Mainous Arch G, Goodwin Meredith A, Stange Kurt C
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Ann Fam Med. 2004 Sep-Oct;2(5):452-4. doi: 10.1370/afm.84.
We undertook a study to examine the impact of experiences shared between patient and physician and the value patients place on continuity of care.
Data on 4,454 patients collected in The Direct Observation of Primary Care (DOPC) study conducted between October 1994 and August 1995 were analyzed to assess the value patients place on continuity, length of patient-physician relationship, and experiences shared between patient and physician.
A significant interaction was yielded between duration of relationship and experiences shared between patient and physician (P = .03). For all lengths of relationship with the physician, the value that patients have for continuity increased when patients indicated experiences shared with the physician. For patients who did not report experiences shared with the physician, the longer the relationship, the greater the value placed on continuity.
The results of this study point to the importance of the experiences shared between patients and physicians and the value that patients place on continuity with their regular physician.
我们开展了一项研究,以检验患者与医生之间共享的经历的影响,以及患者对连续性医疗服务的重视程度。
分析了1994年10月至1995年8月期间进行的初级医疗直接观察(DOPC)研究中收集的4454名患者的数据,以评估患者对连续性的重视程度、医患关系的时长,以及患者与医生之间共享的经历。
医患关系时长与患者和医生之间共享的经历之间产生了显著的交互作用(P = 0.03)。对于与医生的所有关系时长,当患者表示与医生有共享经历时,患者对连续性的重视程度会增加。对于未报告与医生有共享经历的患者,关系越长,对连续性的重视程度越高。
本研究结果表明患者与医生之间共享经历的重要性,以及患者对与常规医生保持连续性的重视程度。