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Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China
BACKGROUND: In general, medical regimens and treatments are more likely to be effective if patients follow their physicians’ advice. However, limited studies have focused on the relationship between regulatory focus and patient adherence. This study explores the antecedents of patient adherence empl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511214/ https://www.ncbi.nlm.nih.gov/pubmed/31077196 http://dx.doi.org/10.1186/s12913-019-4127-9 |
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author | Zhang, Runtong Lu, Xinyi Wu, Wen Shang, Xiaopu |
author_facet | Zhang, Runtong Lu, Xinyi Wu, Wen Shang, Xiaopu |
author_sort | Zhang, Runtong |
collection | PubMed |
description | BACKGROUND: In general, medical regimens and treatments are more likely to be effective if patients follow their physicians’ advice. However, limited studies have focused on the relationship between regulatory focus and patient adherence. This study explores the antecedents of patient adherence employing regulatory focus theory. METHODS: This study established a research model consisting of two independent variables, two mediators, one dependent variable, two moderators, three control variables, and six hypotheses. An online survey involving 336 valid responses was conducted to collect data in China. We used structural equation modelling and confirmatory factor analysis to test the hypotheses and to develop the research model. RESULTS: The reliability and validity of the measures were accepted. In terms of control variables, age had a positive effect on conservative treatment-related health information seeking behaviour, and patients with different resident statuses held different attitudes towards seeking conservative treatment-related health information. However, educational level did not have any effect on the variables of the research model. The hypothesis testing results corroborate that promotion focus had a positive impact on patients’ emerging treatment-related health information seeking behaviour; prevention focus had a positive impact on patients’ conservative treatment-related health information seeking behaviour, which had a positive impact on patient adherence. In addition, media campaigns had a positive impact on the relationship between promotion focus and emerging treatment-related health information seeking behaviour, and website reputation had a positive impact on the relationship between prevention focus and conservative treatment-related health information seeking behaviour. CONCLUSIONS: Individuals can be encouraged to seek health information and share health-related knowledge through mass media, such as the Internet, when the quality of information, especially information from online sources, is guaranteed. In addition, physicians need to improve their professionalism and expand their knowledge of conservative healthcare. As a further application of our work, an Internet information recommendation system can be designed to recommend different types of health information for users according to their regulatory focus. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4127-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6511214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65112142019-05-20 Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China Zhang, Runtong Lu, Xinyi Wu, Wen Shang, Xiaopu BMC Health Serv Res Research Article BACKGROUND: In general, medical regimens and treatments are more likely to be effective if patients follow their physicians’ advice. However, limited studies have focused on the relationship between regulatory focus and patient adherence. This study explores the antecedents of patient adherence employing regulatory focus theory. METHODS: This study established a research model consisting of two independent variables, two mediators, one dependent variable, two moderators, three control variables, and six hypotheses. An online survey involving 336 valid responses was conducted to collect data in China. We used structural equation modelling and confirmatory factor analysis to test the hypotheses and to develop the research model. RESULTS: The reliability and validity of the measures were accepted. In terms of control variables, age had a positive effect on conservative treatment-related health information seeking behaviour, and patients with different resident statuses held different attitudes towards seeking conservative treatment-related health information. However, educational level did not have any effect on the variables of the research model. The hypothesis testing results corroborate that promotion focus had a positive impact on patients’ emerging treatment-related health information seeking behaviour; prevention focus had a positive impact on patients’ conservative treatment-related health information seeking behaviour, which had a positive impact on patient adherence. In addition, media campaigns had a positive impact on the relationship between promotion focus and emerging treatment-related health information seeking behaviour, and website reputation had a positive impact on the relationship between prevention focus and conservative treatment-related health information seeking behaviour. CONCLUSIONS: Individuals can be encouraged to seek health information and share health-related knowledge through mass media, such as the Internet, when the quality of information, especially information from online sources, is guaranteed. In addition, physicians need to improve their professionalism and expand their knowledge of conservative healthcare. As a further application of our work, an Internet information recommendation system can be designed to recommend different types of health information for users according to their regulatory focus. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4127-9) contains supplementary material, which is available to authorized users. BioMed Central 2019-05-10 /pmc/articles/PMC6511214/ /pubmed/31077196 http://dx.doi.org/10.1186/s12913-019-4127-9 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Zhang, Runtong Lu, Xinyi Wu, Wen Shang, Xiaopu Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title | Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title_full | Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title_fullStr | Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title_full_unstemmed | Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title_short | Why do patients follow physicians’ advice? The influence of patients’ regulatory focus on adherence: an empirical study in China |
title_sort | why do patients follow physicians’ advice? the influence of patients’ regulatory focus on adherence: an empirical study in china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511214/ https://www.ncbi.nlm.nih.gov/pubmed/31077196 http://dx.doi.org/10.1186/s12913-019-4127-9 |
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