中国 68 家美沙酮维持治疗门诊医患互动报告。
Report on Provider-Client Interaction From 68 Methadone Maintenance Clinics in China.
机构信息
a Semel Institute for Neuroscience and Human Behavior , University of California at Los Angeles.
b National Center for AIDS/STD Control and Prevention , Chinese Centers for Disease Control and Prevention.
出版信息
Health Commun. 2017 Nov;32(11):1368-1375. doi: 10.1080/10410236.2016.1221754. Epub 2016 Oct 6.
Provider-client interaction is an integral of clinical practice and central to the delivery of high-quality medical care. This article examines factors related to the provider-client interaction in the context of methadone maintenance treatment (MMT). Data were collected from 68 MMT clinics in China. In total, 418 service providers participated in the survey. Linear mixed effects regression models were performed to identify factors associated with provider-client interaction. It was observed that negative attitude toward drug users was associated with lower level of provider-client interaction and less time spent with each client. Other factors associated with lower level of interaction included being female, being younger, being a nurse, and fewer years in medical field. Higher provider-client interaction was associated with provider reported job satisfaction. The findings of this study call for a need to address provider negative attitudes that can impact provider-client interaction and the effectiveness of MMT. Future intervention efforts targeting MMT providers should be tailored by gender, provider type, and medical experiences.
医患互动是临床实践的一个组成部分，也是提供高质量医疗服务的核心。本文考察了美沙酮维持治疗（MMT）背景下与医患互动相关的因素。数据来自中国 68 家 MMT 诊所，共有 418 名服务提供者参与了调查。采用线性混合效应回归模型来确定与医患互动相关的因素。结果发现，对吸毒者的负面态度与较低的医患互动水平和每个患者的治疗时间较短有关。其他与较低的互动水平相关的因素包括女性、年轻、护士以及在医疗领域的工作年限较少。较高的医患互动与提供者报告的工作满意度有关。本研究的结果表明，需要解决可能影响医患互动和 MMT 效果的提供者的负面态度。未来针对 MMT 提供者的干预措施应根据性别、提供者类型和医疗经验进行调整。
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