Navigating Antecedents and Consequences of Patient-Doctor Relationship in Chronic Care Patients
Keywords:
ego Resilience, social support, antecedents, medication adherence, purposive.Abstract
The patient-doctor relationship plays a pivotal role in chronic illness management, influencing how patients adhere to treatment regimens. By identifying and understanding the antecedent’s i.e. ego resilience and social support, this study aim is to investigate how these factors can enhance the patient-doctor relationship and which further improve the medication adherence of follow up patients. This study provides a holistic view by linking antecedents (ego resilience and social support) to consequences (medication adherence) through the patient-doctor relationship, offering a clear pathway for improving patient outcomes. To carry out this research correlational research design was employed and data were collected from 245 followup patients having chronic illnesses by using purposive sampling method. Standardized assessment measures were used on 5 point Likert scale to get responses from participants along with demographic Performa. The study's findings indicated that the interaction between the patient-doctor relationship and social support was notably significant. Additionally, social support emerged as a crucial moderator in the relationships between the patient-doctor dynamic, ego resilience, and medication adherence. The patient-doctor relationship was a strong predictor of ego resilience, which in turn, significantly predicted medication adherence. This suggests that ego resilience mediates the link between the patient-doctor relationship and medication adherence. Moreover, social support moderates this mediation path, affecting the influence of the patient-doctor relationship on ego resilience and subsequently on medication adherence. This study will be helpful to Emphasizes the need for healthcare professionals to foster and maintain strong relationships with patients, particularly by supporting ego resilience and encouraging social support networks. This can lead to enhanced treatment adherence.
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References
Lange, C., Abubakar, I., Alffenaar, J. W., Bothamley, G., Caminero, J. A., Carvalho, A. C., &
Migliori, G. B. (2019). Management of patients with multidrug-resistant tuberculosis.
International Journal of Tuberculosis and Lung Disease, 23(6), 645-662.
Aremu, T. O, Oluwole , O, E., Adeyinka, k. O. ,and Schommer, J.C.(2022). Medication
Adherence and Compliance: Recipe for Improving Patient Outcomes. Pharmacy (Basel).
(5): 106. doi: 10.3390/pharmacy10050106
Gast, A., Mathes, T. Medication adherence influencing factors—an (updated) overview of
systematic reviews. Syst Rev 8, 112 (2019). https://doi.org/10.1186/s13643-019-1014-8
Kvarnström K, Westerholm A, Airaksinen M, Liira H. Factors Contributing to Medication
Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative
Research. Pharmaceutics. 2021; 13 (7): 1100.
Hamza,M, Maqsood, S., Salman, F., Naeem, F. & Tabassum, M.F. (2023). Impact of Social
Determinants on Perceived Health Competence of Patients Managing Chronic
Illnesses. Journal of Population Therapeutics and Clinical Pharmacology, 30(18), 197–
https://doi.org/10.53555/jptcp.v30i18.3061
Choudhry, N. K., Fischer, M. A., Avorn, J., Schneeweiss, S., Solomon, D. H., Berman, C., &
Shrank, W. H. (2011). At Pitney Bowes, value-based insurance design cut copayments
and increased drug adherence. Health Affairs, 30(11), 2135-2141.
Mammen, G., & Faulkner, G. (2013). Physical activity and the prevention of depression: a
systematic review of prospective studies. American Journal of Preventive Medicine,
(5), 649-657.
Mahmoudian, A., Zamani, A., Tavakoli, N., Farajzadegan, Z., & Fathollahi-Dehkordi, F.
(2017). Medication adherence in patients with hypertension: Does satisfaction with
doctor-patient relationship work? Journal of research in medical sciences: the official
journal of Isfahan University of Medical Sciences, 22.
Nieman, D. C., & Wentz, L. M. (2019). The compelling link between physical activity and the
body's defense system. Journal of Sport and Health Science, 8(3), 201-217.
Ogunwande, I. A., Alabi, A. A., & Ogunwande, O. O. (2016). Medication adherence and
Patient- doctor relationship among hypertensive out-patients attending a tertiary
healthcare facility in Nigeria. Journal of Pharmacy & Bioresources, 13(2), 10-17. doi:
4314/jpb.v13i2.2
Shahin, W., Kennedy, G. A., & Stupans, I. (2021). The association between social support and
medication adherence in patients with hypertension: A systematic review. Pharmacy
Practice (Granada), 19(2).
Velligan, D. I., Weiden, P. J., Sajatovic, M., Scott, J., Carpenter, D., Ross, R., & Docherty, J. P.
(2017). The expert consensus guideline series: Adherence problems in patients with
Serious and persistent mental illness. The Journal of Clinical Psychiatry, 78(6), e1-e17.
Bolkan, C. R., Bonner, L. M., Campbell, D. G., Lanto, A., Zivin, K., Chaney, E., & Rubenstein, L. V. (2013). Family involvement, medication adherence, and depression
outcomes among patients in veterans affairs primary care. Psychiatric Services, 64(5), 472-478.
Waqas, A., Naveed, S., Bhuiyan, M. M., Usman, J., Inam-ul-Haq, A., Cheema, S. S., & Inam-U
l-Haq, A. (2016). Social support and resilience among patients with burn injury in Lahore,
Pakistan. Cureus, 8(11).
Walz, L., Pettersson, B., Rosenqvist, U., Deleskog, A., Journath, G., & Wändell, P. (2014).
Impact of symptomatic hypoglycemia on medication adherence, Patient-doctor
relationship with treatment, and glycemic control in patients with type 2 diabetes. Patient
preference and adherence, 593-601.
Xu, N., Zhao, S., Xue, H., Fu, W., Liu, L., Zhang, T., ... & Zhang, N. (2017). Associations of
perceived social support and positive psychological resources with fatigue symptom in
patients with rheumatoid arthritis. PLoS One, 12(3), e0173293.
Wu, J. R., Frazier, S. K., Rayens, M. K., Lennie, T. A., Chung, M. L., & Moser, D. K. (2013).
Medication adherence, social support, and event-free survival in patients with heart
failure.Health Psychology, 32(6), 637.
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