Working alliance has been shown to be a consistent predictor of patient outcome and satisfaction with psychotherapy. The present study investigates the role of working alliance and related behavioural indicators in predicting medical outcome. The cognitive and emotional dimensions of the doctor-patient relationship were examined in relation to the doctor's assessment of empathy, the doctor's multicultural competence, the perceived usefulness of treatment and patients' sense of self-efficacy in adherence. These factors were then explored as part of a theoretical framework using path analyses to explain patient-reported treatment adherence and treatment satisfaction. The results showed that the psychological and interpersonal dimensions of medical care are related to adherence and patient satisfaction. Providers may be able to use these dimensions to guide and improve healthcare outcomes.
Behavioural indices in medical care outcome: the working alliance, adherence, and related factors
16 December 2022