住院医师对其连续性诊所患者满意度的决定因素。
Determinants of resident satisfaction with patients in their continuity clinic.
作者信息
Barnett Don R, Bass Pat F, Griffith Charles H, Caudill T Shawn, Wilson John F
机构信息
Primary Care, VA Eastern Kansas health Care System, Topeka, Kan. 66622, USA.
出版信息
J Gen Intern Med. 2004 May;19(5 Pt 1):456-9. doi: 10.1111/j.1525-1497.2004.30125.x.
Abstract
The purpose of this study was to identify what patient and physician factors influence resident satisfaction with patient encounters in a continuity clinic setting. Resident satisfaction was assessed from postencounter questionnaires completed by 68 internal medicine residents regarding 979 patient encounters. We found that residents were more satisfied with patients diagnosed with general medical problems than with patients diagnosed with pain and psychiatric disorders. First-year residents were less satisfied with patients diagnosed with pain and psychiatric disorders than second- and third-year residents. However, this dissatisfaction with seeing patients with pain or psychiatric disorders lessened as continuity of care was enhanced.
摘要
本研究的目的是确定在连续性门诊环境中，哪些患者和医生因素会影响住院医师对患者诊疗过程的满意度。通过68名内科住院医师针对979次患者诊疗过程填写的诊疗后问卷来评估住院医师的满意度。我们发现，住院医师对被诊断患有一般医疗问题的患者比对被诊断患有疼痛和精神疾病的患者更满意。一年级住院医师对被诊断患有疼痛和精神疾病的患者的满意度低于二年级和三年级住院医师。然而，随着护理连续性的增强，对诊治疼痛或精神疾病患者的这种不满情绪有所减轻。
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