Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions?
Dan Wang | Chenxi Liu | Xinping Zhang
Promoting patient-centered communication among physicians is one core strategy for improving physician&ndash:patient relationships and patient outcomes. Our study aims to understand the physicians&rsquo: attitudes towards patient-centered communication and its effects on physicians&rsquo: intention and behavior of involving patients in medical decisions in primary care in China. One cross-sectional study was conducted in primary facilities in Hubei province, China, from December 2019 to January 2020, where physicians&rsquo: attitudes towards patient-centered communication were measured by the Chinese-revised patient&ndash:practitioner orientation scale. Multilevel ordinal logistic regression was conducted for estimating the effects of physicians&rsquo: attitudes on their intention and behavior of patient involvement in medical decisions. Six hundred and seventeen physicians were investigated for the main study. Physicians had a medium score of patient-centered communication (3.78, SD = 0.56), with relatively high caring subscale score (4.59, SD = 0.64), and low sharing subscale score (3.09, SD = 0.75). After controlling physicians&rsquo: covariates, physicians&rsquo: attitudes towards patient-centered communication was significantly associated with a higher intention of involving patients in medical decisions (OR >: 1, p = 0.020). Physicians&rsquo: positive attitudes towards patient-centered communication affected their intention of involving patients in medical decisions, which implies the importance of taking the physicians&rsquo: attitudes into account for the accomplishment of patient involvement processes.
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