Obese patients overestimate physicians鈥?attitudes of respect

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• 作者：Kimberly A. Gudzune^a ; ^{kgudzun1@jhu.edu} ; Mary Margaret Huizinga^a ; Mary Catherine Beach^a ; ^c ; ^d ; ^e ; Lisa A. Cooper^a ; ^b ; ^c ; ^d
• 关键词：Obesity ; Patient&ndash ; provider ; Respect
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：July, 2012
• 卷：88
• 期：1
• 页码：23-28
• 文件大小：385 K

摘要

Objective

To evaluate whether obese patients overestimate or underestimate the level of respect that their physicians hold toward them.

Methods

We performed a cross-sectional analysis of data from questionnaires and audio-recordings of visits between primary care physicians and their patients. Using multilevel logistic regression, we evaluated the association between patient BMI and accurate estimation of physician respect. Physician respectfulness was also rated independently by assessing the visit audiotapes.

Results

Thirty-nine primary care physicians and 199 of their patients were included in the analysis. The mean patient BMI was 32.8 kg/m² (SD 8.2). For each 5 kg/m² increase in BMI, the odds of overestimating physician respect significantly increased [OR 1.32, 95%CI 1.04-1.68, p = 0.02]. Few patients underestimated physician respect. There were no differences in ratings of physician respectfulness by independent evaluators of the audiotapes.

Conclusion

We consider our results preliminary. Patients were significantly more likely to overestimate physician respect as BMI increased, which was not accounted for by increased respectful treatment by the physician.

Practice implications

Among patients who overestimate physician respect, the authenticity of the patient-physician relationship should be questioned.