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医患沟通风格的一致性预测患者满意度。

Concordance between physician communication style and patient attitudes predicts patient satisfaction.

机构信息

University of Neuchatel, Switzerland.

出版信息

Patient Educ Couns. 2012 May;87(2):193-7. doi: 10.1016/j.pec.2011.08.004. Epub 2011 Sep 9.

DOI:10.1016/j.pec.2011.08.004
PMID:21907529
Abstract

OBJECTIVE

This study tested whether the impact of the physician's communication style on patient satisfaction differs depending on patients' attitudes toward caring and sharing. We predicted that the impact of physician caring on patient satisfaction depends on patient attitudes toward caring, and that the impact of physician sharing on patient satisfaction depends on patient attitudes toward sharing.

METHODS

Participants (N=167) were asked to imagine that they were consulting for recurrent headaches. They interacted on a computer with a virtual physician that communicated either in a low or high caring way and either in a low or high sharing way (2 × 2 design). Then, participants answered questions about their attitudes toward caring and sharing and about their satisfaction with the physician.

RESULTS

Hypotheses were confirmed. Furthermore, a high caring physician communication style led to higher satisfaction than a low caring one, regardless of participants' attitudes toward caring, while satisfaction with physicians' level of sharing was dependent on the participants' attitude toward sharing.

CONCLUSION AND PRACTICE IMPLICATIONS

Physicians may adopt a high caring style with confidence that all patients will benefit. Adoption of a sharing style should be more carefully adjusted to patient attitudes.

摘要

目的

本研究旨在检验医生的沟通方式对患者满意度的影响是否因患者对关爱和分享的态度而异。我们预测,医生关爱对患者满意度的影响取决于患者对关爱的态度,而医生分享对患者满意度的影响取决于患者对分享的态度。

方法

参与者(N=167)被要求想象他们正在为反复发作的头痛咨询。他们在计算机上与一位虚拟医生进行互动,该医生以低或高关爱方式和低或高分享方式进行沟通(2×2 设计)。然后,参与者回答了关于他们对关爱和分享的态度以及对医生满意度的问题。

结果

假设得到了证实。此外,无论参与者对关爱的态度如何,高关爱型医生沟通方式都比低关爱型沟通方式更能提高满意度,而对医生分享程度的满意度则取决于参与者对分享的态度。

结论和实践意义

医生可以自信地采用高关爱风格,因为所有患者都将受益。分享风格的采用应更仔细地根据患者的态度进行调整。

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