ABSTRACT

The present work was aimed at investigating whether the patients’ involvement by their healthcare providers may satisfy patients’ fundamental psychological needs (i.e. self-esteem, belonging, control, meaningful existence), which in turn, can impact their psychological well-being. Based on the European Quality of Life Survey data, the sample included 10,427 European adults who, in the last 12 months, visited GP/family doctors and hospital/medical specialists. Among them, 51.3% declared to have a chronic disease. Results showed that the experience of being involved by GP/family doctors and hospital/medical specialists had a positive effect on psychological well-being and that this effect was mediated by the satisfaction of all four needs. Moreover, the results of the moderated mediation model showed that the indirect effect of the involvement by GP/family doctors and hospital/medical specialists on psychological well-being through belonging was moderated by the presence or absence of a chronic condition. The study provides a novel contribution in investigating the positive effects of the patient’s involvement, emphasizing its importance for patient’s needs satisfaction, and its role appears particularly beneficial for the ones living with a chronic condition.

摘要

目前的工作旨在调查患者的医疗保健提供者的参与是否可以满足患者的基本心理需求（即自尊、归属、控制、有意义的存在），这反过来又会影响他们的心理健康。根据欧洲生活质量调查数据，样本包括 10,427 名欧洲成年人，他们在过去 12 个月内拜访了全科医生/家庭医生和医院/医学专家。其中，51.3%的人宣称患有慢性病。结果表明，全科医生/家庭医生和医院/医学专家参与的经历对心理健康有积极影响，并且这种影响是通过满足所有四种需求来调节的。而且，有调节的中介模型的结果表明，全科医生/家庭医生和医院/医学专家的参与通过归属感对心理健康的间接影响受到慢性病的存在与否的调节。该研究在调查患者参与的积极影响方面提供了新的贡献，强调了其对满足患者需求的重要性，并且其作用似乎对慢性病患者特别有益。