title: Effects of continuity of care and patient dispositional factors on the physician-patient relationship.
abstract: BACKGROUND
  We developed a questionnaire to examine the influence of physician and patient variables on the quality of the physician-patient relationship.
  
  
  METHODS
  More than 300 family medicine patients completed self-report measures of the physician-patient relationship and variables likely to influence it.
  
  
  RESULTS
  The quality of relationship was related to continuity of physician care (having a primary physician, duration of that relationship, and frequency of visits) and to patient dispositional variables (neuroticism, positive and negative affectivity) but not to demographic variables. The regression model included having a primary physician, duration of relationship with that physician, and positive affectivity. Relationship quality was, in turn, associated with outcomes (adherence to care, treatment response, satisfaction with care, and commitment to physician).
  
  
  CONCLUSIONS
  The quality of physician-patient relationship is influenced by physician continuity and patient dispositional variables. Better understanding of these may contribute to the therapeutic potential of this important relationship.
authors.affiliation: Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. russell-noyes@uiowa.edu
authors.forename: Russell
authors.initials: R
authors.lastname: Noyes
authors.forename: Oladipo A
authors.initials: OA
authors.lastname: Kukoyi
authors.forename: Susan L
authors.initials: SL
authors.lastname: Longley
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Langbehn
authors.forename: Scott P
authors.initials: SP
authors.lastname: Stuart
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010555:Personality Inventory; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000706:statistics & numerical data; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult