McCord Gary, Pendleton Brian F, Schrop Susan Labuda, Weiss Lisa, Stockton LuAnne, Hamrich Lynn M
Department of Family Medicine, Northeastern Ohio Universities Colleges of Medicine and Pharmacy, Rootstown, OH 44272-0095, USA.
J Am Board Fam Med. 2009 Jul-Aug;22(4):353-9. doi: 10.3122/jabfm.2009.04.080056.
The effects of the use of technological devices on dimensions that affect the physician-patient relationship need to be well understood.
Determine patients' perceptions of physicians' personal digital assistant (PDA) use, comparing the results across 8 physician-patient dimensions important to clinical interactions.
Patients completed anonymous surveys about their perceptions of physician PDA use. Data were collected during 2006 and 2007 at 12 family medicine practices. Survey items included physician sex, patient demographics, if physicians explained why they were using the PDA, and Likert ratings on 8 dimensions of how a PDA can influence physician-patient interactions (surprise, confidence, feelings, comfort, communication, relationship, intelligence, and satisfaction). The survey response rate was 78%. Physicians explained to their patients what they were doing with the PDA 64% of the time. Logistic regression analyses determined that patients of male physicians, patients attending private practices and underserved sites, patients with Medicaid insurance, and patients who observed their physician using a PDA during both the index visit and at least one prior visit were more likely to receive an explanation of PDA use. Most importantly, physician-patient communication was rated significantly more positive if an explanation of PDA use was offered.
Patients rate interactions with their physicians more positively when physicians explain their PDA use.
需要充分了解使用技术设备对影响医患关系的各个方面所产生的影响。
确定患者对医生使用个人数字助理（PDA）的看法，并比较在对临床互动至关重要的8个医患维度上的结果。
患者完成了关于他们对医生使用PDA看法的匿名调查。2006年至2007年期间，在12个家庭医学诊所收集了数据。调查项目包括医生性别、患者人口统计学信息、医生是否解释使用PDA的原因，以及关于PDA如何影响医患互动的8个维度（惊讶、信心、感受、舒适度、沟通、关系、智能和满意度）的李克特评分。调查回复率为78%。医生有64%的时间会向患者解释他们用PDA在做什么。逻辑回归分析确定，男医生的患者、在私人诊所和服务不足地区就诊的患者、有医疗补助保险的患者，以及在初次就诊和至少一次之前的就诊中都观察到医生使用PDA的患者，更有可能收到关于使用PDA的解释。最重要的是，如果提供了关于使用PDA的解释，医患沟通的评分会显著更积极。
当医生解释他们使用PDA的情况时，患者对与医生互动的评价会更积极。
