Terry P E, Healey M L
Institute for Research and Education HealthSystem Minnesota, St. Louis Park 55416, USA.
J Fam Pract. 2000 Apr;49(4):314-8.
Patients value receiving educational information during office visits, but physicians often lack the time or training to satisfy this need. We examined whether an increased physician role in educating patients is an effective means of improving patient satisfaction.
Using a nonrandomized controlled research design, we compared patient satisfaction with self-care information provided by traditional direct-mail approaches and by physicians during routine office visits. We also studied a control group of patients receiving usual care.
Patients who received a medical self-care book from a physician were significantly more likely to be satisfied with their office visit than those who received the book in the mail or those who experienced usual care. The intervention group reported greater satisfaction with 11 out of 13 variables related to physician-patient communication and quality of care. There were no significant differences between the control group and the direct-mail group.
The patients who received self-care information from their physicians were significantly more satisfied with their care and their physician-patient communication experience than those in either the direct-mail group or the control group. Our findings lend support to the growing evidence that patients informed by their physicians are more satisfied with their care.
患者重视在门诊就诊时获取教育信息,但医生往往缺乏时间或培训来满足这一需求。我们研究了增加医生在患者教育方面的作用是否是提高患者满意度的有效手段。
采用非随机对照研究设计,我们比较了患者对传统直邮方式和医生在常规门诊就诊时提供的自我护理信息的满意度。我们还研究了接受常规护理的对照组患者。
从医生那里收到医疗自我护理书籍的患者对门诊就诊的满意度明显高于通过邮件收到书籍的患者或接受常规护理的患者。干预组在与医患沟通和护理质量相关的13个变量中的11个方面报告了更高的满意度。对照组和直邮组之间没有显著差异。
从医生那里获得自我护理信息的患者对其护理以及医患沟通体验的满意度明显高于直邮组或对照组的患者。我们的研究结果支持了越来越多的证据,即由医生提供信息的患者对其护理更满意。