Psychological Studies

, Volume 60, Issue 1, pp 25–32 | Cite as

Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension

  • Sunayana Swain
  • Meena Hariharan
  • Suvashisa Rana
  • Usha Chivukula
  • Marlyn Thomas
Research in Progress

Abstract

This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.

Keywords

Adherence Doctor-patient communication Health psychology Hypertension Prognosis 

References

  1. al Roomi, K. A., Heller, R. F., & Wlodarczyk, J. (1990). Hypertension control and the risk of myocardial infarction and stroke: a population-based study. Medical Journal of Australia, 153, 595–599.Google Scholar
  2. Beckles, G. L., Engelgau, M. M., Narayan, K. M., Herman, W. H., Aubert, R. E., & Williamson, D. F. (1998). Population-based assessment of the level of care among adults with diabetes in the U.S. Diabetes Care, 21(9), 1432–1438.CrossRefPubMedGoogle Scholar
  3. Borghi, C., Bacchelli, S., Esposti, D. D., Bignamini, A., Magnani, B., & Ambrosioni, E. (1999). Effects of the administration of an angiotensin-converting enzyme inhibitor during the acute phase of myocardial infarction in patients with arterial hypertension. SMILE Study Investigators. Survival of Myocardial Infarction Longterm Evaluation. American Journal of Hypertension, 12(7), 665–672.CrossRefPubMedGoogle Scholar
  4. Delamater, A. M. (2006). Improving patient adherence. Clinical Diabetes, 24(2), 71–77. doi: 10.2337/diaclin.24.2.71.CrossRefGoogle Scholar
  5. Dimatteo, M.R., & Martin, L.R. (2010). Health recommendations and change. Health Psychology (pp. 205). New Delhi: Dorling Kindersley (India).Google Scholar
  6. Dragomir, A., Cote, R., Roy, L., Blais, L., Lalonde, L., Berard, A., et al. (2010). Impact of adherence to antihypertensive agents on clinical outcomes and hospitalization costs. Medical Care, 48(5), 418–425. doi: 10.1097/MLR.0b013e3181d567bd.CrossRefPubMedGoogle Scholar
  7. Duffy, F. D., Gordon, G. H., Whelan, G., Cole-Kelly, K., Frankel, R., Buffone, N., et al. (2004). Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Academic Medicine, 79, 495–507.CrossRefPubMedGoogle Scholar
  8. Dunbar-Jacob, J., & Schlenk, E. (2001). Patient adherence to treatment regimen. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology. Mahwah: Lawrence Erlbaum Associates, Inc.Google Scholar
  9. Friedman, D. S., Hahn, S. R., Gelb, L., Tan, J., Shah, S. N., Kim, E. E., et al. (2008). Doctor-patient communication, health-related beliefs, and adherence in glaucoma: results from the glaucoma adherence and persistency study. Opthalmology, 115(8), 1320–1327. doi: 10.1016/j.ophtha.2007.11.023.CrossRefGoogle Scholar
  10. Golin, C. E., Thorpe, C., & DiMatteo, M. R. (2007). Accessing the patient’s world: Patient – physician communication about psychosocial issues. In J. A. L. Earp, E. A. French, & M. B. Gilkey (Eds.), Patient advocacy for health care quality: Strategies for achieving patient-centered care. Sudbury: Jones and Bartlett Publishers.Google Scholar
  11. Gupta, R. (2005). Burden of coronary heart disease in India. Indian Heart Journal, 57(6), 632–8.PubMedGoogle Scholar
  12. Ha, J. F., Anat, D. S., & Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner Journal, 10, 38–48.PubMedCentralPubMedGoogle Scholar
  13. Hampson, S. E., McKay, G. H., & Glasgow, R. E. (1996). Patient-physician interactions in diabetes management: consistencies and variation in the structure and content of two consultations. Patient Education and Counseling, 29(1), 49–58.CrossRefPubMedGoogle Scholar
  14. Jin, J., Sklar, G. E., Oh Sen, V. M., & Li, S. C. (2008). Factors affecting therapeutic compliance: a review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4(1), 269–286.PubMedCentralPubMedGoogle Scholar
  15. Liebl, A., Neiss, A., Spannheimer, A., Reitberger, U., Wieseler, B., Stammer, H., et al. (2002). Complications, co-morbidity, and blood glucose control in type 2 diabetes mellitus patients in Germany - results from the CODE-2 study. Experimental and Clinical Endocrinology and Diabetes, 110(1), 10–16.CrossRefPubMedGoogle Scholar
  16. Lipkin, M. (1996). Physician–patient interaction in reproductive counseling. Obstetrics and Gynecology, 88, 31S–40S.CrossRefPubMedGoogle Scholar
  17. Marmot, M. G., & Poulter, N. R. (1992). Primary prevention of stroke. Lancet, 339(8789), 344–347.CrossRefPubMedGoogle Scholar
  18. Naik, A. D., Kallen, M. A., Walder, A., & Street, R. L., Jr. (2008). Improving hypertension control in diabetes mellitus: the effects of collaborative and proactive health communication. Circulation, 117(11), 1361–18. doi: 10.1161/CIRCULATIONAHA.107.724005.CrossRefPubMedCentralPubMedGoogle Scholar
  19. Osterberg, L., & Blaschke, T. (2005). Adherence to medication. New England Journal of Medicine, 353, 487–497. doi: 10.1056/NEJMra050100.CrossRefPubMedGoogle Scholar
  20. Perreault, S., Dragomir, A., Blais, L., Berard, A., Lalonde, L., White, M., et al. (2009). Impact of better adherence to statin agents in the primary prevention of coronary artery disease. European Journal of Clinical Pharmacology, 65(10), 1013–24. doi: 10.1007/s00228-009-0673-0.CrossRefPubMedGoogle Scholar
  21. Rybacki, J. J. (2002). Improving cardiovascular health in postmenopausal women by addressing medication adherence issues. Journal of the American Pharmaceutical Association, 42, 63–71.CrossRefPubMedGoogle Scholar
  22. Safran, D. G., Taira, D. A., Rogers, W. H., Kosinski, M., Ware, J. E., & Tarlov, A. R. (1998). Linking primary care performance to outcomes of care. The Journal of Family Practice, 47(3), 213–220.PubMedGoogle Scholar
  23. Svensson, S., Kjellgren, K. I., Ahlner, J., & Saljo, D. (2000). Reasons for adherence with anti-hypertensive medication. International Journal of Cardiology, 76(2–3), 157–163.CrossRefPubMedGoogle Scholar
  24. Tsiantou, V., Pantzou, P., Pavi, E., Koulierakis, G., & Kyripoulos, J. (2010). Factors affecting adherence to anti-hypertensive medication in Greece: results from a qualitative study. Patient Preference and Adherence, 4, 335–343.CrossRefPubMedCentralPubMedGoogle Scholar
  25. Vermeire, E., Hearnshaw, H., van Royen, P., & Denekens, J. (2001). Patient adherence to treatment: three decades of research. A comprehensive review. Journal of Clinical Pharmacy and Therapeutics, 26(5), 331–342.CrossRefPubMedGoogle Scholar
  26. Vik, S. A., Maxwell, C. J., & Hogan, D. B. (2004). Measurement, correlated, and health outcomes of medication adherence among seniors. The Annals of Pharmacotherapy, 38(2), 303–312.CrossRefPubMedGoogle Scholar
  27. Wilson, I. B., Schoen, C., Neuman, P., Strollo, M. K., Rogers, W. H., Chang, H., et al. (2007). Physician–Patient communication about prescription medication nonadherence: a 50-state study of America’s seniors. Journal of General Internal Medicine, 22(1), 6–12.CrossRefPubMedCentralPubMedGoogle Scholar
  28. Wong, Y. S., & Lee, A. (2006). Communication skills and doctor-patient relationship. Medical Bulletin, 11(3), 7–9.Google Scholar
  29. World Health Organization. (2003). Adherence to long term therapies: Evidence for action. Retrieved November 11, 2010 from http://apps.who.int/medicinedocs/en/d/Js4883e/.
  30. Zolneirek, H., Kelly, B., & DiMatteo, M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical Care, 47(8), 826–834.CrossRefGoogle Scholar

Copyright information

© National Academy of Psychology (NAOP) India 2014

Authors and Affiliations

  • Sunayana Swain
    • 1
  • Meena Hariharan
    • 2
  • Suvashisa Rana
    • 2
  • Usha Chivukula
    • 1
  • Marlyn Thomas
    • 2
  1. 1.Department of PsychologySt. Francis College for WomenHyderabadIndia
  2. 2.Centre for Health PsychologyUniversity of HyderabadHyderabadIndia

Personalised recommendations