Speicher Mark R, Sterrenberg Timothy R
Midwestern University, Arizona College of Osteopathic Medicine, Glendale, AZ.
Fam Med. 2015 Mar;47(3):227-30.
Patient satisfaction surveys are widely used to give physicians feedback on their treatment of patients, included in physician performance evaluation and payment, and correlated with better health outcomes. Our research uses industry-standard satisfaction measures to gauge the impact on patient satisfaction of having students involved in a patient's medical care at the family medicine clinic of a large southwestern osteopathic medical school.
A retrospective cohort study was conducted using the Press-Ganey Survey, a national survey commonly used by hospitals and clinics. The survey was modified to indicate the presence of a learner in the patient's treatment room. The survey provided data on patient satisfaction with the office, the visit, and the care received.
Overall, 730 survey responses were used in the study, 434 from patients with whose visit included a student. There were no statistically significant differences in patient satisfaction scores, including overall satisfaction with the visit.
Our findings indicate that student doctors do not decrease patient satisfaction and that satisfaction scores may be useful in student evaluations. This finding should encourage outpatient physicians who teach medical students that their patient satisfaction scores on the most widely used patient satisfaction survey will not be impacted by teaching students.
患者满意度调查被广泛用于为医生提供有关其患者治疗情况的反馈，纳入医生绩效评估和薪酬考量，且与更好的健康结果相关。我们的研究采用行业标准的满意度衡量方法，以评估在一所大型西南整骨医学院的家庭医学诊所中，让学生参与患者医疗护理对患者满意度的影响。
使用Press-Ganey调查进行了一项回顾性队列研究，该调查是医院和诊所常用的全国性调查。对调查进行了修改，以表明患者治疗室中是否有学习者。该调查提供了关于患者对诊所、就诊和所接受护理的满意度的数据。
总体而言，该研究使用了730份调查问卷回复，其中434份来自就诊时有学生参与的患者。患者满意度得分，包括对就诊的总体满意度，没有统计学上的显著差异。
我们的研究结果表明，实习医生不会降低患者满意度，且满意度得分可能有助于学生评估。这一发现应鼓励带教医学生的门诊医生，即他们在最广泛使用的患者满意度调查中的患者满意度得分不会受到带教学生的影响。
