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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2023年6月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 265 ·
Journal
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［42］ ARANHA ANIL N F，PATEL PRAGNESH J. Health lit⁃ （本文编辑：姜 鑫）
eracy，preventive health screening，and medication ad⁃

The relationship between health literacy，perceived doctor⁃patient

empathy and patient compliance

PENG Jiangxin，ZHANG Xuemei，XU Chenyun，LIANG Wenwen，CHENG Jing
School of Health Management，Anhui Medical University，Hefei 230032，China
Abstract：This paper explores the effects of health literacy and perceived doctor⁃patient empathy on patient
compliance and the mediating role of patient trust. It utilized the modified Chinese Patient Health Literacy
Scale，the Empathy Scale for Diagnosis and Treatment Relationships，Wake Forest Physician’s Trust Scale and
the Patient Compliance Scale to investigate outpatients in a comprehensive tertiary hospital in Anhui province
with 720 valid questionnaires. Correlation analysis showed that health literacy，perceived doctor ⁃ patient
empathy，and patient trust were all correlated with patient compliance（r=0.230，r=0.419，r=0.380，P<0.01）.
The results of structural equation modeling showed that patient trust completely mediates between health literacy
and patient compliance. Patient trust partially mediates between perceived doctor⁃patient empathy and patient
compliance. This paper suggests adopting measures to improve patients’health literacy level，paying attention
to the improvement of doctors’ empathy ability for diagnosis and treatment， promoting doctor ⁃ patient
communication and doctor⁃patient trust，thereby improving patient compliance and maintaining patient health.
Key words：health literacy；perception of doctor⁃patient empathy；patient compliance；patient trust；out⁃
patient