“Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness
“Patient-centered” self-efficacy enhances patient satisfaction and compliance, thereby improving the effectiveness of chronic health management. This study assesses the “patient-centered” self-efficacy of doctors in China and explores its association with their intentions and perceived treatment eff...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-08-01
|
| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580251368004 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849227316220133376 |
|---|---|
| author | Chi Zhou Kaixiao Qu Xiaoling Lin Qunfan Huang Zhiyu Wu Hangyuan Gao Yinuo Lian Minmin Jiang Yin Dong |
| author_facet | Chi Zhou Kaixiao Qu Xiaoling Lin Qunfan Huang Zhiyu Wu Hangyuan Gao Yinuo Lian Minmin Jiang Yin Dong |
| author_sort | Chi Zhou |
| collection | DOAJ |
| description | “Patient-centered” self-efficacy enhances patient satisfaction and compliance, thereby improving the effectiveness of chronic health management. This study assesses the “patient-centered” self-efficacy of doctors in China and explores its association with their intentions and perceived treatment effectiveness in chronic disease management within county medical alliances. A cross-sectional survey was conducted among 539 doctors from 6 county-level hospitals and 18 community health centers in Zhejiang Province, China. The Self-Efficacy in Patient-Centeredness Questionnaire (SEPCQ) was used to measure doctors’ self-efficacy. The average total score of the SEPCQ in our sample was 88.28 ± 17.61. For domain scores, dealing with communicative challenges had the highest average score (3.43 ± 0.70), while sharing information and power had the lowest average score (3.38 ± 0.71). The total SEPCQ score was associated with higher odds for individuals with a monthly per capita income of 5001 to 7000 RMB (OR = 1.597, 95% CI: 1.002-2.545) and for those from the southeast area district (OR = 1.719, 95% CI: 1.131-2.615). Each domain of the SEPCQ was associated with higher odds for doctors’ intentions, perceived treatment capacity, and perceived treatment effectiveness in chronic disease management. The study finds that doctors in China have high “patient-centered” self-efficacy, which is crucial for quality health management services. Future efforts should target interventions to further elevate doctors’ self-efficacy and optimize the quality of care within county medical alliances. |
| format | Article |
| id | doaj-art-be78edeb5dc04737bf09b6e7974c86e9 |
| institution | Kabale University |
| issn | 0046-9580 1945-7243 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj-art-be78edeb5dc04737bf09b6e7974c86e92025-08-23T15:03:55ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432025-08-016210.1177/00469580251368004“Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment EffectivenessChi Zhou0Kaixiao Qu1Xiaoling Lin2Qunfan Huang3Zhiyu Wu4Hangyuan Gao5Yinuo Lian6Minmin Jiang7Yin Dong8Hangzhou Normal University, ChinaLinping Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, ChinaHangzhou Normal University, ChinaHangzhou Normal University, ChinaHangzhou Normal University, ChinaHangzhou Normal University, ChinaHangzhou Normal University, ChinaZhejiang Shuren University, Hangzhou, ChinaTsinghua University, Beijing, People’s Republic of China“Patient-centered” self-efficacy enhances patient satisfaction and compliance, thereby improving the effectiveness of chronic health management. This study assesses the “patient-centered” self-efficacy of doctors in China and explores its association with their intentions and perceived treatment effectiveness in chronic disease management within county medical alliances. A cross-sectional survey was conducted among 539 doctors from 6 county-level hospitals and 18 community health centers in Zhejiang Province, China. The Self-Efficacy in Patient-Centeredness Questionnaire (SEPCQ) was used to measure doctors’ self-efficacy. The average total score of the SEPCQ in our sample was 88.28 ± 17.61. For domain scores, dealing with communicative challenges had the highest average score (3.43 ± 0.70), while sharing information and power had the lowest average score (3.38 ± 0.71). The total SEPCQ score was associated with higher odds for individuals with a monthly per capita income of 5001 to 7000 RMB (OR = 1.597, 95% CI: 1.002-2.545) and for those from the southeast area district (OR = 1.719, 95% CI: 1.131-2.615). Each domain of the SEPCQ was associated with higher odds for doctors’ intentions, perceived treatment capacity, and perceived treatment effectiveness in chronic disease management. The study finds that doctors in China have high “patient-centered” self-efficacy, which is crucial for quality health management services. Future efforts should target interventions to further elevate doctors’ self-efficacy and optimize the quality of care within county medical alliances.https://doi.org/10.1177/00469580251368004 |
| spellingShingle | Chi Zhou Kaixiao Qu Xiaoling Lin Qunfan Huang Zhiyu Wu Hangyuan Gao Yinuo Lian Minmin Jiang Yin Dong “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness |
| title_full | “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness |
| title_fullStr | “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness |
| title_full_unstemmed | “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness |
| title_short | “Patient-Centered” Self-Efficacy and Chronic Disease Management: Associations with Doctors’ Intentions and Perceived Treatment Effectiveness |
| title_sort | patient centered self efficacy and chronic disease management associations with doctors intentions and perceived treatment effectiveness |
| url | https://doi.org/10.1177/00469580251368004 |
| work_keys_str_mv | AT chizhou patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT kaixiaoqu patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT xiaolinglin patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT qunfanhuang patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT zhiyuwu patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT hangyuangao patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT yinuolian patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT minminjiang patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness AT yindong patientcenteredselfefficacyandchronicdiseasemanagementassociationswithdoctorsintentionsandperceivedtreatmenteffectiveness |