International Journal of Clinical Pharmacy

, Volume 40, Issue 3, pp 617–626 | Cite as

Testing a healthcare provider–patient communicative relationship quality model of pharmaceutical care in hospitals

  • Dan Wang
  • Chenxi Liu
  • Zinan Zhang
  • Liping Ye
  • Xinping ZhangEmail author
Research Article


Background Patient-centeredness and participatory care is increasingly regarded as a proxy for high-quality interpersonal care. Considering the development of patient-centeredness and participatory care relationship model in pharmacist–patient domain, it is of great significance to explore the mechanism of how pharmacist and patient participative behaviors influence relationship quality and patient outcomes. Objective To validate pharmacist–patient relationship quality model in Chinese hospitals. Setting: Four tertiary hospitals in 2017. Methods The provision of pharmaceutical care was investigated. A cross-sectional questionnaire survey covering different constructs of communicative relationship quality model was conducted and the associations among pairs of the study constructs were explored. Based on the results of confirmatory factor analysis, path analysis was conducted to validate the proposed communicative relationship quality model. Main outcome measure Model fit indicators including Tucker–Lewis index (TLI), comparative fit index (CFI), root mean square error of approximation (RMSEA) and weighted root mean square residual(WRMR). Results There were 589 patients included in our study. The final path model had an excellent fit (TLI = 0.98, CFI = 0.98, RMSEA = 0.05; WRMR = 1.06). HCP participative behavior/patient-centeredness (β = 0.79, p < 0.001) and interpersonal communication (β = 0.13, p < 0.001) directly impact the communicative relationship quality. But patient participative behavior was not a predictor of either communicative relationship quality or patient satisfaction. Conclusion HCP participative behavior/patient-centeredness and interpersonal communication are positively related to relationship quality, and relationship quality is mediator between HCP participative behavior and interpersonal communication with patient satisfaction.


China Communicative relationship Healthcare provider Hospital Quality model Patient satisfaction Validation 



Our team would sincerely thank Xianji Wang for his assistance in promoting this study and his help in contacting the tertiary facilities in Shanghai. We also would sincerely thank Xuemei Wang for her assistance in the translation process of the instruments.


This study was supported by The National Natural Science Foundation of China “Theorizing Pharmacist–Patient Communication Model and Mechanism Based on King’s Theory of Goal Attainment” (Grant Number G040602).

Conflicts of interest

There are no potential conflicts of interest (political, personal, religious, ideological, academic, intellectual, commercial or any other) that should be declared in relation to this manuscript.

Supplementary material

11096_2018_618_MOESM1_ESM.docx (17 kb)
Supplementary material 1 (DOCX 17 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Dan Wang
    • 1
  • Chenxi Liu
    • 1
  • Zinan Zhang
    • 1
  • Liping Ye
    • 1
  • Xinping Zhang
    • 1
    Email author
  1. 1.School of Medicine and Health ManagementTongji Medical College of Huazhong University of Science and TechnologyWuhanChina

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