Translating Primary Care Practice Climate into Patient Activation
The Role of Patient Trust in Physician
Bibliographic Data
| ID | 9102384 |
|---|---|
| Authors | Edmund R Becker (0000-0003-0265-3980, Emory University, corresponding author), Douglas W Roblin (Kaiser Permanente) |
| Year | 2008 |
| Volume | 46 |
| Issue | 8 |
| Pages | 795-805 |
| Publication date | 2008-08-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31817919c0 |
| PMID | 18665059 |
| OpenAlex | W2004534024 |
| Language | EN |
| Citations received | 12 |
| References cited | 40 |
BACKGROUND: Little is known about processes by which proactive primary care teams might activate their patients. We examine the role of trust in patient-physician relationships for translating practice teamwork into patient activation. METHODS: Data were collected by surveys of adult enrollees and primary care teams of a group-model managed care organization in metropolitan Atlanta. Enrollees who were 25-59 years of age were randomly sampled from 3 condition cohorts (diabetes, elevated lipids but no coronary artery disease history, and low risk). A total of 2224 responded to a mixed mode survey in 2005 (42% response rate). Ninety-seven practitioners and 187 support staff of 16 primary care teams responded to a practice climate survey in 2004 (85% response rate). Practice climate is a multidimensional concept measuring support and collaboration with a team. Linear models of patients nested within their primary care teams were estimated for patient trust in physician as a function of practice climate and for activation as a function of trust, adjusted for other respondent characteristics. RESULTS: We found significant, positive associations between practice climate and patient trust in their primary care physicians and between patient trust and activation in their health. CONCLUSIONS: Our study shows 1 process by which practice climate translates into patient activation. Supportive interactions among practitioners and staff within primary care teams facilitate trust-building interactions between practitioners and patients. Supportive, trustworthy interactions, in turn, help to ameliorate the inherent imbalance in power between patients and physicians, contributing to patients who take a more active role in their health
Family medicine · Political science · Primary care · Respondent · Teamwork · Diabetes Management and Education · Medicine · Nursing · Patient-Provider Communication in Healthcare · Primary Care and Health Outcomes · Psychology
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| Unique citing works | 12 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2010 - 2024 (15) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 11 |