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Differences between patient and physician perceptions of predicted compliance
R L Holloway1, J C Rogers, S L Gershenhorn
1Department of Family Medicine, Baylor College of Medicine, Houston, Texas 77005.
Family Practice
|September 1, 1992
Summary
Physician adaptation to patient locus of control (HLC) did not harm compliance outcomes. Patient and physician ratings of compliance likelihood and commitment strongly correlated, unlike satisfaction with their relationship match.
Area of Science:
- Medical Sociology
- Health Psychology
- Patient Compliance Studies
Background:
- Physician adaptation to patient psychological characteristics may improve patient compliance.
- Previous research indicated physician adaptation to locus of control negatively impacted congruence on expected compliance, but not relationship satisfaction.
Purpose of the Study:
- To investigate the relationship between physician adaptation to patient locus of control and compliance outcomes.
- To assess patient and physician satisfaction with the doctor-patient match in a community practice setting.
Main Methods:
- A single physician adapted communication based on the Health Locus of Control (HLC) scores of 148 diverse patients.
- Patients and the physician rated patient likelihood of and commitment to compliance, and satisfaction with their dyadic match post-encounter.
Main Results:
- Patients reported significantly higher commitment, likelihood, and satisfaction than physicians.
- Strong correlations were found between patient and physician compliance estimates (commitment and likelihood).
- No correlation was observed between physician and patient satisfaction with their match.
Conclusions:
- Physician adaptation to patient locus of control does not negatively affect compliance outcomes in doctor-patient encounters.
- The impact of physician adaptation on improving compliance outcomes requires further investigation.