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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Public Mental Health
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1447405
This article is part of the Research Topic The Intersection of Psychology, Healthy Behaviors, and its Outcomes View all 4 articles

Treatment Expectations of Patients and Clinicians: A Cross-sectional Study

Provisionally accepted
Chunfeng Xiao Chunfeng Xiao Tao Li Tao Li Yanping Duan Yanping Duan Yinan Jiang Yinan Jiang Lili Shi Lili Shi Xia Hong Xia Hong Wenqi Geng Wenqi Geng Jiaojiao Hu Jiaojiao Hu Yufei Wang Yufei Wang Bindong Dai Bindong Dai Jinya Cao Jinya Cao *Jing Wei Jing Wei *
  • Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, China

The final, formatted version of the article will be published soon.

    Importance Understanding treatment expectations of patients and their clinicians is of great importance in improving personalized medical services and enhancing patient safety systems.Objective To investigate treatment expectations of patients and their clinicians and compare differences between both, by using a pair of validated structured assessment tools covering three key aspects/dimensions of clinical interests. Design, Setting, and Participants This single-center cross-sectional study was conducted at Peking Union Medical College Hospital in China. The study enrolled patients aged 16 years and older receiving inpatient care and their clinicians. Patient recruitment was conducted from March 2023 to November 2023. Assessments In addition to demographic and clinical characteristics, this study employed two validated structured assessment tools to evaluate treatment expectations among patients and their clinicians: the Hospitalized Patients' Expectations for Treatment Scale-Patient version (HOPE-P) and its counterpart, the Hospitalized Patients' Expectations for Treatment Scale-Clinician version (HOPE-C).Results A total of 233 patients (mean [SD] age, 52.3 [15.1] years; 108 [46.4%] female) along with their clinicians, who numbered 75 in total were enrolled in this study. The distribution of total scores for HOPE-P and HOPE-C displayed similar patterns, with most scores concentrated in the higher range (above 50% of the full score). The mean HOPE-P total score was higher than that of 38.78 [4.86] vs 37.49 [4.32]; t = 3.12, P = 0.002). In Dimension 2, the HOPE-P score was higher than ; t = 6.98, P < 0.001). However, in Dimensions 1 and 3, HOPE-P scored lower than ; t = -2.384, P < 0.018; 1.74 [1.14] vs 1.94 [1.00]; t = -2.00, P = 0.047). Certain demographic and clinical characteristics led to variations in patients' treatment expectations, including marital status, monthly family income, and smoking history.This cross-sectional study revealed significant differences between patients' and doctors' treatment expectations. Notably, it highlighted the need for clinicians to focus on rationalizing patients' expectations concerning treatment outcomes.

    Keywords: patients1, clinicians2, doctors3, treatment expectation4, personalized medicine5, Patient safety6, doctor-patient relationship7, treatment outcome8 Trial Registration Chinese Clinical Trial Registry Identifier: ChiCTR2300075262

    Received: 11 Jun 2024; Accepted: 30 Jul 2024.

    Copyright: © 2024 Xiao, Li, Duan, Jiang, Shi, Hong, Geng, Hu, Wang, Dai, Cao and Wei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jinya Cao, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, China
    Jing Wei, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, China

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