IMPACT OF SOCIAL DETERMINANTS ON PERCEIVED HEALTH COMPETENCE OF PATIENTS MANAGING CHRONIC ILLNESSES

Main Article Content

Mahnoor Hamza
Saira Maqsood
Fatima Salman
Fatima Naeem
Muhammad Farhan Tabassum

Keywords

Compassionate Care by Doctors, social support, Perceived Health Competence

Abstract

Healthcare is vital as people get ill, emergencies, accidents may arise, and healthcare is necessary to diagnose, tackle and manage such critical situations. Often people have chronic diseases and they have to face different challenges regarding their illness, they have different social needs whose fulfillment can lead to improved health competence in patients. This study aims to assess the impact of perceived compassionate care from doctors and social support on perceived health competence of patients managing chronic illnesses. To determine the moderating effect of social support in relationship between perceived compassionate care and perceived health competence in patients, a correlational study with purposive sampling technique was carried out. Total 150 patients were recruited who having chronic illnesses and managing them by regular follow up. To get responses from patients standardized measurement instruments were used, as patient perceived compassionate healthcare scale (Rodriguez & Lown, 2011), Duke Functional Social Support questionnaire (Broadhead et all, 1995), perceived health competence scale (Smith & Wallston, 1998). Descriptive analysis, reliability analysis, correlation analysis and moderation analysis were done. Results shown that there is significant positive correlation between patients perceived compassionate healthcare, perceived social support and patients’ perceived health competence. Moderation analysis revealed that the coefficient of interaction is positive so it depicts that social support positively moderated the relationship between perceived compassion satisfaction and perceived health competence and it has additive effect.  This study highlights the importance of doctor-patient relationship that how a satisfactory relationship can increase health competence of patients along with social support.  Moreover, it is an indicator for doctors to be more compassionate with their patients to improve overall health outcome.

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