Evaluations of Care by Adults Following a Denial of an Advertisement Related Prescription Drug Request : The Role of Expectations, Symptom Severity, and Physician Communication Style  

Oleh:

Shah, Mansi B. ; Bentley, John P. ; McCaffrey III, David J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 4 (Feb. 2006), page 888-899.
Topik: ADULTS; physician communication styke; patient requests; patient physician relationship; direct to consumer advertising; prescription; vignette design

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

As patients continue to take a more active role in their health care, an understanding of patient requests of health care providers, including what happens when requests are not fullfilled, is becoming more improtant. Although its merits have been debated, direct to consumer advertising of prescription frugs generates patient requests. The objective of this study was to assess the influence of physician communication style, respondents' expectations of receiving a requested prescription and perceived symptom severity on respondents' evaluations of care following a physician denial of a prescription drug request stimulated by direct to consumer advertising. A 2 x 2 x 2 , between subjects experimental design was used. The respondents were made up of employees of the university of missisippi. Physician communication style, respondents' expectations and respondents' perceived symptom severity were manipulated using vignettes. Repondents' post visit evaluations of care were assessed by measuring trust in the physician visit based satisfaction with the physician and commitment toward the physician. Factorial analysis of variance procedures for a three way design were used to test the hypotheses and assess the research questions. Manipulation checks suggested that the independent variables were approopriately manipulated. No significant first order or second order interactions were noted in any of the analyses. Post visit evaluations of care were significantly associated with physician communication style (a partnership response led to better evaluations of care). There were no significant effects of either prior expectation of request fulfillment or perceived symptom severity. However non significant trends in mean scores suggested a potential role of these variables in the evaluation process following request denial. The manner in which a hysician communicates with an individual is an important determinant of the evaluation of care following the denial of a request. The results suggest that health care providers attempting to minimize the effect of request denials on patient evaluations should make an effort to involve the patient in the decision making process.

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