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January 1, 1993Health Psychology797 citations

Physicians' characteristics influence patients' adherence to medical treatment: Results from the Medical Outcomes Study.

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MDM. Robin DiMatteoCSCathy D. SherbourneRHRon D. Hays

Key Points

  • This research examines how physicians' characteristics and practice styles influence their patients' adherence to treatment over two years.
  • Conducted a 2-year longitudinal study involving 186 physicians and their patients with diabetes, hypertension, and heart disease.
  • Analyzed physician-level factors while controlling for baseline patient adherence rates and other predictive characteristics.
  • Evaluated general adherence as well as adherence to medication, exercise, and diet recommendations.
  • Baseline adherence rates predicted adherence 2 years later.
  • Physician job satisfaction correlated with general adherence (p<0.05).
  • Other significant influencers included physician specialty on medication adherence and health distress on patients' diet adherence.

Abstract

The influence of physicians' attributes and practice style on patients' adherence to treatment was examined in a 2-year longitudinal study of 186 physicians and their diabetes, hypertension, and heart disease patients. A physician-level analysis was conducted, controlling for baseline patient adherence rates and for patient characteristics predictive of adherence in previous analyses. General adherence and adherence to medication, exercise, and diet recommendations were examined. Baseline adherence rates were associated with adherence rates 2 years later. Other predictors were physician job satisfaction (general adherence), number of patients seen per week (medication), scheduling a follow-up appointment (medication), tendency to answer patients' questions (exercise), number of tests ordered (diet), seriousness of illness (diet), physician specialty (medication, diet), and patient health distress (medication, exercise).

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Cite This Study

DiMatteo et al. (1993) studied this question.

synapsesocial.com/papers/6a0ea5a7950456576347a484https://doi.org/10.1037/0278-6133.12.2.93
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