Researchers at Yale and the University of Connecticut (UConn) will study clinician/patient relationships under a new $2.8 million initiative funded by the Patrick and Catherine Weldon Donaghue Medical Research Foundation.
The partnership, based at the School of Nursing, will initially focus on how these relationships affect adherence, or how well patients follow instructions about such matters as taking medication and making lifestyle changes.
In fact, adherence is "one of the most compelling aspects of the health care relationship," according to Sally Cohen, associate professor of nursing, who will direct the project.
"So much depends upon adherence," says Cohen. "Without it, there is very little any provider can do to improve a patient's health for any significant period of time."
Regina Cusson, a professor of nursing at UConn, will be the program's site director in Storrs. "The focus of research is usually on trying to find a cure for illness," she says. "We are now looking at a shift toward helping people live with chronic disease or -- better still -- helping people stay well. That broadens the scope of what you must examine."
"The human aspect of health care is a critical aspect that isn't getting as much rigorous scientific attention as we'd like to see," says Donaghue trustee Raymond S. Andrews. "If we could systematically dissect these relationships, we might find the key to better care. We have much more knowledge available to us than we ever make effective use of."
Relationships are hard to quantify with traditional research methods. But the Yale/UConn program is designed to delve into this non-traditional area without sacrificing scientific rigor.
"One of the reasons that the relational aspects of care are so little studied is that it is easier to look at outcomes associated with defined interventions," explains Judy Krauss, professor of nursing, who will be Yale's site director for the project. "However, seeking to understand the process of care, in the context of the health care relationship, may well illuminate important pathways to desired outcomes. Those who pursue this work will be the real risk-takers of this century."
The program will make use of expert panels, representing different health professions and health care consumers, to shape its agenda.
Cohen sees a great potential for improving health care through understanding its relational aspects as expansive. "It's an area we know so little about, and this project will give us the opportunity to take the lead."
Donaghue is funding the collaborative program as a prototype, with the idea that the study of relationships could eventually be expanded.
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