Preferences for medical collaboration: patient–physician congruence and patient outcomes
Section snippets
Participants
Participants were drawn from two populations. The first group was comprised of 74 (58% female) patients who reported no serious health problems, ranging in age from 18 to 63 years with a mean of 29.5. Of these patients, 32% were Latino, 15% African American, 40% Caucasian, and 13% Asian; they were cared for by four Caucasian physicians (two female). The second group of participants was made up of 193 (60% female) patients with type II diabetes mellitus, of whom 70% reported only fair or poor
Results
The hypothesis that patient–physician congruence on preference for involvement would be more closely associated with the outcome variables than would similarity on age, gender, or ethnicity was first assessed correlationally (see Table 1). As predicted, congruence on preferences for patient involvement (measured continuously) correlated most strongly with each of the three outcome variables, followed by age, which demonstrated a significant association with general health. Gender and ethnicity
Discussion
The present study investigated patient–physician congruence in several domains (preference for involvement, ethnicity, age, and gender), in relation to patient outcomes of general health perceptions, satisfaction with medical care, and general adherence. The first hypothesis, that patient–physician congruence regarding preferences for patient involvement would have a greater association with patient outcome variables than concordance on age, gender, or ethnicity, was supported. As predicted,
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