Patterns of treatment expectation and the physician–patient relationship perceived by women receiving traditional Chinese medicine treatment for menstrual symptoms: a Q-methodology study

Jong-Long Guo, Hsin Yi Tu Ku, Fu Chi Yang, Hsiao Pei Hsu, Yun Hsuan Lin, Chiu Mieh Huang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: The recurrence of menstrual symptoms markedly interferes with the daily life, social functioning, work disability and quality of life of women. Patient perception of healthcare services is underexplored but crucial for understanding how to efficiently develop healthcare practices. Aims: To identify and describe the different patterns of treatment expectation and physician–patient relationships perceived by women receiving traditional Chinese medicine treatment for menstrual symptoms. Methods: A two-stage data collection design was used. In the first stage, in-depth interviews with 40 participants were conducted; the interview data were used for content analysis. Q statements were developed on the basis of the content analysis results. In the second stage, a series of Q sorts was performed by 60 other participants to subjectively rank the Q statements. Results: The results of factor analysis revealed that four factors retained in the final model accounted for 56% of total variance. Women associated with Factor 1 had experienced few negative physician–patient interactions; these women were relatively young (31.6 years) and had mild perimenstrual mood discomfort (6.4). Women who loaded on Factor 2 preferred physician guidance and encountered few barriers to adherence; these participants were older (38.6 years) and had the most severe perimenstrual mood discomfort (9.5) among the four groups. The women in agreement with Factor 3 tended to patiently wait for treatment effects; these participants had the highest scores for both cyclic pelvic pain (4.9) and perimenstrual physical discomfort (8.8). The women associated with Factor 4 demanded effective treatment and had the lowest scores for both cyclic pelvic pain (3.8) and perimenstrual physical discomfort (6.8). Conclusions: The exploration of clustering patients according to their perspectives could influence healthcare providers to acknowledge patient expectations and enable effective communication between physicians and patients.

Original languageEnglish
Pages (from-to)748-758
Number of pages11
JournalScandinavian Journal of Caring Sciences
Volume31
Issue number4
DOIs
Publication statusPublished - 2017 Dec 1

Fingerprint

Chinese Traditional Medicine
Pelvic Pain
Therapeutics
Q-Sort
Interviews
Delivery of Health Care
Physicians
Health Personnel
Statistical Factor Analysis
Cluster Analysis
Communication
Quality of Life
Recurrence

Keywords

  • Q methodology
  • menstrual symptoms
  • patient expectations
  • patient–physician relationship
  • traditional Chinese medicine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Patterns of treatment expectation and the physician–patient relationship perceived by women receiving traditional Chinese medicine treatment for menstrual symptoms : a Q-methodology study. / Guo, Jong-Long; Tu Ku, Hsin Yi; Yang, Fu Chi; Hsu, Hsiao Pei; Lin, Yun Hsuan; Huang, Chiu Mieh.

In: Scandinavian Journal of Caring Sciences, Vol. 31, No. 4, 01.12.2017, p. 748-758.

Research output: Contribution to journalArticle

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abstract = "Background: The recurrence of menstrual symptoms markedly interferes with the daily life, social functioning, work disability and quality of life of women. Patient perception of healthcare services is underexplored but crucial for understanding how to efficiently develop healthcare practices. Aims: To identify and describe the different patterns of treatment expectation and physician–patient relationships perceived by women receiving traditional Chinese medicine treatment for menstrual symptoms. Methods: A two-stage data collection design was used. In the first stage, in-depth interviews with 40 participants were conducted; the interview data were used for content analysis. Q statements were developed on the basis of the content analysis results. In the second stage, a series of Q sorts was performed by 60 other participants to subjectively rank the Q statements. Results: The results of factor analysis revealed that four factors retained in the final model accounted for 56{\%} of total variance. Women associated with Factor 1 had experienced few negative physician–patient interactions; these women were relatively young (31.6 years) and had mild perimenstrual mood discomfort (6.4). Women who loaded on Factor 2 preferred physician guidance and encountered few barriers to adherence; these participants were older (38.6 years) and had the most severe perimenstrual mood discomfort (9.5) among the four groups. The women in agreement with Factor 3 tended to patiently wait for treatment effects; these participants had the highest scores for both cyclic pelvic pain (4.9) and perimenstrual physical discomfort (8.8). The women associated with Factor 4 demanded effective treatment and had the lowest scores for both cyclic pelvic pain (3.8) and perimenstrual physical discomfort (6.8). Conclusions: The exploration of clustering patients according to their perspectives could influence healthcare providers to acknowledge patient expectations and enable effective communication between physicians and patients.",
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