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Patient compliance and satisfaction with physician influence attempts: A reinforcement expectancy approach to compliance-gaining over time.

机译：病人的依从性和对医生影响力尝试的满意度：随着时间的推移，获得依从性增强的增强期望方法。

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摘要

Communication expectancy and reinforcement principles are systematically integrated to explain the effectiveness of communication strategies focused on improving initial and long-term medical adherence and patient satisfaction. Study 1 analyzed patients' evaluations of communication regard strategies and the effectiveness of these strategies in initial encounters. It was predicted that physician gender would play a major role in patients' communication evaluations. As predicted, negative regard influence strategies used by male physicians were perceived as more appropriate than negative regard influence strategies used by female physicians. Results did not indicate gender differences in perceptions of expectancies or relational concern as communicated by regard strategies. Study 1 also addressed the effectiveness of influence attempts in initial encounters with a physician. The study supports the predicted interaction for communication effectiveness in initial encounters. Specifically, the results support the claim that female physicians are limited to the use of positive regard strategies whereas male physicians are more effective persuaders using either positive or negative regard strategies. The results also indicate that the use of negative regard strategies by male physicians does not hinder patient satisfaction or physician perceptions, whereas the use of negative regard strategies by female physicians is negatively related to these outcome measures. The reinforcement expectancy framework tested in Study 2 argued that occasional use of nonrewarding communication would facilitate communication effectiveness for both male and female physician in ongoing physician-patient relationships. The results supported this assumption. Physician gender, however, did not mediate the effectiveness of certain strategy combinations as expected. Finally, the investigation found that previous exposure to any type of physician communications style, as opposed to never having seen the physician, facilitated a physician's influence attempts.
机译：系统地整合了沟通期望和强化原则，以解释专注于改善初始和长期医疗依从性以及患者满意度的沟通策略的有效性。研究1分析了患者对沟通方面策略的评估以及这些策略在初次相遇中的有效性。据预测，医师性别将在患者的交流评估中起主要作用。如预测的那样，男性医生所使用的消极态度影响策略被认为比女性医生所使用的消极想法影响策略更合适。结果未显示通过尊重策略传达的对预期或关系关注的性别差异。研究1还探讨了在与医生初次接触中进行影响尝试的有效性。该研究支持在初次相遇中为提高沟通效率而进行的预期交互。具体而言，结果支持这样的主张，即女医生仅限于使用积极问候策略，而男医生则是使用积极或消极问候策略的更有效说服者。结果还表明，男性医师使用消极关怀策略不会影响患者满意度或医师知觉，而女性医师使用消极关怀策略与这些结果指标负相关。在研究2中测试的强化期望框架认为，偶尔使用无酬交流会促进正在进行的医患关系中男性和女性医师的交流有效性。结果支持该假设。但是，内科医生的性别并未像预期的那样调解某些策略组合的有效性。最后，调查发现，以前从未接触过任何类型的医师交流方式，而不是从未见过医师，这促进了医师的影响力尝试。

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    Klingle Renee Storm;

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  • 年度 1994
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