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Patient-provider interaction, patient satisfaction, and health outcomes: testing explanatory models for people living with HIV/AIDS

机译：医患互动，患者满意度和健康结果：为艾滋病毒/艾滋病患者测试解释模型

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摘要

In the era of highly active antiretroviral therapy era, medication adherence and health-related quality of life (HRQOL) have become critical issues for people living with HIV/AIDS (PLWH). The purpose of this study was to test explanatory models of how patient-provider interaction and patient satisfaction are related to medication adherence and HRQOL for PLWH. A total of 344 PLWH receiving health-care services from a federally funded clinic in the southwest USA completed a survey questionnaire about their perception of interactions with providers, their satisfaction with services, their medication adherence, and their HRQOL. Comparing four latent variable structural equation models of direct and mediated effects of patient-provider interaction and patient satisfaction, the findings illustrate that the best model is one in which patient-provider interaction has a direct and positive effect on patient satisfaction, medication adherence, and HRQOL. These findings suggest that quality patient-provider interaction is a critical element of health-care services for PLWH, while patient satisfaction is an outcome measure and not a mediating factor for medication adherence and HRQOL.
机译：在高效抗逆转录病毒治疗时代，药物依从性和与健康相关的生活质量（HRQOL）已成为艾滋病毒/艾滋病患者（PLWH）的关键问题。这项研究的目的是测试解释性模型，说明医患互动与患者满意度如何与药物依从性和PLWH的HRQOL相关。共有344名PLWH从美国西南部的一家联邦政府资助的诊所接受了医疗服务，他们完成了一项调查问卷，调查内容涉及他们与提供者的互动，对服务的满意度，对药物的依从性以及HRQOL。比较了四个潜在的变量结构方程模型，它们直接关系到患者与提供者之间的相互作用和患者满意度的直接和中介作用，结果表明，最佳模型是其中患者与提供者之间的相互作用对患者的满意度，药物依从性和治疗效果具有直接和积极的影响。 HRQOL。这些发现表明，优质的医患关系是PLWH保健服务的关键要素，而患者的满意度是一种结果指标，而不是药物依从性和HRQOL的中介因素。

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