Abstract
This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
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al Roomi, K. A., Heller, R. F., & Wlodarczyk, J. (1990). Hypertension control and the risk of myocardial infarction and stroke: a population-based study. Medical Journal of Australia, 153, 595–599.
Beckles, G. L., Engelgau, M. M., Narayan, K. M., Herman, W. H., Aubert, R. E., & Williamson, D. F. (1998). Population-based assessment of the level of care among adults with diabetes in the U.S. Diabetes Care, 21(9), 1432–1438.
Borghi, C., Bacchelli, S., Esposti, D. D., Bignamini, A., Magnani, B., & Ambrosioni, E. (1999). Effects of the administration of an angiotensin-converting enzyme inhibitor during the acute phase of myocardial infarction in patients with arterial hypertension. SMILE Study Investigators. Survival of Myocardial Infarction Longterm Evaluation. American Journal of Hypertension, 12(7), 665–672.
Delamater, A. M. (2006). Improving patient adherence. Clinical Diabetes, 24(2), 71–77. doi:10.2337/diaclin.24.2.71.
Dimatteo, M.R., & Martin, L.R. (2010). Health recommendations and change. Health Psychology (pp. 205). New Delhi: Dorling Kindersley (India).
Dragomir, A., Cote, R., Roy, L., Blais, L., Lalonde, L., Berard, A., et al. (2010). Impact of adherence to antihypertensive agents on clinical outcomes and hospitalization costs. Medical Care, 48(5), 418–425. doi:10.1097/MLR.0b013e3181d567bd.
Duffy, F. D., Gordon, G. H., Whelan, G., Cole-Kelly, K., Frankel, R., Buffone, N., et al. (2004). Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Academic Medicine, 79, 495–507.
Dunbar-Jacob, J., & Schlenk, E. (2001). Patient adherence to treatment regimen. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology. Mahwah: Lawrence Erlbaum Associates, Inc.
Friedman, D. S., Hahn, S. R., Gelb, L., Tan, J., Shah, S. N., Kim, E. E., et al. (2008). Doctor-patient communication, health-related beliefs, and adherence in glaucoma: results from the glaucoma adherence and persistency study. Opthalmology, 115(8), 1320–1327. doi:10.1016/j.ophtha.2007.11.023.
Golin, C. E., Thorpe, C., & DiMatteo, M. R. (2007). Accessing the patient’s world: Patient – physician communication about psychosocial issues. In J. A. L. Earp, E. A. French, & M. B. Gilkey (Eds.), Patient advocacy for health care quality: Strategies for achieving patient-centered care. Sudbury: Jones and Bartlett Publishers.
Gupta, R. (2005). Burden of coronary heart disease in India. Indian Heart Journal, 57(6), 632–8.
Ha, J. F., Anat, D. S., & Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner Journal, 10, 38–48.
Hampson, S. E., McKay, G. H., & Glasgow, R. E. (1996). Patient-physician interactions in diabetes management: consistencies and variation in the structure and content of two consultations. Patient Education and Counseling, 29(1), 49–58.
Jin, J., Sklar, G. E., Oh Sen, V. M., & Li, S. C. (2008). Factors affecting therapeutic compliance: a review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4(1), 269–286.
Liebl, A., Neiss, A., Spannheimer, A., Reitberger, U., Wieseler, B., Stammer, H., et al. (2002). Complications, co-morbidity, and blood glucose control in type 2 diabetes mellitus patients in Germany - results from the CODE-2 study. Experimental and Clinical Endocrinology and Diabetes, 110(1), 10–16.
Lipkin, M. (1996). Physician–patient interaction in reproductive counseling. Obstetrics and Gynecology, 88, 31S–40S.
Marmot, M. G., & Poulter, N. R. (1992). Primary prevention of stroke. Lancet, 339(8789), 344–347.
Naik, A. D., Kallen, M. A., Walder, A., & Street, R. L., Jr. (2008). Improving hypertension control in diabetes mellitus: the effects of collaborative and proactive health communication. Circulation, 117(11), 1361–18. doi:10.1161/CIRCULATIONAHA.107.724005.
Osterberg, L., & Blaschke, T. (2005). Adherence to medication. New England Journal of Medicine, 353, 487–497. doi:10.1056/NEJMra050100.
Perreault, S., Dragomir, A., Blais, L., Berard, A., Lalonde, L., White, M., et al. (2009). Impact of better adherence to statin agents in the primary prevention of coronary artery disease. European Journal of Clinical Pharmacology, 65(10), 1013–24. doi:10.1007/s00228-009-0673-0.
Rybacki, J. J. (2002). Improving cardiovascular health in postmenopausal women by addressing medication adherence issues. Journal of the American Pharmaceutical Association, 42, 63–71.
Safran, D. G., Taira, D. A., Rogers, W. H., Kosinski, M., Ware, J. E., & Tarlov, A. R. (1998). Linking primary care performance to outcomes of care. The Journal of Family Practice, 47(3), 213–220.
Svensson, S., Kjellgren, K. I., Ahlner, J., & Saljo, D. (2000). Reasons for adherence with anti-hypertensive medication. International Journal of Cardiology, 76(2–3), 157–163.
Tsiantou, V., Pantzou, P., Pavi, E., Koulierakis, G., & Kyripoulos, J. (2010). Factors affecting adherence to anti-hypertensive medication in Greece: results from a qualitative study. Patient Preference and Adherence, 4, 335–343.
Vermeire, E., Hearnshaw, H., van Royen, P., & Denekens, J. (2001). Patient adherence to treatment: three decades of research. A comprehensive review. Journal of Clinical Pharmacy and Therapeutics, 26(5), 331–342.
Vik, S. A., Maxwell, C. J., & Hogan, D. B. (2004). Measurement, correlated, and health outcomes of medication adherence among seniors. The Annals of Pharmacotherapy, 38(2), 303–312.
Wilson, I. B., Schoen, C., Neuman, P., Strollo, M. K., Rogers, W. H., Chang, H., et al. (2007). Physician–Patient communication about prescription medication nonadherence: a 50-state study of America’s seniors. Journal of General Internal Medicine, 22(1), 6–12.
Wong, Y. S., & Lee, A. (2006). Communication skills and doctor-patient relationship. Medical Bulletin, 11(3), 7–9.
World Health Organization. (2003). Adherence to long term therapies: Evidence for action. Retrieved November 11, 2010 from http://apps.who.int/medicinedocs/en/d/Js4883e/.
Zolneirek, H., Kelly, B., & DiMatteo, M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical Care, 47(8), 826–834.
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Swain, S., Hariharan, M., Rana, S. et al. Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension. Psychol Stud 60, 25–32 (2015). https://doi.org/10.1007/s12646-014-0291-5
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DOI: https://doi.org/10.1007/s12646-014-0291-5