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.

Abstract 114 | PDF Downloads 80

References

1. Rodriguez, A. M., & Lown, B. A. (2019). Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale. PLOS ONE, 14(9),e0220911
https://doi.org/10.1371/journal.pone.0220911
2. Wallston ‚ M. S.‚ Smith ‚ K. A.‚ & Smith‚ C. A. (1995). The development and validation of the Perceived Health Competence Scale. Health Education Research: Theory & Practice‚ 10(1)‚51–64.
3. VandenBos, G. R. (2015). APA dictionary of psychology (2nd ed.). In American Psychological Association eBooks. https://doi.org/10.1037/14646-000
4. Vandercingel, D. (2011). Quality of social support in mental and physical health. Curr Psychol 18, 205–221 https://doi.org/10.1007/s12144-999-1029-8
5. Sanghavi, S., Torres, MB., Raffin-Bouchal, S. et al. Compassion training in healthcare: what are patients’ perspectives on training healthcare providers?. BMC Med Educ 16, 169 (2006). https://doi.org/10.1186/s12909-016-0695-0
6. Azita, A. (2021). 4 Main Traits Patients Want From Their Doctor. eMedCert Blog. Electronic Medical Certification. Retrieved from: https://emedcert.com/blog/traits-patients-want-from-their-doctor
7. Artera. H. (2019, November 4). The link between compassion and patient outcomes. https://artera.io/blog/the-link-between-compassion-and-patient-outcomes-and-why-it-matters
8. Justin, B., Goggins, K., Jonathan, K., & Wallston, K., (2016). Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease. Patient Education and Counseling. 99. https://doi.org/10.1016/j.pec.2016.07.020
9. Broadhead, W. E., Gehlbach, S. H., de Gruy, F. V., & Kaplan, B. H. (1988). The Duke-UNC Functional Social Support Questionnaire. Measurement of social support in family medicine patients. Medical care, 26(7), 709–723. https://doi.org/10.1097/00005650-198807000-00006
10. Bloomfield, J., & Pegram, A. (2015). Care, compassion and communication. Nursing standard (Royal College of Nursing (Great Britain) : 1987), 29(25), 45–50.
https://doi.org/10.7748/ns.29.25.45.e7653
11. Seppala, E., Rossomando, T., & Doty, J. R. (2013). Social connection and compassion: Important predictors of Health and Well-Being. Social Research: An International Quarterly, 80(2), 411–430. https://doi.org/10.1353/sor.2013.0027
12. Butt, M. D., Ong, S. C., Butt, F. Z., Sajjad, A., Rasool, M. F., Imran, I., Ahmad, T., Alqahtani, F., & Babar, Z. U. (2022). Assessment of Health-Related Quality of Life, Medication Adherence, and Prevalence of Depression in Kidney Failure Patients. International journal of environmental research and public health, 19(22), 15266.
https://doi.org/10.3390/ijerph192215266
13. Brandon, C., J., Shanon, S. K., Saslow, L. R., & Epel, E. S. (2010). Is compassion for others stress buffering? Consequences of compassion and social support for physiological reactivity to stress. Journal of Experimental Social Psychology, 46(5), 816–823.
https://doi.org/10.1016/j.jesp.2010.04.008
14. Shen, B., Guan, T., Du, X., Pei, C., Zhao, J., & Liu, Y. (2022). Medication Adherence and Perceived Social Support of Hypertensive Patients in China: A Community-Based Survey Study. Patientpreferenceandadherence, 16,1257–1268. https://doi.org/10.2147/PPA.S363148
15. Fitzgerald, S.M., Rumrill, P., & Schenker, J. (2004). Correlational designs in rehabilitation research. Journal of Vocational Rehabilitation, 20, 143-150.
16. Maqsood, S., Sohail, M., Naeem, F., Nazri, M., & Fatima, D. (2023). Psychosocial safety climate and self-efficacy: Moderating role of job-related expectations in Pakistani private-sector employees during the COVID-19 pandemic. Frontiers in Psychology, 13.
https://doi.org/10.3389/fpsyg.2022.1016050