Peck B Mitchell
Department of Sociology, University of Oklahoma, Norman, OK 73019, USA.
Curr Gerontol Geriatr Res. 2011;2011:137492. doi: 10.1155/2011/137492. Epub 2011 Oct 5.
Background. Relatively little is known about patient characteristics associated with doctor-patient interaction style and satisfaction with the medical visit. Objective. The primary study objectives are to assess: whether doctors interact in a more or less patient-centered style with elderly patients and whether patient age moderates the relationship between interaction style and satisfaction, that is, whether elderly patients are more or less satisfied with patient-centered medical encounters. Methods. We collected pre- and post-visit questionnaire data from 177 patients at a large family medicine clinic. We audiotaped the encounters between doctors and patients. Patient-centered interaction style was measured from coding from the audiotapes of the doctor-patient interactions. Patient satisfaction was measured using the Patient Satisfaction Questionnaire. Results. We found physicians were more likely to have patient-centered encounters with patients over age 65. We also found patient age moderated the association between interaction style and patient satisfaction: older patients were more satisfied with patient-centered encounters. Conclusion. Patient age is associated with style of interaction, which is, in turn, associated with patient satisfaction. Understanding the factors and processes by which doctors and patients interact has the potential to improve many facets of health care delivery.
背景。关于与医患互动方式及就诊满意度相关的患者特征，我们了解得相对较少。目的。主要研究目的是评估：医生与老年患者互动时是否或多或少以患者为中心，以及患者年龄是否会调节互动方式与满意度之间的关系，即老年患者对以患者为中心的医疗问诊是更满意还是更不满意。方法。我们从一家大型家庭医学诊所的177名患者那里收集了就诊前和就诊后的问卷数据。我们对医患之间的问诊进行了录音。以患者为中心的互动方式是通过对医患互动录音进行编码来衡量的。患者满意度是使用患者满意度问卷来测量的。结果。我们发现医生更有可能与65岁以上的患者进行以患者为中心的问诊。我们还发现患者年龄调节了互动方式与患者满意度之间的关联：老年患者对以患者为中心的问诊更满意。结论。患者年龄与互动方式相关，而互动方式又与患者满意度相关。了解医患互动的因素和过程有可能改善医疗服务的许多方面。
