PHYSICIANS CHARACTERISTICS INFLUENCE PATIENTS ADHERENCE TO MEDICAL-TREATMENT - RESULTS FROM THE MEDICAL OUTCOMES STUDY

The influence of physicians' attributes and practice style on patients ' adherence to treatment was examined in a 2-year longitudinal study o f 186 physicians and their diabetes, hypertension, and heart disease p atients. A physician-level analysis was conducted, controlling for bas eline patient adherence rates and for patient characteristics predicti ve of adherence in previous analyses. General adherence and adherence to medication, exercise, and diet recommendations were examined. Basel ine adherence rates were associated with adherence rates 2 years later . Other predictors were physician job satisfaction (general adherence) , number of patients seen per week (medication), scheduling a follow-u p appointment (medication), tendency to answer patients' questions (ex ercise), number of tests ordered (diet), seriousness of illness (diet) , physician specialty (medication, diet), and patient health distress (medication, exercise).