Daghio M M, Ciardullo A V, Cadioli T, Delvecchio C, Menna A, Voci C, Guidetti P, Magrini N, Liberati A
Centre for the Evaluation of the Effectiveness of Health Care (CeVEAS), University of Modena and Reggio-Emilia, Italy.
Fam Pract. 2003 Jun;20(3):283-8. doi: 10.1093/fampra/cmg309.
The aim of this study was to explore the characteristics of the doctor-patient relationship from the GP's point of view.
We performed a cross-sectional 1-day study in family practice. Thirty-three GPs volunteered to fill in a questionnaire at the end of each of 20 consecutive consultations on an index day. Six hundred and sixty-one patients (out of 665) participated in the study. Descriptive frequencies of GPs' judgements about personal experiences during the consultations, and predictors of GP's global satisfaction score on patient encounters were analysed.
The mean age of the 33 GPs was 44.7 +/- 3.6 years. Professional skills (62% of the GPs had no doubts on diagnosis, therapy or prognosis) and the quality of the human/interpersonal interaction were major determinants of GPs' satisfaction in the patient-doctor relationship. Doctors felt professionally esteemed by 90% of their patients, and the median value of their global satisfaction score (matching the expectations from an 'ideal patient' to that experienced when meeting the real one) was very high (median 8, range 1-10). Nevertheless, GPs did not know if they were satisfied with the actual encounter with the patient in about one-third of the consultations.
Professional skills and quality of the human/interpersonal interactions are major determinants of GPs' satisfaction in their professional activities.
本研究旨在从全科医生的角度探讨医患关系的特点。
我们在家庭医疗中进行了一项为期一天的横断面研究。33名全科医生自愿在索引日连续20次会诊结束时填写一份问卷。665名患者中有661名参与了研究。分析了全科医生对会诊期间个人经历的判断的描述性频率，以及全科医生对患者诊疗的总体满意度得分的预测因素。
33名全科医生的平均年龄为44.7±3.6岁。专业技能（62%的全科医生对诊断、治疗或预后没有疑问）以及人际互动质量是全科医生对医患关系满意度的主要决定因素。90%的患者对医生表示职业上的尊重，他们的总体满意度得分中位数（从“理想患者”的期望到遇到真实患者时的体验）非常高（中位数为8，范围为1 - 10）。然而，在大约三分之一的会诊中，全科医生不知道他们是否对与患者的实际诊疗感到满意。
专业技能和人际互动质量是全科医生对其专业活动满意度的主要决定因素。
