Pascual-Ramos, VirginiaVirginiaPascual-RamosContreras-Yáñez, IrazúIrazúContreras-YáñezOrtiz-Haro, Ana BelénAna BelénOrtiz-HaroMolewijk, Albert ChristiaanAlbert ChristiaanMolewijkObrador, GregorioGregorioObradorAgazzi, EvandroEvandroAgazzi2022-11-242022-11-242020https://scripta.up.edu.mx/handle/20.500.12552/213510.1371/journal.pone.0240897Introduction: In patient-doctor interaction both parties play a role. Primary objective was to determine if the concordance among rheumatologists and their patients of their ideal of autonomy was associated with a better patient-doctor relationship. Secondary objective was to describe factors associated to a patient paternalistic ideal of autonomy (PPIA). Materials and methods: This cross-sectional study had 3 steps. Step-1 consisted in translation/cultural local adaption of Ideal Patient Autonomy Scale (IPAS), a 14-items Dutch questionnaire. Step-2 consisted of IPAS validity and reliability in 201 outpatients. Step-3 consisted of the application of IPAS and the patient-doctor relationship questionnaire (PDRQ) to 601 outpatients with a medical encounter, and of IPAS to the 21 attending rheumatologists. Each patient-physician encounter was classified into with/without concordance in the ideal of autonomy and PRDQ scores were compared (Man Whitney U test). Regression analysis was used for associations. ©PLOS OneenResource Types::text::journal::journal article