THIS DOI METADATA WAS LAST UPDATED: 2024-01-10 22:57
Full Title
PSICOLOGIA DELLA SALUTE
Publisher
FrancoAngeli
ISSN
1721-0321 (Printed Journal)
1972-5167 (Online Journal)
Journal Issue Number
2
Journal Issue Designation
2
Journal Issue Date (YYYY/MM)
2019/06
Full Title
Representations of physician's role and their impact on compliance
By (author)
First Page
100
Last Page
121
Language of text
English
Publication Date
2019/06
Copyright
2019 FrancoAngeli srl
Introduction or preface
This study deepens the analysis of how the physician's role is represented in contemporary society and how such a representation affects the patient's propensity to comply. 468 patients were asked to fill out a questionnaire aimed at detecting the representation of the medical role. The level of compliance was measured by means of a multiple 4-point Likert scale with ques-tions on five aspects: therapy, advice on health, hygienic rules, prohibited behaviours, sugges-tions for a healthy life-style. A procedure combining multiple correspondence analysis and cluster analysis was applied to identify response profiles, corresponding to different represen-tations of the physician's role. Univariate analysis (ANOVA) was performed to compare clus-ters on compliance levels. Four profiles were identified; the physician is represented in turn as affiliative authority, idealized friend, competent advisor or disappointing opponent. Significant differences were found in the level of compliance characterizing each representation. The find-ings suggest that the knowledge of the ways patients represent their relationship with the phy-sician is a crucial area for a better understanding of the different patient compliance levels.
Unstructured Citation
Barksdale D.J. (2009). Provider factors affecting adherence: cultural competency and sensitivity. Ethnicity & disease, 19: S5-3 S5-7.
Unstructured Citation
Benzécri J.P. (1992). Correspondence analysis handbook. New York: Marcel Dekker.
https://doi.org/10.1201/9780585363035
Unstructured Citation
Berger P. and Luckmann T. (1996). The Social Construction of Reality: A Treatise in the Sociology of Knowledge. Doubleday: Anchor books.
Unstructured Citation
Betancourt J.R., Green A.R., Carrillo J.E. and Owusu Ananeh-Firempong I. (2016). Defining cultural competence: a practical
framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118 (4): 293-302.
https://doi.org/10.1016/S0033-3549(04)50253-4
Unstructured Citation
Blendon R.J., Hyams T.S. and Benson J.M. (1993). Bridging the gap between expert and public views on health care reform. JAMA,
269 (19): 2573-2578.
https://doi.org/10.1001/jama.269.19.2573
Unstructured Citation
Bowen D.J., Helmes A. and Lease E. (2001). Predicting compliance: how are we doing. In Burke L. and Ockene I., editors, Compliance in Healthcare and Research. Armonk, NY: Futura, pp. 25-41.
Unstructured Citation
Brownstein J.S., Freifeld C.C. and Madoff L.C. (2009). Digital disease detection–harnessing the web for public health surveillance.
New England Journal of Medicine, 360 (21): 2153-2157.
https://doi.org/10.1056/NEJMp0900702
Unstructured Citation
Carli R. and Salvatore S. (2001). L’immagine della psicologia: una ricerca sulla popolazione del Lazio [The Image of psychology a research on the population of Lazio]. Roma: Kappa.
Unstructured Citation
Ciavolino E., Redd R., Evrinomy A., Falcone M., Fini V., Kadianaki I., Kullasepp K., Mannarini T., Matsopoulos A. and Mossi P. (2017). Views of context. An instrument for the analysis of the cultural milieu. A first validation study. Electronic Journal of Applied Statistical Analysis, 10 (2): 599-628.
Unstructured Citation
Cohen A.B. (2009). Many forms of culture. American Psychologist, 64 (3): 194-204.
https://doi.org/10.1037/a0015308
Unstructured Citation
Federman A.D., Cook E.F., Phillips R.S., Puopolo A.L., Haas J.S., Brennan T.A. and Burstin H.R. (2001). Intention to discontinue
care among primary care patients: influence of physician behavior and process of care. Journal of General Internal Medicine,
16 (10): 668-674.
https://doi.org/10.1111/j.1525-1497.2001.01028.x
Unstructured Citation
Martin L.R., Williams S.L., Haskard K.B. and DiMatteo M.R. (2005). The challenge of patient adherence. Therapeutics and Clinical Risk Management, 1 (3): 189-199.
Unstructured Citation
McNicholas F. (2012). To adhere or not, and what we can do to help. European Child & Adolescent Psychiatry, 21 (12): 657-663.
https://doi.org/10.1007/s00787-012-0304-7
Unstructured Citation
Mossi P. and Salvatore S. (2011). Psychological transition from meaning to sense. European Journal of Education and Psychology,
4 (2): 153-169.
https://doi.org/10.30552/ejep.v4i2.73
Unstructured Citation
Sabaté E. (2003). Adherence to long-term therapies: evidence for action. Geneva, Switzerland: World Health Organization.
Unstructured Citation
Salvatore S. Fini V., Mannarini T., Valsiner J. and Veltri G.A. (2018). What future for Europe? Symbolic Universes in the
time of (post)crisis. New York: Springer Publishing Company.
https://doi.org/10.1007/978-3-030-19497-0
Unstructured Citation
Schlesinger M. (2002). A loss of faith: the sources of reduced political legitimacy for the American medical profession. The
Milbank Quarterly, 80 (2): 185-235.
https://doi.org/10.1111/1468-0009.t01-1-00010
Unstructured Citation
Valsiner J. (2000). Culture and Human Development. London: Sage.
Unstructured Citation
Venuleo C., Mangeli G., Mossi P., Amico A. F., Cozzolino M., Distante A., Ignone G., Savarese G. and Salvatore S. (2018).
The Cardiac Rehabilitation Psychodynamic Group Intervention (CR-PGI): an explorative study. Frontiers in Psychology, 9: 1-13.
https://doi.org/10.3389/fpsyg.2018.00976
Unstructured Citation
Venuleo C., Salvatore S., Mossi P., Grassi R. and Ruggeri R. (2010). The teaching relationship in a changing world. Outlines for a theory of the reframing setting. European Journal of School Psychology, 5 (2): 151-180.