Department of Research Methods, University of Education, Freiburg, Germany.
Patient Educ Couns. 2013 May;91(2):167-75. doi: 10.1016/j.pec.2012.12.007. Epub 2013 Jan 11.
The aims of the study are: (1) To develop and test a theory-based model for the predictive power of "Shared decision making (SDM)", "Empathy" and "Team interaction" for "Patient satisfaction" and "Treatment acceptance". (2) To identify mediating effects of "Compliance" and "Satisfaction with decision".
Within a multi-center cross-sectional study (11 inpatient rehabilitation clinics at different indication fields), the model was evaluated in descriptive and structure analytical terms based on survey data of N=402 inpatients.
The structural equation model proved to exhibit an appropriate data fit. A high proportion of variance of "Patient satisfaction" (61%) and "Treatment acceptance" (67%) can be predicted by "SDM", "Empathy", "Satisfaction with decision" and "Team interaction". While no mediating effects were found for the two subcomponents of "Compliance" ("Patient cooperation", "Adherence"), "Satisfaction with decision" showed a full mediation for "Treatment acceptance" and a partial mediation for "Patient satisfaction".
"Team interaction" should be considered as an important predictor of process and patient-centered outcome characteristics.
The current findings can be used to derive measures as well as interventions to optimize the organization of participatory care within teams in order to strengthen patient centeredness and to ensure a high quality of care.
本研究的目的是：（1）开发和检验一个基于理论的模型，用于预测“共同决策（SDM）”、“同理心”和“团队互动”对“患者满意度”和“治疗接受度”的预测能力。（2）确定“依从性”和“决策满意度”的中介效应。
在一项多中心横断面研究（不同适应证领域的 11 个住院康复诊所）中，根据 N=402 名住院患者的调查数据，从描述性和结构分析角度评估模型。
结构方程模型显示出适当的数据拟合度。“SDM”、“同理心”、“决策满意度”和“团队互动”可以预测“患者满意度”（61%）和“治疗接受度”（67%）的很大一部分变异。虽然“依从性”的两个亚组分（“患者合作”、“遵医嘱”）没有中介效应，但“决策满意度”对“治疗接受度”有完全中介效应，对“患者满意度”有部分中介效应。
“团队互动”应被视为预测过程和以患者为中心的结果特征的重要预测因子。
当前的研究结果可用于推导措施和干预措施，以优化团队内参与式护理的组织，从而增强以患者为中心，并确保高质量的护理。
