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Research ArticleMethodology

Patient-Doctor Depth-of-Relationship Scale: Development and Validation

Matthew J. Ridd, Glyn Lewis, Tim J. Peters and Chris Salisbury
The Annals of Family Medicine November 2011, 9 (6) 538-545; DOI: https://doi.org/10.1370/afm.1322
Matthew J. Ridd
MRCGP, PhD
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  • For correspondence: m.ridd@bristol.ac.uk
Glyn Lewis
FRPsych, PhD
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Tim J. Peters
PhD
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Chris Salisbury
FRCGP, MD
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    Figure 1

    Overview of Patient-Doctor Depth-of-Relationship Scale development and validation.

    a Of 189 patients, 93 were younger than 16 years; 45 did not attend/did not wait; 30 unable to complete questionnaire; 14 nonqualifying consultations; 7 other reasons.

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    Figure 2

    Patient-Doctor Depth-of-Relationship Scale.

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    Figure 3
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    Figure 3
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    Figure 3

    Distribution of patient-doctor depth-of-relationship scores.

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    Figure 4

    Predicted probability (unadjusted quadratic logistic regression model) of deep patient-doctor relationship with number of consultations.

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    Table 1

    Characteristics of Patients That Took Part in Patient-Doctor Depth-of-Relationship Scale Development and Validation

    Employment, No. (%)aEducation, No. (%)
    Stage No. of PatientsFemale No. (%)Mean Age, y (SD, Range)White (%)EmployedUnemployedRetiredOtherNonePrimarySecondaryGraduate
    Interviews (n=11)5 (45.5)61.5 (15.1, 33–79)11 (100)2 (18.2)1 (9.1)6 (54.5)2 (18.2)3 27.3)7 (63.6)1 (9.1)0 (0)
    Pilot round 1 (n=375)240 (65.2)47.9 (19.1, 16–89)351 (94.9)196 (53.9)10 (2.8)83 (22.8)75 (20.6)92 (26.2)163 (46.4)49 (14.0)47 (13.4)
    Pilot round 2 (n=154)87 (56.9)45.8 (16.7, 17–82)147 (96.1)78 (50.7)3 (2.0)26 (16.9)47 (30.5)47 (32.6)76 (52.8)14 (9.7)7 (4.9)
    Main study (n=490)285 (58.2)52.6 (19.8, 16–93)461 (96.2)202 (42.0)18 (3.7)167 (34.7)94 (19.5)157 (33.3)165 (35.0)73 (15.5)77 (16.3)
    Follow-up questionnaire (n=154)90 (58.4)55.2 (17.8, 17–87)148 (96.7)68 (44.4)3 (2.0)54 (35.3)28 (18.3)44 (29.5)50 (33.6)33 (22.2)22 (14.8)
    • ↵a Employed = full or part-time, including self-employed; Other = looking after home or family, long-term career, unable to work due to long-term sickness or “other.”

Additional Files

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  • The Article in Brief

    Patient-Doctor Depth-of-Relationship Scale: Development and Validation

    Matthew J. Ridd, and colleagues

    Background The ongoing relationship, or continuity, between doctor and patient is a key element of family medicine/general practice. Tools to measure the impact of continuity have tended to look at duration, rather than depth, of the relationship. This report presents a new patient self-completion instrument designed to measure the depth of the patient-doctor relationship.

    What This Study Found The Patient-Doctor Depth-of-Relationship Scale can be used to evaluate the value of personal continuity. It has an eight-item scale with good internal reliability. Application of the scale finds an association between seeing the same doctor and a deep patient-doctor relationship, although the relationship appears to be nonlinear.

    Implications

    • Future research is needed to further establish the validity of the scale and examine a possible association between patient-doctor depth of relationship and improved patient care.
  • Supplemental Figure & Tables 1-2

    Supplemental Figure 1. Test-retest data (Bland Altman plot).

    Files in this Data Supplement:

    • Supplemental data: Figure & Tables 1-2 - PDF file, 3 pages, 176 KB
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The Annals of Family Medicine: 9 (6)
The Annals of Family Medicine: 9 (6)
Vol. 9, Issue 6
November/December 2011
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Patient-Doctor Depth-of-Relationship Scale: Development and Validation
Matthew J. Ridd, Glyn Lewis, Tim J. Peters, Chris Salisbury
The Annals of Family Medicine Nov 2011, 9 (6) 538-545; DOI: 10.1370/afm.1322

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Patient-Doctor Depth-of-Relationship Scale: Development and Validation
Matthew J. Ridd, Glyn Lewis, Tim J. Peters, Chris Salisbury
The Annals of Family Medicine Nov 2011, 9 (6) 538-545; DOI: 10.1370/afm.1322
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Subjects

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  • Core values of primary care:
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    • Relationship

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