Schmidt E, Gramm L, Farin E
Abteilung Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg, Engelbergerstrasse 21, Freiburg im Breisgau, Germany.
Schmerz. 2012 Feb;26(1):69-76. doi: 10.1007/s00482-011-1105-5.
Successful treatment of chronic pain patients can be dependent on successful patient-provider communication. Patient-physician communication for patients with chronic back pain (CBP) has rarely been explored. The current study examines two questions: what is important for CBP patients concerning communication with the healthcare provider and are there interindividual differences in communication preferences dependent on sociodemographic characteristics?
Patient preferences were measured using the KOPRA questionnaire (32 items and 4 scales). The mean age of the 701 participating rehabilitants was 51 years (SD ±11.1 years) of which 60% were women.
An effective and open communication with the healthcare physician was rated as the most important preference for CBP patients. Gender (depending on the scale: p = 0.01-0.82) and age (p = 0.01-0.12) seemed to influence some preferences in patient-provider communication.
By taking into account individual communication preferences of CBP patients, healthcare providers could purposefully be responsive to these, possibly contributing to a more successful treatment.
慢性疼痛患者的成功治疗可能依赖于患者与医疗服务提供者之间的有效沟通。针对慢性背痛（CBP）患者的医患沟通很少被研究。本研究探讨两个问题：对于CBP患者而言，与医疗服务提供者沟通时什么是重要的，以及沟通偏好是否存在因社会人口学特征而异的个体差异？
使用KOPRA问卷（32个项目和4个量表）测量患者偏好。701名参与康复治疗的患者平均年龄为51岁（标准差±11.1岁），其中60%为女性。
与医疗服务医生进行有效且开放的沟通被评为CBP患者最重要的偏好。性别（取决于量表：p = 0.01 - 0.82）和年龄（p = 0.01 - 0.12）似乎会影响患者与医疗服务提供者沟通中的一些偏好。
通过考虑CBP患者的个体沟通偏好，医疗服务提供者可以有针对性地做出回应，这可能有助于更成功的治疗。
