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Representations of physician’s role and their impact on compliance
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Annalisa Venezia, Piergiorgio Mossi, Claudia Venuleo, Giulia Savarese, Sergio Salvatore 
Anno di pubblicazione:  2019 Fascicolo: 2  Lingua: Inglese 
Numero pagine:  22 P. 100-121 Dimensione file:  294 KB
DOI:  10.3280/PDS2019-002005
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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.

Lo studio approfondisce l’analisi di come il ruolo medico sia rappresentato nella società contemporanea e come questa rappresentazione influenza la propensione del paziente alla com-pliance. È stato chiesto a 468 pazienti di compilare un questionario volto a rilevare la rappre-sentazione del ruolo del medico. Il livello di compliance è stato misurato tramite una scala Li-kert a 4 punti con domande relative a cinque aspetti: terapia, consigli sulla salute, norme igieni-che, comportamenti vietati, raccomandazioni per uno stile di vita salutare. Una procedura com-binata di analisi delle corrispondenze multiple e analisi dei clusters ha consentito di identificare differenti profili di risposta, corrispondenti a differenti rappresentazioni del ruolo medico. Per confrontare i clusters sui livelli di compliance è stata applicata un’analisi della varianza (ANOVA). Sono stati identificati quattro profili: il medico è rappresentato in termini di autori-tà affiliativa, amico idealizzato, consulente competente o spiacevole avversario. Differenze si-gnificative sono state riscontrate nei livelli di compliance caratterizzanti le diverse rappresenta-zioni. I risultati suggeriscono che la conoscenza dei modi con cui i pazienti rappresentano la loro relazione con il medico è fondamentale per una migliore comprensione dei loro differenti livelli di compliance.
Keywords: Milieu culturale, rappresentazioni del ruolo medico, compliance

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Annalisa Venezia, Piergiorgio Mossi, Claudia Venuleo, Giulia Savarese, Sergio Salvatore, Rappresentazioni del ruolo medico e loro impatto sulla compliance in "PSICOLOGIA DELLA SALUTE" 2/2019, pp. 100-121, DOI:10.3280/PDS2019-002005

   

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