Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md, USA.
Acad Pediatr. 2010 Mar-Apr;10(2):138-45. doi: 10.1016/j.acap.2009.12.006.
The aim of this study was to determine if an information sheet containing photographs and explanations of the training level of medical providers could enhance a parent's ability to identify their child's providers and whether this would impact parental attitudes toward trainee involvement and patient satisfaction.
This was a prospective, mixed methods study of parent-child dyads admitted to an academic general pediatric inpatient service. The intervention group received a photo information sheet (Photographs of Academic Clinicians and Their Educational Status [PHACES] tool) consisting of passport-sized photos of the medical team along with information regarding their training. Parents were asked to name their child's providers, were surveyed about their attitudes toward trainees, participated in a brief, semistructured interview and completed the patient satisfaction questionnaire (ABIM-PSQ).
Comparing intervention with control parents, 40 of 49 (82%) versus 19 of 51 (37%) were able to name at least one provider (adjusted odds ratio 8.0; P < .01). Parents who received the intervention were more likely to correctly match the face with the name of the medical student (67% vs 14%; P < .01) and attending (80% vs 24%; P < .01). Parents who received the intervention were more likely to report acceptance of the involvement of medical students and house staff as well as an improved understanding of their roles. Parents who received the intervention scored higher on the ABIM-PSQ (mean 48.3 vs 45.4; P = .008).
An information sheet containing the photographs of health care providers along with an explanation of their training improves recognition of the health care team members, improves acceptance of trainee involvement, and improves satisfaction with care delivered by physicians in training.
本研究旨在确定一份包含医疗服务提供者培训水平照片和说明的信息单是否可以提高家长识别其子女提供者的能力，以及这是否会影响家长对实习医生参与和患者满意度的态度。
这是一项针对入住学术性普通儿科住院服务的父母-子女二人组的前瞻性混合方法研究。干预组接受了一张照片信息单（学术临床医生及其教育状况照片工具 [PHACES]），其中包括医疗团队的护照大小的照片以及有关他们培训的信息。要求家长说出他们孩子的提供者的名字，调查他们对实习医生的态度，参加简短的半结构化访谈，并完成患者满意度问卷（ABIM-PSQ）。
与对照组家长相比，49 名干预组家长中有 40 名（82%）能够说出至少一名提供者，而 51 名对照组家长中有 19 名（37%）（调整后的优势比 8.0；P <.01）。接受干预的家长更有可能正确地将面孔与医学生（67%对 14%；P <.01）和主治医生（80%对 24%；P <.01）的名字相匹配。接受干预的家长更有可能报告接受医学生和住院医生的参与，并更好地理解他们的角色。接受干预的家长在 ABIM-PSQ 上的得分更高（平均 48.3 对 45.4；P =.008）。
一份包含医疗保健提供者照片及其培训说明的信息单可以提高对医疗团队成员的识别能力，提高对实习医生参与的接受程度，并提高对受训医生提供的护理的满意度。
