abstract: 'The objective of this study was to examine whether aspects of the

  patient-physician relationship for breast cancer patients have an

  influence on the change in health-related quality of life (HRQOL) after

  inpatient rehabilitation.

  N = 329 breast cancer patients undergoing inpatient rehabilitation in

  Germany were surveyed using questionnaires at the beginning of

  rehabilitation, end of rehabilitation, and 6 months after

  rehabilitation. Multiple imputations and multilevel models of change

  were used in the data analyses.

  Even after comprehensive adjustment for sociodemographic, medical,

  psychological variables, and center effects, aspects of the

  physician-patient relationship were statistically and clinically

  relevant predictors of HRQOL after rehabilitation. Satisfaction with

  physician''s care appears to have a rather short-term effect, but the

  effect of promoting patient participation can still be partially

  determined 6 months after rehabilitation. Other important predictors of

  HRQOL improvement are optimism, higher level of education, higher

  income, living with a partner, and the ability to work.

  By taking into consideration the patient''s communication and

  participation needs, physicians can contribute to an improved HRQOL

  after rehabilitation. The high predictive power of socioeconomic factors

  shows that rehabilitation care can be more effective if it accounts for

  the specific situation of socially disadvantaged individuals.'
affiliation: 'Farin, E (Corresponding Author), Univ Freiburg, Med Ctr, Dept Qual Management
  \& Social Med, Engelbergerstr 21, D-79106 Freiburg, Germany.

  Farin, Erik; Nagl, Michaela, Univ Freiburg, Med Ctr, Dept Qual Management \& Social
  Med, D-79106 Freiburg, Germany.'
author: Farin, Erik and Nagl, Michaela
author-email: erik.farin@uniklinik-freiburg.de
author_list:
- family: Farin
  given: Erik
- family: Nagl
  given: Michaela
da: '2023-09-28'
doi: 10.1007/s11136-012-0151-5
eissn: 1573-2649
files: []
issn: 0962-9343
journal: QUALITY OF LIFE RESEARCH
keywords: 'Patient-physician relationship; Quality of life; Oncology; Optimism;

  Socioeconomic factors'
keywords-plus: 'HEALTH-RELATED-QUALITY; MEDICAL DECISION-MAKING; FUNCTIONAL ASSESSMENT;

  FOLLOW-UP; PSYCHOLOGICAL DISTRESS; SOCIAL SUPPORT; CHINESE WOMEN;

  NECK-CANCER; PREDICTORS; SCALE'
language: English
month: MAR
number: '2'
number-of-cited-references: '74'
orcid-numbers: Farin-Glattacker, Erik/0000-0001-6867-0316
pages: 283-294
papis_id: 4a249255a24c7acb5a3526014ed83862
ref: Farin2013patientphysicianrela
times-cited: '18'
title: 'The patient-physician relationship in patients with breast cancer: influence
  on changes in quality of life after rehabilitation'
type: article
unique-id: WOS:000315279500006
usage-count-last-180-days: '0'
usage-count-since-2013: '19'
volume: '22'
web-of-science-categories: 'Health Care Sciences \& Services; Health Policy \& Services;
  Public,

  Environmental \& Occupational Health'
year: '2013'