東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Examining the patient-physician rela...

Garcia, Heather Karina.

Linked to FindBook

Google Book

Amazon

博客來

Examining the patient-physician relationship of women with endometriosis.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Examining the patient-physician relationship of women with endometriosis./
Author:	Garcia, Heather Karina.
Description:	169 p.
Notes:	Source: Dissertation Abstracts International, Volume: 65-08, Section: A, page: 2911.
Contained By:	Dissertation Abstracts International65-08A.
Subject:	Education, Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3143752
ISBN:	0496016245

Examining the patient-physician relationship of women with endometriosis.
Garcia, Heather Karina.

Examining the patient-physician relationship of women with endometriosis. - 169 p.

Source: Dissertation Abstracts International, Volume: 65-08, Section: A, page: 2911.

Thesis (Ph.D.)--The University of Texas at Austin, 2004.

Research indicates that up to 15% of all women may suffer from endometriosis, a painful chronic disease that leads to infertility and premature hysterectomy. Women with endometriosis experience painful menstruation and pelvic pain, sexual dysfunction and infertility. The patient-physician relationship of these women is an important determinant in these women's successful adaptation to life with endometriosis. This study examines variables that lead to the development of the Therapeutic Alliance which measures the patient-physician relationship. A random sample of women with endometriosis was obtained through the Endometriosis Association (n = 215, 90.5% were white, 70.6% had a bachelor's or above, and 78% had employer paid insurance). Structural equation modeling (SEM) analysis revealed a model (R2 = 0.15) for the Therapeutic Alliance. The model suggests that knowledge of endometriosis (beta = 0.13) and information seeking preference (beta = 0.14) were positively correlated. This concurred with the literature. Behavior involvement was negatively correlated (beta = -0.36) to Therapeutic Alliance, a finding contrary to the literature. A possible explanation lies in the number of physicians the women had seen for their endometriosis (1 physician 10.8%, 2--3 physicians 39.4%, 4 or more 49.7%). Seeing a greater number of physicians might suggest that there was at least one opportunity for a negative experience that might have led them to possess a higher degree of behavior involvement; in turn, this might have had a negative effect on the Therapeutic Alliance. The negative correlation between Behavior Involvement and the Therapeutic Alliance is the most significant finding of this study since there is a possibility that this might carry over to people with other chronic diseases. Communication Self-efficacy with the physician was found to have a multicollinear relationship (correlation = 0.82) to the Therapeutic Alliance. Examination of the items showed Communication Self-efficacy was measured very similarly to items in the Therapeutic Alliance and need to be worded significantly different in order to determine its effect on the Therapeutic Alliance. The other variables that were examined included: control over treatment, length of time with physician, frequency of utilization of care, health insurance source, age, race, and highest level of education. These variables were not significantly correlated with the Therapeutic Alliance.

ISBN: 0496016245Subjects--Topical Terms:

1017668
Education, Health.

Examining the patient-physician relationship of women with endometriosis.
LDR:03456nmm 2200301 4500 001 1811266
005 20051203081811.5
008 130610s2004 eng d
020 $a 0496016245
035 $a (UnM)AAI3143752
035 $a AAI3143752
040 $a UnM $c UnM
100 1 $a Garcia, Heather Karina. $3 1900855
245 1 0 $a Examining the patient-physician relationship of women with endometriosis.
300 $a 169 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-08, Section: A, page: 2911.
500 $a Supervisors: Mary A. Steinhardt; Nell H. Gottlieb.
502 $a Thesis (Ph.D.)--The University of Texas at Austin, 2004.
520 $a Research indicates that up to 15% of all women may suffer from endometriosis, a painful chronic disease that leads to infertility and premature hysterectomy. Women with endometriosis experience painful menstruation and pelvic pain, sexual dysfunction and infertility. The patient-physician relationship of these women is an important determinant in these women's successful adaptation to life with endometriosis. This study examines variables that lead to the development of the Therapeutic Alliance which measures the patient-physician relationship. A random sample of women with endometriosis was obtained through the Endometriosis Association (n = 215, 90.5% were white, 70.6% had a bachelor's or above, and 78% had employer paid insurance). Structural equation modeling (SEM) analysis revealed a model (R2 = 0.15) for the Therapeutic Alliance. The model suggests that knowledge of endometriosis (beta = 0.13) and information seeking preference (beta = 0.14) were positively correlated. This concurred with the literature. Behavior involvement was negatively correlated (beta = -0.36) to Therapeutic Alliance, a finding contrary to the literature. A possible explanation lies in the number of physicians the women had seen for their endometriosis (1 physician 10.8%, 2--3 physicians 39.4%, 4 or more 49.7%). Seeing a greater number of physicians might suggest that there was at least one opportunity for a negative experience that might have led them to possess a higher degree of behavior involvement; in turn, this might have had a negative effect on the Therapeutic Alliance. The negative correlation between Behavior Involvement and the Therapeutic Alliance is the most significant finding of this study since there is a possibility that this might carry over to people with other chronic diseases. Communication Self-efficacy with the physician was found to have a multicollinear relationship (correlation = 0.82) to the Therapeutic Alliance. Examination of the items showed Communication Self-efficacy was measured very similarly to items in the Therapeutic Alliance and need to be worded significantly different in order to determine its effect on the Therapeutic Alliance. The other variables that were examined included: control over treatment, length of time with physician, frequency of utilization of care, health insurance source, age, race, and highest level of education. These variables were not significantly correlated with the Therapeutic Alliance.
590 $a School code: 0227.
650 4 $a Education, Health. $3 1017668
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Women's Studies. $3 1017481
690 $a 0680
690 $a 0573
690 $a 0453
710 2 0 $a The University of Texas at Austin. $3 718984
773 0 $t Dissertation Abstracts International $g 65-08A.
790 1 0 $a Steinhardt, Mary A., $e advisor
790 1 0 $a Gottlieb, Nell H., $e advisor
790 $a 0227
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3143752