Supplementary material
Supplementary Fig. 1 Relationship between physician-patient communication, patient satisfaction with the treatment decision-making, and patient trust in physicians (hypothetical model).
a
Data reversing the five-level rank values of TIPS.
DRS Decision Regret Scale, TIPS Trust in Physician Score
Physician-to-patient information Disease
Endoscopy Treatment Medical costs Support
Precautions for daily life
Patient-to-physician information Symptoms
General understanding of the disease
Anxiety and distress Intention and desire for treatment
Future expectations of life
Patient satisfaction (DRS)
Patient trust in physicians
(TIPS)a
Supplementary Fig. 2 Path diagram showing the relationship between physician-patient communication, patient satisfaction with treatment decision-making, and patient trust in physicians by categorical variables of patient background (multi-population simultaneous analysis). (a) By PRO2 remission and non-remission. GFI = 0.880, AGFI = 0.817, RMSEA = 0.101. (b) By the time spent with the physician when deciding on treatment. GFI = 0.857, AGFI
= 0.782, RMSEA = 0.105. (c) By the patient decision-making preference scale score. The patient decision-making preference scale was stratified by median. GFI = 0.877, AGFI = 0.814, RMSEA
= 0.099. Values represent standardized path coefficients that indicate the degree of relationship between variables.
*p<0.05.
a
Data reversing the five-level rank values of TIPS.
AGFI adjusted goodness of fit index, DRS Decision Regret Scale, GFI Goodness-of-fit index, PRO2 two-item patient reported outcomes, RMSEA root mean square error of approximation, TIPS Trust in Physician Scale, UC ulcerative colitis
Physician-to-patient information Disease
Endoscopy Treatment Medical costs Support
Precautions for daily life
Patient-to-physician information Symptoms
General understanding of the disease
Anxiety and distress Intention and desire for treatment
Future expectations of life
Patient satisfaction (DRS)
Patient trust in physicians
(TIPS)a 0.550*
0.519*
0.461*
0.443*
0.587*
0.599*
0.546*
0.631*
0.731*
0.816*
0.858*
0.862*
0.825*
0.864*
0.738*
0.801*
0.489*
0.475*
0.567*
0.756*
0.069 0.163 0.206*
0.014 0.811*
0.797*
0.721*
0.656*
0.781*
0.788*
0.621*
0.797*
Upper: PRO2 remission Lower: PRO2 non-remission
a. By PRO2 remission/non-remission
Physician-to-patient information Disease
Endoscopy Treatment Medical costs Support
Precautions for daily life
Patient-to-physician information Symptoms
General understanding of the disease
Anxiety and distress Intention and desire for treatment
Future expectations of life
Patient satisfaction (DRS)
Patient trust in physicians
(TIPS)a 0.515*
0.500*
0.534*
0.503*
0.409*
0.356* 0.590*
0.587*
0.517*
0.589*
0.461*
0.608* 0.775*
0.717*
0.730*
0.873*
0.864*
0.770* 0.804*
0.857*
0.871*
0.701*
0.812*
0.771*
0.526*
0.309*
0.416*
0.553*
0.602*
0.655*
0.069 0.263*
0.136 0.245*
0.159 0.017 0.770*
0.837*
0.777*
0.693*
0.690*
0.639*
0.787*
0.822*
0.755*
0.648*
0.676*
0.685*
Upper: < 10 min Middle: 10 to < 15 min Lower: ≥ 15 min
b. By the time spent with the physician when deciding on treatment
Physician-to-patient information Disease
Endoscopy Treatment Medical costs Support
Precautions for daily life
Patient-to-physician information Symptoms
General understanding of the disease
Anxiety and distress Intention and desire for treatment
Future expectations of life
Patient satisfaction (DRS)
Patient trust in physicians
(TIPS)a 0.499*
0.552*
0.457*
0.413*
0.585*
0.583*
0.564*
0.599*
0.754*
0.786*
0.865*
0.854*
0.841*
0.838*
0.731*
0.797*
0.220*
0.661*
0.538*
0.665*
0.269*
0.000 0.197*
0.122 0.787*
0.808*
0.649*
0.714*
0.799*
0.783*
0.664*
0.718*
Upper: ≤ 2.50 (lower decision-making preference) Lower: ≥ 2.75 (higher decision-making preference)