caa a22 4500 606179658 CHVBK 20210128100802.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s11136-014-0813-6 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0813-6 The importance of productive patient-professional interaction for the well-being of chronically ill patients [Elektronische Daten] [Jane Cramm, Anna Nieboer] Objective: To investigate patient-professional interactions and identify the association between quality of care, productivity of patient-professional interaction, and chronically ill patients' well-being. Methods: Questionnaires were distributed to chronically ill patients [T1 (2011), 2,191/4,693 (47%) respondents; T2 (2012), 1,722/4,350 (40%) respondents]. Results: Patients perceived a higher degree of productive interaction with general practitioners compared to other professionals. Bivariate analyses showed that patients' well-being at T2 was positively related to well-being at T1 (r=0.70), quality of care (r=0.12), and productive patient-professional interaction (r=0.31; all p≤0.001). Single status (r=-0.14), low education (r=-0.11), and female gender (r=-0.11; all p≤0.001) were negatively associated with well-being. Multivariate analyses showed that after controlling for background characteristics and well-being at baseline quality of care is associated with patients' well-being at T2 (p≤0.01). When productive patient-professional interactions were entered into the equation, they not only were related to patients' well-being (p≤0.001) but also mediated the relationship between the quality of care and well-being. More productive patient-professional interactions were related to better well-being at T2 (B=0.11), assuming that all other factors in the model remained constant. Conclusions: Productive patient-professional interactions are associated with chronically ill patients' well-being over time and mediate the relationship between well-being and quality of care. Improvement of the quality of chronic care delivery should always be accompanied by investment in the quality of relationships and communication between patients and professionals. The Author(s), 2014 Chronic care nationallicence Disease management nationallicence Quality of care nationallicence Interaction nationallicence Well-being nationallicence Coordination nationallicence Patient-centered nationallicence Cramm Jane Department of Health Policy and Management (iBMG), Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands aut Nieboer Anna Department of Health Policy and Management (iBMG), Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands aut Quality of Life Research Springer International Publishing 24/4(2015-04-01), 897-903 0962-9343 24:4<897 2015 24 11136 https://doi.org/10.1007/s11136-014-0813-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0813-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cramm Jane Department of Health Policy and Management (iBMG), Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands aut NATIONALLICENCE 700 1- Nieboer Anna Department of Health Policy and Management (iBMG), Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/4(2015-04-01), 897-903 0962-9343 24:4<897 2015 24 11136