered care, trust |
| first_indexed | 2024-04-14T01:03:07Z |
| format | Article |
| id | doaj.art-2643c1f6ba254da4873fa10f5070655c |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-04-14T01:03:07Z |
| publishDate | 2017-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-2643c1f6ba254da4873fa10f5070655c2022-12-22T02:21:21ZengDove Medical PressPatient Preference and Adherence1177-889X2017-09-01Volume 111635164634883Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditionsEton DTRidgeway JLLinzer MBoehm DHRogers EAYost KJFinney Rutten LJSt Sauver JLPoplau SAnderson RTDavid T Eton,1,2 Jennifer L Ridgeway,1,2 Mark Linzer,3 Deborah H Boehm,4 Elizabeth A Rogers,5 Kathleen J Yost,1,2 Lila J Finney Rutten,1,2 Jennifer L St Sauver,1,2 Sara Poplau,4 Roger T Anderson6 1Department of Health Sciences Research, 2Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, 3Division of General Internal Medicine, Hennepin County Medical Center, 4Minneapolis Medical Research Foundation, 5Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, 6Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA Purpose: Having multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) – the communicative and interpersonal skill of the provider – may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial outcomes in adults with MCCs, and 2) determine if certain indicators of HPRQ are more strongly associated than others with these outcomes.Patients and methods: This is a cross-sectional survey study of 332 people with MCCs. Patients completed a 7-item measure of HPRQ and measures of treatment and self-management burden, chronic condition distress, self-efficacy, provider satisfaction, medication adherence, and physical and mental health. Associations between HPRQ, treatment burden, and psychosocial outcomes were determined using correlational analyses and independent samples t-tests, which were repeated in item-level analyses to explore which indicators of HPRQ were most strongly associated with the outcomes.Results: Most respondents (69%) were diagnosed with ≥3 chronic conditions. Better HPRQ was found to be associated with less treatment and self-management burden and better psychosocial outcomes (P<0.001), even after controlling for physical and mental health. Those reporting 100% adherence to prescribed medications had higher HPRQ scores than those reporting less than perfect adherence (P<0.001). HPRQ items showing the strongest associations with outcomes were “my healthcare provider spends enough time with me”, “my healthcare provider listens carefully to me”, and “I have trust in my healthcare provider”.Conclusion: Good communication and interpersonal skills of healthcare providers may lessen feelings of treatment burden and empower patients to feel confident in their self-management. Patient trust in the provider is an important element of HPRQ. Educating healthcare providers about the importance of interpersonal and relational skills could lead to more patient-centered care. Keywords: patient–provider relationship, multi-morbidity, adherence, patient-centered care, trust https://www.dovepress.com/healthcare-provider-relational-quality-is-associated-with-better-self--peer-reviewed-article-PPAPatient-provider relationshipMulti-morbidityAdherencePatient-centered careTrust |
| spellingShingle | Eton DT Ridgeway JL Linzer M Boehm DH Rogers EA Yost KJ Finney Rutten LJ St Sauver JL Poplau S Anderson RT Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions Patient Preference and Adherence Patient-provider relationship Multi-morbidity Adherence Patient-centered care Trust |
| title | Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions |
| title_full | Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions |
| title_fullStr | Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions |
| title_full_unstemmed | Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions |
| title_short | Healthcare provider relational quality is associated with better self-management and less treatment burden in people with multiple chronic conditions |
| title_sort | healthcare provider relational quality is associated with better self management and less treatment burden in people with multiple chronic conditions |
| topic | Patient-provider relationship Multi-morbidity Adherence Patient-centered care Trust |
| url | https://www.dovepress.com/healthcare-provider-relational-quality-is-associated-with-better-self--peer-reviewed-article-PPA |
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