Esguerra Roberto, Toro Jaime, Ospina José Miguel, Porras Alexandra, Díaz Camilo, Reyes Saúl
Hospital Universitario-Fundación Santa Fe de Bogotá , Colombia .
Med Teach. 2014 Aug;36(8):710-4. doi: 10.3109/0142159X.2014.907877. Epub 2014 May 6.
Several studies have explored the effect of the presence of medical students on patient satisfaction. However, nearly all of these studies took place in hospitals where medical students had been involved in patient care for many years. Less is known about patients' perceptions of care in a hospital moving toward becoming a teaching facility with undergraduate students. No research has explored patient satisfaction before and after the introduction of medical students.
To assess patient satisfaction as an indicator of quality of care (QoC) from the patients' perspective, before and after the presence of medical students in a general hospital setting.
This observational, cross-sectional study was conducted at Hospital Universitario-Fundación Santa Fe de Bogotá (HU-FSFB) in Bogotá, Colombia. The study had two phases. In 2006, prior to HU-FSBF becoming a teaching hospital, 385 subjects were asked to fill out a closed-question questionnaire addressing patients' satisfaction and perception of QoC provided by attending physicians. During the second period in 2009, 372 patients answered the same questionnaire when medical students were involved in their care.
Patients' perceptions of QoC provided by attending physicians improved in five aspects when medical students were present: friendliness (p = 0.003), competence providing medical care (p = 0.049), quality of information provided (p = 0.025), amount of time spent with the patient (p < 0.001) and availability to personally provide care (p < 0.001). Overall patient satisfaction also significantly increased (p < 0.001).
The presence of medical students does not negatively affect patients' perceptions of QoC, on the contrary, these results provide evidence of improved patient satisfaction in several aspects of care when medical students were involved. The relevance of this study lies in its unique way of comparing patient satisfaction before and after the introduction of medical students. This setting helps elucidate the real effect of the presence of medical students on patient satisfaction.
多项研究探讨了医学生的存在对患者满意度的影响。然而，几乎所有这些研究都在医学生参与患者护理多年的医院中进行。对于一家正在向本科生教学机构转变的医院中患者对护理的看法，人们了解较少。尚无研究探讨医学生引入前后的患者满意度。
从患者角度评估在综合医院环境中医学生参与前后作为护理质量（QoC）指标的患者满意度。
这项观察性横断面研究在哥伦比亚波哥大的圣菲德波哥大大学医院基金会（HU-FSFB）进行。该研究有两个阶段。2006年，在HU-FSBF成为教学医院之前，385名受试者被要求填写一份封闭式问卷，该问卷涉及患者对主治医生提供的护理的满意度和QoC认知。在2009年的第二个阶段，372名患者在医学生参与其护理时回答了相同的问卷。
当有医学生在场时，患者对主治医生提供的QoC的认知在五个方面有所改善：友好程度（p = 0.003）、提供医疗护理的能力（p = 0.049）、提供信息的质量（p = 0.025）、与患者相处的时间量（p < 0.001）以及亲自提供护理的可及性（p < 0.001）。总体患者满意度也显著提高（p < 0.001）。
医学生的存在不会对患者对QoC的认知产生负面影响，相反，这些结果提供了证据，表明当医学生参与时，在护理的几个方面患者满意度有所提高。本研究的意义在于其比较医学生引入前后患者满意度的独特方式。这种设置有助于阐明医学生的存在对患者满意度的实际影响。
