沟通障碍对医疗保健满意度的影响：一项针对医疗保险受益人的调查
Effect of communication disability on satisfaction with health care: a survey of medicare beneficiaries.
作者信息
Hoffman Jeanne M, Yorkston Kathryn M, Shumway-Cook Anne, Ciol Marcia A, Dudgeon Brian J, Chan Leighton
机构信息
Department of Rehabilitation Medicine, University of Washington, Seattle 98195-6490, USA.
出版信息
Am J Speech Lang Pathol. 2005 Aug;14(3):221-8. doi: 10.1044/1058-0360(2005/022).
PURPOSE
To examine the prevalence and characteristics of community-dwelling Medicare beneficiaries reporting a communication disability and the relationship between that disability and dissatisfaction with medical care.
METHOD
A total of 12,769 Medicare Current Beneficiary Survey respondents age 65 and older in 2001 were categorized by level of communication disability. Sampling weights were used to make inferences about the entire Medicare population.
RESULTS
Over 16 million beneficiaries reported a communication disability. Hearing problems were most commonly reported (41.99%). The association between dissatisfaction and communication disability was statistically significant (p <or= .05) for 8 of 10 items.
CONCLUSIONS
Prevalence of dissatisfaction among those with a communication disability varied, ranging from 3.43% to 19.34%. Respondents with a communication disability reported much more dissatisfaction when compared with those respondents without a communication disability.
目的
调查报告有沟通障碍的社区医疗保险受益人的患病率及特征，以及该障碍与医疗服务不满之间的关系。
方法
2001年，共有12769名年龄在65岁及以上的医疗保险当前受益人调查受访者按沟通障碍程度进行分类。抽样权重用于对整个医疗保险人群进行推断。
结果
超过1600万受益人报告有沟通障碍。听力问题报告最为常见（41.99%）。在10项中的8项上，不满与沟通障碍之间的关联具有统计学意义（p≤0.05）。
结论
有沟通障碍者的不满患病率各不相同，范围从3.43%到19.34%。与没有沟通障碍的受访者相比，有沟通障碍的受访者报告的不满要多得多。
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