Assefa Mekdes, Enquselassie Fikre
Defense University, Addis Ababa, Ethiopia.
Ethiop Med J. 2011 Apr;49(2):85-95.
Good quality of clinician-patient health information exchange promotes diagnostic accuracy, patient's knowledge and understanding, health outcomes, clinician and patient satisfaction, adherence to treatment plan, patient's trust in clinicians and reduces medical error.
The main objective of this study is to assess health information exchange between clinicians and people living with HIV/AIDS (PLWHA) attending ARTclinics at public hospitals in Addis Ababa.
A cross-sectional survey was conducted in antiretroviral therapy (ART) clinics of seven public hospitals in Addis Ababa, Ethiopia; during one month period between April and May, 2009. Four hundred ART clients aged 18 years and above in the seven hospitals and 20 clinicians involved in the care of patients constitute the study subjects. Data on patients were collected by an interviewer administered structured Amharic questionnaire. Their perception of the clinical communication was assessed by using a 20 item measure with five point response scale (5=excellent, 4=very good. 3=good, 2=fair and 1=poor). Data on clinicians was collected by a self administered questionnaire. Clinicians' attitude towards information provision was assessed by using a 9 item measure.
The mean (SD) scores of patients'perceptions of the communication they had with clinicians during their encounter was 77.1% (14.1%) with median 78.0. ranging from 39 to 100%. Three hundred seventy one (92.8%) study participants reported that they comprehend information that have been provided during their encounter with clinicians while 5 (1.3%) were uncertain of their understanding of the information delivered to them. Likewise 339 (84.8%)) patients have claimed to be satisfied with the information exchange process.
Current status of relationship building and sharing information in public hospitals in Addis Ababa were rated high by patients on ART We recommend that training institutions and other responsible bodies should work to enhance communication skills of clinicians and all healthcare providers in general, during basic training and/or continuous training programs.
高质量的医患健康信息交流可提高诊断准确性、患者的知识和理解水平、健康结局、医患满意度、对治疗计划的依从性、患者对临床医生的信任，并减少医疗差错。
本研究的主要目的是评估亚的斯亚贝巴公立医院接受抗逆转录病毒治疗（ART）的临床医生与艾滋病毒/艾滋病患者（PLWHA）之间的健康信息交流情况。
2009年4月至5月期间，在埃塞俄比亚亚的斯亚贝巴的七家公立医院的抗逆转录病毒治疗（ART）诊所进行了一项横断面调查。七家医院中400名18岁及以上的ART患者和20名参与患者护理的临床医生构成了研究对象。患者数据通过访谈员管理的结构化阿姆哈拉语问卷收集。使用20项测量工具和五点反应量表（5 = 优秀，4 = 非常好，3 = 好，2 = 一般，1 = 差）评估他们对临床沟通的看法。临床医生的数据通过自我管理的问卷收集。使用9项测量工具评估临床医生对信息提供的态度。
患者对与临床医生会面期间沟通情况的感知平均（标准差）得分为77.1%（14.1%），中位数为78.0，范围为39%至100%。371名（92.8%）研究参与者报告说他们理解了与临床医生会面期间提供的信息，而5名（1.3%）不确定自己对所提供信息的理解。同样，339名（84.8%）患者声称对信息交流过程感到满意。
亚的斯亚贝巴公立医院在建立关系和共享信息方面的现状在接受ART治疗的患者中得到了较高评价。我们建议培训机构和其他责任机构应努力在基础培训和/或持续培训计划中提高临床医生和所有医疗保健提供者的沟通技巧。
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