The Role of Doctor-Patient Communication Skills in Predicting Treatment Adherence

Abstract

Background and Objective: The level of patient adherence to treatment and medication orders is one of the important factors influencing the effectiveness of medical treatments. The aim of this study is to investigate the relationship between doctor-patient communication skills and the level of adherence to medication orders after discharge from the hospital. Methods: This cross-sectional study was conducted on 284 patients admitted to the surgery and urology departments of Shahid Beheshti Hospital in Babol, where at least 48 hours had passed since their admission. Patients completed two questionnaires of doctor-patient communication skills (range 21-70) and Burton communication skills (range 18-90) in the hospital. Then, two weeks after discharge, the patients answered the two questionnaires of general adherence and the Morisky Medication Adherence Scale online or by telephone contact, and the results were analyzed. Findings: The mean age of the participating patients was 50.65±18.20 years and the score of general adherence to treatment orders was 24.26±5.77 (range 7-30) and medication adherence was 8.54±2.91 (range 1-11). 222 patients (78.2%) had high adherence to treatment orders. Stepwise regression analysis showed that doctors’ communication skills were a positive factor in medication adherence (p<0.001, ß=0.336) and adherence to treatment orders (p<0.001, ß=0.331). Moreover, patients’ communication skills had a positive effect on medication adherence (p=0.01, ß=0.137) and general adherence to treatment orders (p<0.001, ß=0.205). Conclusion: The results of the study showed that the communication skills of doctors and patients is a positive predictor of adherence to treatment and medication orders after discharge from the hospital.

Keywords

• treatment adherence
• medication adherence
• communication skills
• doctor
• patient.