Related Experiment Video
Updated: Jul 8, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Patients' commitment to their primary physician and why it matters.
Leonard L Berry1, Janet Turner Parish, Ramkumar Janakiraman
1Department of Marketing, Mays Business School, Texas A&M University, College Station, TX 77843-4112, USA. BerryLe@tamu.edu
Annals of Family Medicine
|January 16, 2008
Summary
Patient trust and commitment to their physician significantly improve adherence to medical advice and healthy eating behaviors. These factors are crucial for understanding and enhancing the patient-physician relationship.
Area of Science:
- Health Services Research
- Behavioral Science
- Medical Sociology
Background:
- The patient-physician relationship is fundamental to healthcare delivery.
- Understanding factors influencing this relationship is key to improving patient outcomes.
Purpose of the Study:
- To assess the impact of relationship commitment and trust on patient-physician relationships.
- To evaluate the association between commitment, trust, and patient adherence to medical advice and healthy eating.
Main Methods:
- A questionnaire assessing trust, commitment, adherence, and healthy eating behavior was developed.
- Data were collected from 869 adult patients across 4 large clinics in central Texas.
Main Results:
- Relationship commitment significantly enhanced the predictive model of patient-physician relationships (R(2) increase of 0.09).
- Both trust and commitment positively correlated with adherence to medical advice (P <.001 and P = .02).
- Adherence and commitment were strongly associated with healthy eating behaviors (P <.001).
Conclusions:
- Patient trust and commitment are vital components of the patient-physician relationship.
- These factors positively influence patient health behaviors, including adherence and diet.
Related Concept Videos
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:25Ethical Standards I
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
01:23Ethical Standards II
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
01:27Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
01:22Ethics and Bioethics
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
01:23Nurses' Legal Responsibilities II
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Communication between nurses and patients...