Fahey Meriah, Burnett Margaret
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg MB.
J Obstet Gynaecol Can. 2010 Feb;32(2):160-164. doi: 10.1016/S1701-2163(16)34431-0.
To assess antenatal patients' working knowledge of resident physicians involved with their care.
A prospective short-answer survey was distributed to a convenience sample of 120 consecutive patients of a busy obstetrical practice in a teaching hospital in 2006. Patients were asked about resident physicians' roles and responsibilities, level of education, hours of work, and relationship to the attending physician.
The majority of patients had attended the teaching hospital within the preceding year and had also previously delivered a baby at the hospital. Only 7% of patient participants correctly identified a resident as actively involved in their care and only 18% correctly identified the attending physician as the residents' supervisor and/or educator. Most patients correctly identified the resident's highest level of education as university (90%) and knew that the resident was under the supervision of the attending physician (70%). Except the 5% of participants who answered "don't know," all respondents greatly underestimated residents' average weekly hours of work.
Patient knowledge of the role of the resident physician in the health care team is lacking. Increasingly, patients wish to be educated and engaged in their health care management. Given the significant role of residents in patient care in Canada's teaching centres, further attention should be paid to finding out what patients wish to know about their care providers and providing them with that knowledge.
评估产前患者对参与其护理的住院医师的实际了解情况。
2006年，对一家教学医院繁忙产科连续就诊的120名患者进行了一项前瞻性简答题调查。询问患者关于住院医师的角色和职责、教育程度、工作时长以及与主治医生的关系。
大多数患者在前一年曾就诊于该教学医院，且之前也在该医院分娩过。只有7%的参与患者正确指出有住院医师积极参与其护理，只有18%的患者正确指出主治医生是住院医师的 supervisor 和/或教育者。大多数患者正确识别出住院医师的最高学历为大学学历（90%），并知道住院医师在主治医生的监督之下（70%）。除了5%回答“不知道”的参与者外，所有受访者都大大低估了住院医师的平均每周工作时长。
患者对住院医师在医疗团队中角色的了解不足。越来越多的患者希望接受教育并参与自身的医疗管理。鉴于住院医师在加拿大教学中心的患者护理中发挥着重要作用，应进一步关注了解患者希望知晓关于其护理提供者的哪些信息，并向他们提供这些信息。
