| Summary: | 碩士 === 義守大學 === 管理學院碩士班 === 97 === It is argued that patient-physician relationships are associated with patients’ health care behaviors and thus influence their health outcomes. However, previous research has not focused on the mechanisms by which patient-physician relationships affect patient adherence to treatment recommendations. Based on self-efficacy theory, this study tested a theoretical model of variables influencing the relationships of trust and satisfaction to patient adherence. We hypothesized that patients who have better relations with their physicians were likely to have stronger self-efficacy and outcome expectations. This, in turn, were associated with better treatment adherence. Data for this research came from a sample of 480 adult patients with type 2 diabetes, which was collected from three teaching hospitals in Taiwan. Patients completed measures of trust, satisfaction, self-efficacy, outcome expectations, and adherence. Following Baron and Kenny’s mediation procedures, the mediating roles of self-efficacy and outcome expectations were confirmed. This study provides the empirical evidence and clarifies the effect of patient-physician relationships on patients’ behaviors. Our health care providers should make more efforts to promote patient trust and satisfaction. However, a longitudinal study design is necessary to precisely determine both the strength and causality of these relationships.
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