title: Preferences for medical collaboration: patient-physician congruence and patient outcomes.
abstract: Patient participation in medical care and in decision-making is generally viewed as a precursor to positive health outcomes. Patient participation is not always possible or desirable, however, and not all patients want to take an active part in their own medical care. This study examines the degree to which physician-patient congruence in preference for patient involvement is related to self-reported satisfaction, adherence, and health. Results indicate that when patients and their doctors share similar beliefs about patient participation, patient outcomes tend to be more positive, with highest satisfaction found in cases in which both patient and physician desire more patient involvement.
authors.affiliation: Department of Psychology, La Sierra University, 4500 Riverwalk Parkway, Riverside, CA 92515-8247, USA.
authors.forename: Kristina H
authors.initials: KH
authors.lastname: Jahng
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Martin
authors.forename: Carol E
authors.initials: CE
authors.lastname: Golin
authors.forename: M Robin
authors.initials: MR
authors.lastname: DiMatteo
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002140:California; D002755:Choice Behavior; D003142:Communication; D003299:Cooperative Behavior; D003657:Decision Making; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D026706:Paternalism; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D010358:Patient Participation / Q000379:methods / Q000523:psychology*; D017060:Patient Satisfaction; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires