ArticleAnnals of family medicine
Physician-patient relationship and medication compliance: a primary care investigation.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03008395 (Empowerment, Motivation and Medical Adherence), which is not on this map. Cited by 142 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Empowerment, Motivation and Medical Adherence (EMMA). Dialogue Tools for Consultations With Patients With Type 2 Diabetes
Who cites it
142 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Relationship of Continuity of Care, Polypharmacy and Medication Appropriateness: A Systematic Review of Observational Studies.Drugs & aging · 2023Pooled it
- Persistence and adherence to parenteral osteoporosis therapies: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Pooled it
- How best to use and evaluate Patient Information Leaflets given during a consultation: a systematic review of literature reviews.Health expectations : an international journal of public participation in health care and health policy · 2017Pooled it
- E-mail in patient-provider communication: a systematic review.Patient education and counseling · 2010Pooled it
- Trial
- Blood Pressure Visit Intensification in Treatment (BP-Visit) Findings: a Pragmatic Stepped Wedge Cluster Randomized Trial.Journal of general internal medicine · 2022Trial
- Using a brief web-based 5A intervention to improve weight management in primary care: results of a cluster-randomized controlled trial.BMC family practice · 2021Trial
- Qualitative interview study of antibiotics and self-management strategies for respiratory infections in primary care.BMJ open · 2017Trial
- Trial
- Patient satisfaction with point-of-care testing in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Trial
- Development and feasibility of a self-management intervention for chronic obstructive pulmonary disease delivered with motivational interviewing strategies.Journal of cardiopulmonary rehabilitation and preventionTrial
- Association of Family Medicine Milestone Ratings With Early-Career Patient Retention: A US National Insurance Claims Study.Journal of graduate medical education · 2026Article
- Modelling the Associations Between the Physician-Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.International journal of behavioral medicine · 2026Article
- Temporal changes in chronic disease management in primary care in relation to telehealth policy changes: Australian whole-of-population interrupted time-series analysis.Family practice · 2026Article
- Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study.BMJ open · 2026Article
- Pragmatic trial design enhances diversity and retention among research participants with Lewy body diseases.NPJ dementia · 2026Article
- Association between prescription patterns and primary care clinic closures in South Korea: A longitudinal retrospective cohort study.BMC primary care · 2025Article
- Article
- Article
- Physicians' and patients' perceived risks of chronic pain medication and co-medications in Quebec, Canada: a cross-sectional study.BMC primary care · 2025Article
82 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe assessed the relationship between 4 attributes of the physician-patient relationship and medication compliance.
methodsWe conducted a waiting room survey of patients consulting 22 general practitioners in 14 randomly selected practices in Auckland, New Zealand (81% response rate). A total of 370 consecutive patients (75% response rate) completed survey instruments about 4 attributes of the physician-patient relationship. Continuity of care (assessed from use of a usual physician, length of continuity, and perceived importance of continuity) and trust in the physician were ascertained before the consultation. After the consultation the Patient Enablement Index measured the physician's ability to enable patients in self-care, and concordance between the patient and physician was measured by a 6-item inventory of perceived agreement about the presenting problem and management, were ascertained immediately after the consultation. Compliance with prescribed medication therapy was ascertained by telephone follow-up 4 days after the consultation.
resultsOverall, 220 patients (61%) received a prescription, and 79% of these patients were taking the medication at follow-up. In a univariate analysis adjusted for clustering, only trust and physician-patient concordance were significantly related to compliance. In analysis further adjusted for health and demographic factors, physician-patient concordance was independently related to compliance (odds ratio = 1.34, 95% confidence interval, 1.04-1.72).
conclusionsPrimary care consultations with higher levels of patient-reported physician-patient concordance were associated with one-third greater medication compliance. An emphasis on understanding and facilitating agreement between physician and patient may benefit outcomes in primary care.
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