Usual Source of Care and Communication Between Physician and Patients: Patient Experiences in the Korea Health Panel Survey (KHPS)
Title
Usual Source of Care and Communication Between Physician and Patients: Patient Experiences in the Korea Health Panel Survey (KHPS)
Alternative Author(s)
Oh, Jongmuk
; Hwang, Jongnam
Keyword
상용치료원
; 의사-환자 커뮤니케이션
; 환자 경험
; 환자 중심 의료 체계
; Usual Source of Care
; Physician-Patient Communication
; Patient Experience
; Patient-Centered-Care
Publication Year
2021-03-31
Publisher
Korea Institute for Health and Social Affairs
Citation
Health and Social Welfare Review Vol.41 No.1, pp.234-250
Abstract
In a patient-centered-care system, patients no longer simply follow the instructions of physicians, but should be able to communicate with them in a cooperative manner. The purpose of this study is to analyze whether the usual source of care, one of the factors enabling the implementation of a patient-centered-care system, actually affects the physician-patient communication in terms of patient experience. Data from the 2017 KHPS were used, and a logistic regression analysis was conducted after controlling for demographic factors. The study found that groups without a usual source of care did not spend sufficient time talking to physicians (OR=1.65; p<.01), had a hard time understanding the physician’s explanations (OR=1.51; p<.01), lacked the opportunity to ask questions or express concerns (OR=1.73; p<.01), and had insufficient respect for their own opinion on the treatment decision (OR=1.32; p=0.00). These results indicate the need of a usual source of care for patients to better ensure sufficient treatment time so as to improve patients’ experience in physician-patient communication, as the usual source of care should be considered the major means to increase patient participation in effective communication and treatment.