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ORIGINAL RESEARCH

The Influence of Doctor-Patient Communication on Patients’ Trust: The Role of Patient-Physician Consistency and Perceived Threat of Disease

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Pages 2727-2737 | Received 21 Jan 2024, Accepted 21 Jun 2024, Published online: 23 Jul 2024
 

Abstract

Purpose

To investigate the influence mechanism of doctor-patient communication on patients’ trust, especially the mediating role of patient-physician consistency and the moderating role of perceived threat of disease.

Methods

A total of 699 patients in Guangzhou, China was investigated by questionnaire. The main effect, mediating effect, and moderating effect of the model was verified by SPSS23.0 and LISREL8.71 statistical software.

Results

It was revealed that doctor-patient communication has a significant positive effect on patients’ trust. The consistency between patient and physician partially mediates the relationship between doctor-patient communication and patients’ trust. Additionally, the perceived threat of the disease moderates the psychological process through which doctor-patient communication affects patients’ trust.

Conclusion

Both doctor-patient communication and patient-physician consistency have predictive effects on patients’ trust. Doctor-patient communication is not only a direct influence on patient trust but also an indirect influence mediated by patient-physician consistency. Perceived threat of disease moderates the psychological process through which doctor-patient communication affects patients’ trust. Specifically, compared to a high level of perceived threat of disease, a low level of perceived threat of disease can enhance the effect of doctor-patient communication on patients’ trust. The results of this study underscore the importance of doctor-patient communication and the value of patient-physician consistency for building patients’ trust. To foster a harmonious doctor-patient relationship, medical colleges should place great emphasis on cultivating medical students’ communication skills. Hospitals should enhance on-the-job training and provide institutional support for doctors, encourage agreements between doctors and patients regarding disease diagnosis and decision-making, and be attentive to patients’ perceived threat of disease, particularly for those with high level of perceived threat of disease.

Data Sharing Statement

The research data of this paper can be obtained from the corresponding author according to relevant regulations.

Author Contributions

All authors made a significant contribution to the work reported in the conception, study design, execution, acquisition of data, analysis and interpretation; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to accountable for all aspects of the work.

Disclosure

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Additional information

Funding

The research was funded by Guangdong Planning Project of Philosophy and Social Science (GD21CJY02; GD24CGL29), Guangdong Planning Research Project of Education and Science (2023GXJK324), Ministry of Education Humanities and Social Sceinces Research Planning Fund Project (22YJAZH147), Guangzhou Planning Project of Philosophy and Social Science (2023GZYB68), The 2024 Science and Technology Innovation Project of Guangdong Medical Products Administration(2024ZDZ10).