PMID- 26940035
OWN - NLM
STAT- MEDLINE
DCOM- 20180227
LR  - 20220321
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 39
IP  - 5
DP  - 2017 Mar
TI  - The effect of the patient-physician relationship on health-related quality of 
      life after cardiac rehabilitation.
PG  - 468-476
LID - 10.3109/09638288.2016.1146360 [doi]
AB  - Purpose The patient-physician relationship has effects on adherence and health 
      outcomes in chronic diseases. This prospective study investigates the effect of 
      the patient-physician relationship on patients' health-related quality of life 
      (HRQOL) in the context of cardiac rehabilitation. Methods Three hundred and 
      thirty-eight German patients filled out questionnaires at the start and end of 
      rehabilitation and at 6 months follow-up. Patient-physician relationship 
      variables surveyed were patient involvement (perceived involvement in care 
      scales), trust in the physician, patient satisfaction (PHYSAT) and physician's 
      communicative behaviour (KOVA). After adjusting for multiple confounders, 
      hierarchical regression analyses were conducted to predict the influence of the 
      patient-physician relationship on HRQOL after rehabilitation. We further examined 
      clinical relevance using minimal clinically important differences (MCID). Results 
      In the hierarchical regression analyses, 42.8-54.9% of the variance at the end of 
      rehabilitation and 22.4-40.5% at follow-up were explained. The patient-physician 
      variables patient satisfaction, physician's emotionally supportive communication 
      and effective and open communication accounted for 1.4-2.6% of the variance and 
      proved statistically and clinically significant for HRQOL change. Further 
      predictors for better HRQOL were higher income and less trait anger. Conclusion 
      Aspects of the patient-physician relationship are significant predictors for 
      patients' HRQOL after rehabilitation. Rehabilitation physicians should 
      emotionally support the patients and communicate in an effective and open manner 
      to enhance HRQOL. Implications for rehabilitation Aspects of the 
      patient-physician relationship have effects on adherence and clinical outcomes in 
      chronic diseases. In this cardiac sample, the patient-physician relationship had 
      an influence on patients' health-related quality of life (HRQOL) after inpatient 
      rehabilitation. Rehabilitation physicians should emotionally support and 
      encourage the patients and communicate with them in an effective and open manner 
      to enhance patients' HRQOL.
FAU - Weeger, Sebastian
AU  - Weeger S
AD  - a Institute of Quality Management and Social Medicine, Medical Center, University 
      Freiburg , Freiburg , Germany.
FAU - Farin, Erik
AU  - Farin E
AD  - a Institute of Quality Management and Social Medicine, Medical Center, University 
      Freiburg , Freiburg , Germany.
LA  - eng
PT  - Journal Article
DEP - 20160304
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - *Cardiac Rehabilitation
MH  - Communication
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - *Physician-Patient Relations
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - Trust
OTO - NOTNLM
OT  - Minimal important difference
OT  - patient satisfaction
OT  - patient-physician communication
OT  - socioeconomic factors
EDAT- 2016/03/05 06:00
MHDA- 2018/02/28 06:00
CRDT- 2016/03/05 06:00
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2018/02/28 06:00 [medline]
PHST- 2016/03/05 06:00 [entrez]
AID - 10.3109/09638288.2016.1146360 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2017 Mar;39(5):468-476. doi: 10.3109/09638288.2016.1146360. Epub 
      2016 Mar 4.