Clinician-patient communication to enhance health outcomes.
نویسنده
چکیده
Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication non adherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication non adherence, (3) the association between non adherence and outcomes, (4) the reasons for non adherence, and finally, (5) interventions to improve medication adherence. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, & Magee M. (2002). Physician empathy: Definition, components, measurement, and relationship to gender and specialty. The American Journal of Psychiatry, 159(9) 1563-1569. OBJECTIVE: There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores. METHOD: A revised version of the Jefferson Scale of Physician Empathy (with 20 Likert-type items) was mailed to 1,007 physicians affiliated with the Jefferson Health System in the greater Philadelphia region; 704 (70%) responded. Construct validity, reliability of the empathy scale, and the differences on mean empathy scores by physicians’ gender and specialty were examined. RESULTS: Three meaningful factors emerged (perspective taking, compassionate care, and standing in the patient’s shoes) to provide support for the construct validity of the empathy scale that was also found to be internally consistent with relatively stable scores over time. Women scored higher than men to a degree that was nearly significant. With control for gender, psychiatrists scored a mean empathy rating
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عنوان ژورنال:
- Journal of dental hygiene : JDH
دوره 83 4 شماره
صفحات -
تاریخ انتشار 2009