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澳大利亚听力学家对以患者为中心的偏好调查。

An Australian survey of audiologists' preferences for patient-centredness.

机构信息

* Eriksholm Research Centre , Snekkersten , Denmark.

出版信息

Int J Audiol. 2014 Feb;53 Suppl 1:S76-82. doi: 10.3109/14992027.2013.832418. Epub 2014 Jan 21.

Abstract

OBJECTIVE

Patient-centredness is becoming a core value of health services worldwide, however it remains largely unexplored in audiology. This study investigated audiologists' preferences for patient-centredness and identified factors that explain audiologists' preferences for patient-centredness.

DESIGN

All members of the Audiological Society of Australia received two questionnaires: (1) a descriptive questionnaire (e.g. age, gender, place of residence, years in practice, employment characteristics), and (2) a modified patient-practitioner orientation scale (PPOS; Krupat et al, 2000) which measures preferences for two aspects of patient-centredness, sharing and caring.

STUDY SAMPLE

In total 663 (46%) audiologists returned both questionnaires fully completed.

RESULTS

Mean PPOS scores indicated that audiologists prefer patient-centredness. Linear regression modelling identified that older audiologists, that had practiced longer, and who worked in community education, industrial audiology, or teaching had a significantly greater preference for patient-centredness than their peers. In contrast, audiologists who practiced in a private environment and who worked in the area of assessment of adults had a significantly lesser preference for patient-centredness than their peers.

CONCLUSIONS

Audiologists prefer client-centredness and age, years of experience, and employment characteristics can partly explain preferences for patient-centredness. Future research should explore the relationships between patient-centredness and intervention outcomes in audiology.

摘要

目的

以患者为中心正逐渐成为全球医疗服务的核心价值,但在听力学领域仍未得到广泛探索。本研究调查了听力学家长期坚持以患者为中心的意愿,并确定了影响其以患者为中心的意愿的因素。

设计

澳大利亚听力学学会的所有成员都收到了两份问卷:(1)描述性问卷(例如年龄、性别、居住地点、从业年限、就业特征);(2)改良后的医患取向量表(PPOS;Krupat 等人,2000),用于衡量医患关系中两个方面的患者为中心的意愿,即共享和关怀。

研究样本

共有 663 名(46%)听力学家长期坚持完成了两份问卷。

结果

PPOS 得分均值表明听力学家长期坚持以患者为中心。线性回归模型确定,从业时间较长、年龄较大、在社区教育、工业听力学或教学领域工作的听力学家长期坚持以患者为中心的意愿明显强于同龄人。相比之下,在私人环境中执业且从事成人评估领域工作的听力学家长期坚持以患者为中心的意愿明显弱于同龄人。

结论

听力学家长期坚持以患者为中心,年龄、从业年限和就业特征可以部分解释他们对以患者为中心的意愿。未来的研究应探讨听力学中以患者为中心与干预结果之间的关系。

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