Luthy Christophe, Cedraschi Christine, Perrin Eliane, Allaz Anne-Françoise
Service of Internal and Rehabilitation Medicine, University Hospitals, Hôpital Beau-Seéjour, CH-1211 Geneva 14, Switzerland.
Swiss Med Wkly. 2005 Feb 5;135(5-6):82-6. doi: 10.4414/smw.2005.10839.
Knowledge of hospital patients' perceptions of doctors' qualities is limited. The purpose of this study was to explore hospital patients' definitions of "good" and "bad" doctors.
Semi-structured interviews conducted with 68 consecutive hospital patients. The questions explored the characteristics of good/bad doctors. Responses were subjected to content analysis.
The patients' mean age was 72.7 (+/- 15) years; 61% were female. Content analysis produced 9 categories connoted positively/negatively; the mean number of categories/patient response was 2.4 (+/- 1.3), ranging from 1-6. Sensitivity/insensitivity to feelings were in the forefront, together with the importance of the relational dimension and the need to provide treatment tailored to the patient's needs. Patients' responses emphasised "bad" doctors' use of medicine as self-serving and not serving the patient.
This qualitative enquiry made it possible to gather information on the patients' expectations or beliefs outside physicians' or health researchers' pre-established categories. It emphasised that acknowledging possible areas of uncertainty may be less threatening for the doctor's image than exhibiting scientific proficiency unadapted to the patient's expectations and needs.
对于医院患者对医生素质的看法，了解有限。本研究的目的是探究医院患者对“好”医生和“坏”医生的定义。
对68名连续入院的患者进行半结构化访谈。问题探讨了好/坏医生的特征。对回答进行内容分析。
患者的平均年龄为72.7（±15）岁；61%为女性。内容分析得出9个具有积极/消极内涵的类别；每个患者回答的类别平均数量为2.4（±1.3），范围为1至6。对情感的敏感/不敏感处于首要位置，同时关系维度的重要性以及提供符合患者需求的治疗的必要性也很突出。患者的回答强调“坏”医生将药物用于私利而非为患者服务。
这项定性研究使得收集医生或健康研究人员预先设定类别之外的患者期望或信念信息成为可能。它强调，承认可能存在的不确定领域对医生形象的威胁可能小于展现出不符合患者期望和需求的专业能力。
