Kisa Kengo, Kawabata Hidenobu, Itou Takamasa, Nishimoto Naoki, Maezawa Masaji
Healthcare Systems Research, Graduate School of Medicine, Hokkaido University, Japan.
Intern Med. 2011;50(13):1403-8. doi: 10.2169/internalmedicine.50.5107. Epub 2011 Jul 1.
The purpose of this study was to show the difference in consultation satisfaction between patient and physician in rural settings, and identify the variables affecting their satisfaction regarding these encounters.
We collected data by administering questionnaires that included questions regarding satisfaction for a patient-centered approach to patients and physicians, transcribing data from medical records, and observing consultations in person. We then modeled cumulative logits of patient and physician satisfaction scores by performing ordered logistic regression using the proportional odds model.
Seven physicians and 122 patients participated in the study.
Both patients and physicians expressed high satisfaction with their consultation sessions. Patient satisfaction tended to be higher than physician satisfaction. Physicians were satisfied with longer consultations but patients were not. Moreover, the long waiting times dissatisfied patients. In cases of multiple healthcare episodes (courses of treatment for a different condition) during a single visit, patient satisfaction decreased, while physician satisfaction increased. Physician satisfaction for interactions in general was less when they checked the same patient who had previously visited them.
Our findings suggest that if physicians feel satisfied with their consultation, patients also feel satisfied regardless of the physician's opinion. The variables that affect patient and physician satisfaction include prior visits with the same physician, consultation length, longer waiting times, and number of episodes. These findings from Japanese clinics are consistent with those previously reported for other countries.
本研究旨在揭示农村地区患者与医生在会诊满意度上的差异，并确定影响他们对这些会诊满意度的变量。
我们通过发放问卷收集数据，问卷包含有关以患者为中心的方法对患者和医生满意度的问题，转录病历数据，并亲自观察会诊。然后，我们使用比例优势模型通过有序逻辑回归对患者和医生满意度得分的累积对数进行建模。
七名医生和122名患者参与了该研究。
患者和医生对他们的会诊都表示高度满意。患者满意度往往高于医生满意度。医生对较长的会诊感到满意，但患者并非如此。此外，长时间等待使患者不满。在单次就诊期间出现多次医疗事件（针对不同病症的治疗过程）的情况下，患者满意度下降，而医生满意度上升。当医生检查之前看过的同一患者时，他们对总体互动的满意度较低。
我们的研究结果表明，如果医生对他们的会诊感到满意，那么无论医生的看法如何，患者也会感到满意。影响患者和医生满意度的变量包括之前与同一位医生的就诊经历、会诊时长、较长的等待时间以及医疗事件的数量。这些来自日本诊所的研究结果与之前其他国家报道的结果一致。
