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首页> 外文期刊>Journal of health communication >The Relation Between Having a Usual Source of Care and Ratings of Care Quality: Does Patient-Centered Communication Play a Role?
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The Relation Between Having a Usual Source of Care and Ratings of Care Quality: Does Patient-Centered Communication Play a Role?

机译：拥有常规护理来源与护理质量等级之间的关系：以患者为中心的沟通是否起作用？

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摘要

Having a usual source of health care has been consistently associated with greater use of preventive services, decreased use of emergency services, and with patients' ratings of quality and satisfaction with care. Ongoing patient-provider relationships may be, in part, fostered by patient-centered communication. Growing evidence demonstrates that positive patient-centered communication improves adherence to treatment recommendations, management of chronic disease, quality of life, and disease-related outcomes. We aimed to determine how patient-centered communication between patients and physicians might mediate the relation between having a source of usual care and ratings of health care quality. We analyzed data from Cycle 1 of the fourth iteration of the Health Information National Trends Survey. Data were collected through mailed questionnaire in October 2011 through February 2012 (N=3,959). Overall, individuals with a usual source of care reported more patient-centered communication experiences and had higher ratings of quality of care. Parameter estimates for each pathway in the mediation model were estimated through regression analysis. Results confirm the importance of patient-centered communication in shaping patients' perceptions of the quality of their care, accounting for a significant portion of the observed relation between having a usual source of care and ratings of quality.
机译：拥有通常的卫生保健来源一直与预防性服务的使用增加，急救服务的使用减少以及患者对护理质量和满意度的评价有关。持续的患者与提供者之间的关系在某种程度上可以通过以患者为中心的交流来促进。越来越多的证据表明，以患者为中心的积极沟通可以提高对治疗建议的依从性，对慢性病的管理，生活质量以及与疾病相关的结局。我们旨在确定患者与医生之间以患者为中心的交流如何调和拥有日常护理来源与卫生保健质量等级之间的关系。我们分析了《健康信息国家趋势调查》第四次迭代的第1周期中的数据。在2011年10月至2012年2月之间通过邮寄问卷收集了数据（N = 3,959）。总体而言，有常规护理来源的人报告了更多以患者为中心的交流经历，并且对护理质量的评价更高。通过回归分析估算了调解模型中每个途径的参数估计。结果证实了以患者为中心的交流在塑造患者对其护理质量的看法方面的重要性，这说明了在观察到的具有常规护理来源和质量评级之间的关系中的很大一部分。

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