Representations of physician’s role and their impact on compliance

Author/s Annalisa Venezia, Piergiorgio Mossi, Claudia Venuleo, Giulia Savarese, Sergio Salvatore
Publishing Year 2019 Issue 2019/2
Language English Pages 22 P. 100-121 File size 294 KB
DOI 10.3280/PDS2019-002005
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

This study deepens the analysis of how the physician’s role is represented in contemporary society and how such a representation affects the patient’s propensity to comply. 468 patients were asked to fill out a questionnaire aimed at detecting the representation of the medical role. The level of compliance was measured by means of a multiple 4-point Likert scale with ques-tions on five aspects: therapy, advice on health, hygienic rules, prohibited behaviours, sugges-tions for a healthy life-style. A procedure combining multiple correspondence analysis and cluster analysis was applied to identify response profiles, corresponding to different represen-tations of the physician’s role. Univariate analysis (ANOVA) was performed to compare clus-ters on compliance levels. Four profiles were identified; the physician is represented in turn as affiliative authority, idealized friend, competent advisor or disappointing opponent. Significant differences were found in the level of compliance characterizing each representation. The find-ings suggest that the knowledge of the ways patients represent their relationship with the phy-sician is a crucial area for a better understanding of the different patient compliance levels.

Keywords: Cultural milieu, representations of physician’s role, compliance

  1. McNicholas F. (2012). To adhere or not, and what we can do to help. European Child & Adolescent Psychiatry, 21 (12): 657-663.
  2. Adams J. (2013). Medicalization and the market economy: constructing cosmetic surgery as consumable health care. Sociological Spectrum, 33 (4): 374-389. DOI: 10.1080/02732173.2013.73289
  3. Barksdale D.J. (2009). Provider factors affecting adherence: cultural competency and sensitivity. Ethnicity & disease, 19: S5-3 S5-7.
  4. Benzécri J.P. (1992). Correspondence analysis handbook. New York: Marcel Dekker.
  5. Berger P. and Luckmann T. (1996). The Social Construction of Reality: A Treatise in the Sociology of Knowledge. Doubleday: Anchor books.
  6. Betancourt J.R., Green A.R., Carrillo J.E. and Owusu Ananeh-Firempong I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118 (4): 293-302.
  7. Blendon R.J., Hyams T.S. and Benson J.M. (1993). Bridging the gap between expert and public views on health care reform. JAMA, 269 (19): 2573-2578.
  8. Bowen D.J., Helmes A. and Lease E. (2001). Predicting compliance: how are we doing. In Burke L. and Ockene I., editors, Compliance in Healthcare and Research. Armonk, NY: Futura, pp. 25-41.
  9. Brownstein J.S., Freifeld C.C. and Madoff L.C. (2009). Digital disease detection–harnessing the web for public health surveillance. New England Journal of Medicine, 360 (21): 2153-2157.
  10. Carli R. and Salvatore S. (2001). L’immagine della psicologia: una ricerca sulla popolazione del Lazio [The Image of psychology a research on the population of Lazio]. Roma: Kappa.
  11. Ciavolino E., Redd R., Evrinomy A., Falcone M., Fini V., Kadianaki I., Kullasepp K., Mannarini T., Matsopoulos A. and Mossi P. (2017). Views of context. An instrument for the analysis of the cultural milieu. A first validation study. Electronic Journal of Applied Statistical Analysis, 10 (2): 599-628.
  12. Cohen A.B. (2009). Many forms of culture. American Psychologist, 64 (3): 194-204.
  13. Doggrell S.A. (2010). Adherence to medicines in the older-aged with chronic conditions. Drugs & Aging, 27 (3): 239-254. DOI: 10.2165/11532870-000000000-0000
  14. Federman A.D., Cook E.F., Phillips R.S., Puopolo A.L., Haas J.S., Brennan T.A. and Burstin H.R. (2001). Intention to discontinue care among primary care patients: influence of physician behavior and process of care. Journal of General Internal Medicine, 16 (10): 668-674.
  15. Jin J., Sklar G.E., Oh V.M.S. and Li S.C. (2008). Factors affecting therapeutic compliance: A review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4 (1): 269-286. DOI: 10.2147/TCRM.S145
  16. Kostev K., Waehlert L., Jockwig A., Jockwig B. and Hadji P. (2014). Physicians’ influence on breast cancer patient compliance. GMS German Medical Science, 12: Doc03. DOI: 10.3205/00018
  17. Lengnick-Hall C.A. (1996). Customer contributions to quality: A different view of the customer-oriented firm. Academy of Management Review, 21 (3): 791-824. DOI: 10.2307/25900
  18. Martin L.R., Williams S.L., Haskard K.B. and DiMatteo M.R. (2005). The challenge of patient adherence. Therapeutics and Clinical Risk Management, 1 (3): 189-199.
  19. McKinlay J.B. and Marceau L.D. (2002). The end of the golden age of doctoring. International Journal of Health Services, 32 (2): 379-416. DOI: 10.2190/JL1D-21BG-PK2N-J0K
  20. Moore P.J., Sickel A.E., Malat J., Williams D., Jackson J. and Adler N.E. (2004). Psychosocial factors in medical and psychological treatment avoidance: the role of the doctor-patient relationship. Journal of Health Psychology, 9 (3): 421-433. DOI: 10.1177/135910530404235
  21. Mossi P. and Salvatore S. (2011). Psychological transition from meaning to sense. European Journal of Education and Psychology, 4 (2): 153-169.
  22. Howarth, C. (2006). A social representation is not a quiet thing: Exploring the critical potential of social representations theory. British Journal of Social Psychology, 45 (1): 65-86. DOI: 10.1348/014466605X4377
  23. Sabaté E. (2003). Adherence to long-term therapies: evidence for action. Geneva, Switzerland: World Health Organization.
  24. Salvatore S. Fini V., Mannarini T., Valsiner J. and Veltri G.A. (2018). What future for Europe? Symbolic Universes in the time of (post)crisis. New York: Springer Publishing Company.
  25. Schlesinger M. (2002). A loss of faith: the sources of reduced political legitimacy for the American medical profession. The Milbank Quarterly, 80 (2): 185-235.
  26. Valsiner J. (2000). Culture and Human Development. London: Sage.
  27. Venuleo C. (2013). I modelli di valutazione di un servizio Urp espressi dall’utenza di un’azienda sanitaria locale. Un caso studio [the users’ models of evaluating one national health service public-relations department. A case study]. Psicologia della Salute, 3: 29-49. DOI: 10.3280/PDS2013-00300
  28. Venuleo C. and Guacci C. (2014). Lo psicologo di base entro il servizio sanitario. Un caso studio sull’immagine della funzione psicologica e del servizio integrato espressa da pediatri e medici di base [The general psychologist. A case study on the image of the psychologist’s role and integrated primary care service expressed by paediatricians and general practitioners]. Psicologia della Salute, 1: 73-97. DOI: 10.3280/PDS2014-00100
  29. Venuleo C., Mangeli G., Mossi P., Amico A. F., Cozzolino M., Distante A., Ignone G., Savarese G. and Salvatore S. (2018). The Cardiac Rehabilitation Psychodynamic Group Intervention (CR-PGI): an explorative study. Frontiers in Psychology, 9: 1-13.
  30. Venuleo C., Mossi P. and Marinaci T. (2017). Meaning and risk. The role of subjective cultures in the evaluation of hazardous behaviours. Psicologia della Salute, 1: 48-75. DOI: 10.3280/PDS2017-00100
  31. Venuleo C., Salvatore S., Mossi P., Grassi R. and Ruggeri R. (2010). The teaching relationship in a changing world. Outlines for a theory of the reframing setting. European Journal of School Psychology, 5 (2): 151-180.

  • Foundation of Ethics-Based Practices Raffaele De Luca Picione, Maria Francesca Freda, Livia Savarese, pp.115 (ISBN:978-3-030-83665-8)
  • Methods and Instruments in the Study of Meaning-Making Claudia Venuleo, Tiziana Marinaci, Giulia Savarese, Annalisa Venezia, pp.169 (ISBN:978-3-031-21994-8)
  • The Meaning of Living in the Time of COVID-19. A Large Sample Narrative Inquiry Claudia Venuleo, Tiziana Marinaci, Alessandro Gennaro, Arianna Palmieri, in Frontiers in Psychology 577077/2020
    DOI: 10.3389/fpsyg.2020.577077
  • Methods and Instruments in the Study of Meaning-Making Sergio Salvatore, Raffaele De Luca Picione, pp.3 (ISBN:978-3-031-21994-8)
  • The Search for Origins by the Adopted Children: The Perspective of Adoptive Mothers in the Italian Context Barbara Cordella, Rossini Susanna, Paola Elia, Matteo Reho, Alessandro Gennaro, in Adoption Quarterly /2024 pp.191
    DOI: 10.1080/10926755.2023.2172507
  • Caregivers’ Sensemaking of Children’s Hereditary Angioedema: A Semiotic Narrative Analysis of the Sense of Grip on the Disease Maria Francesca Freda, Livia Savarese, Pasquale Dolce, Raffaele De Luca Picione, in Frontiers in Psychology 2609/2019
    DOI: 10.3389/fpsyg.2019.02609
  • Making sense of the COVID-19 pandemic: A qualitative longitudinal study investigating the first and second wave in Italy Tiziana Marinaci, Claudia Venuleo, Alessandro Gennaro, Gordon Sammut, in Heliyon e07891/2021 pp.e07891
    DOI: 10.1016/j.heliyon.2021.e07891

Annalisa Venezia, Piergiorgio Mossi, Claudia Venuleo, Giulia Savarese, Sergio Salvatore, Representations of physician’s role and their impact on compliance in "PSICOLOGIA DELLA SALUTE" 2/2019, pp 100-121, DOI: 10.3280/PDS2019-002005