Beckett Megan K, Elliott Marc N, Richardson Andrea, Mangione-Smith Rita
RAND Corporation, Santa Monica, CA 90407-2138, USA.
Health Serv Res. 2009 Oct;44(5 Pt 1):1735-49. doi: 10.1111/j.1475-6773.2009.01001.x. Epub 2009 Jul 27.
To examine the simultaneous associations of parent and coder assessments of communication events with parent satisfaction.
Five hundred twenty-two pediatrician-patient encounters.
Parents reported on post-visit satisfaction with care and whether four communication events occurred. Raters also coded communication events from videotapes. Multivariate analyses predicted parent satisfaction.
Satisfaction was greater when parents perceived at least three communication events. Parent and coder reports were nearly uncorrelated. Coder-assessed communication events not perceived by parents were unrelated to parent satisfaction.
Parents are more satisfied when most or all of the expected parent-physician communications occur. A successful pediatrician-parent communication event is one that a parent recognizes as having occurred; it is not merely one that a trained observer says occurred.
探讨家长和编码员对沟通事件的评估与家长满意度之间的同时关联。
522次儿科医生与患者的诊疗接触。
家长报告就诊后对护理的满意度以及是否发生了四次沟通事件。评估者还对录像带中的沟通事件进行编码。多变量分析预测家长满意度。
当家长认为至少发生了三次沟通事件时，满意度更高。家长报告与编码员报告几乎不相关。家长未察觉到的由编码员评估的沟通事件与家长满意度无关。
当大多数或所有预期的医患沟通发生时，家长更满意。一次成功的儿科医生与家长的沟通事件是家长认可其发生的事件；而不仅仅是经过训练的观察者所说的发生了的事件。
