Factors associated with the quality of the patient-doctor relationship: a cross-sectional study of ambulatory Mexican patients with rheumatic diseases

Pascual-Ramos, Virginia; Contreras-Yáñez, Irazú; Ortiz-Haro, Ana Belén; Molewijk, Albert Christiaan; Obrador, Gregorio; Agazzi, Evandro

doi:10.1097/RHU.0000000000001816

Factors associated with the quality of the patient-doctor relationship: a cross-sectional study of ambulatory Mexican patients with rheumatic diseases

Journal

JCR: Journal of Clinical Rheumatology

ISSN

1536-7355

1076-1608

Date Issued

2021

Author(s)

Pascual-Ramos, Virginia

Contreras-Yáñez, Irazú

Ortiz-Haro, Ana Belén

Molewijk, Albert Christiaan

Type

Resource Types::text::journal::journal article

DOI

10.1097/RHU.0000000000001816

URL

https://scripta.up.edu.mx/handle/20.500.12552/2192

Abstract

Background: The patient-doctor relationship (PDR) is a complex phenomenon with strong cultural determinants, which impacts health-related outcomes and, accordingly, does have ethical implications. The study objective was to describe the PDR from medical encounters between 600 Mexican outpatients with rheumatic diseases and their attending rheumatologists, and to identify factors associated with a good PDR. Methods: A cross-sectional study was performed. Patients completed the PDRQ-9 (Patient-Doctor Relationship Questionnaire, 9 items), the HAQ-DI (Health Assessment Questionnaire Disability Index), the Short-Form 36 items (SF-36), a pain–visual analog scale, and the Ideal Patient Autonomy Scale. Relevant sociodemographic, disease-related, and treatment-related variables were obtained. Patients assigned a PDRQ-9 score to each patient-doctor encounter. Regression analysis was used to identify factors associated with a good PDR, which was defined based on a cutoff point established using the borderline performance method. Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.