Son E, Halbert A, Abreu S, Hester R, Jefferson G, Jennings K, Pine H, Watts T
Department of Otolaryngology, Head and Neck Surgery, University of Texas Medical Branch, Galveston, TX, USA.
School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Clin Otolaryngol. 2017 Apr;42(2):433-438. doi: 10.1111/coa.12810. Epub 2017 Feb 5.
To demonstrate the feasibility and efficacy of the Google Glass as a tool to improve patient satisfaction and patient-physician communication for otolaryngology residents in the outpatient clinic setting. The primary outcome of the study was to improve patient satisfaction scores based on physician communication-related questions from Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys.
Prospective randomised trial.
Tertiary care hospital.
To evaluate the effect on patient satisfaction, five residents were recorded using the Google Glass in an outpatient clinic setting by 50 randomised patients. Modified surveys based on the CG-CAHPS survey were completed by patients at the conclusion of each clinic encounter. The recorded videos were evaluated by two independent faculties. Summarised data and video were distributed to each resident for review as the intervention. The residents were recorded again by 45 additional patients with evaluation by patients and faculties.
After intervention, the scores from faculty surveys regarding patient satisfaction including the subject of better explanations (P > 0.001), listening carefully (P > 0.001), addressing patient questions (P > 0.001), displaying respect (P > 0.001) and spending adequate time (P = 0.0005) all significantly improved, as well as overall performance (P = 0.014). The scores from patient surveys did significantly improve.
This study demonstrates the improvements in patient satisfaction and patient-physician communication can be achieved with the use of Google Glass as a first-person recording device in the outpatient otolaryngology clinic setting.
证明谷歌眼镜作为一种工具,在门诊环境中提高耳鼻喉科住院医师的患者满意度及医患沟通的可行性和有效性。该研究的主要结果是基于医疗服务提供者和系统消费者评估(CAHPS)调查中与医生沟通相关的问题来提高患者满意度得分。
前瞻性随机试验。
三级医疗医院。
为评估对患者满意度的影响,50名随机选取的患者在门诊环境中对5名使用谷歌眼镜的住院医师进行了记录。每次门诊结束时,患者完成基于CG-CAHPS调查修改后的调查问卷。录制的视频由两名独立的教员进行评估。汇总的数据和视频作为干预措施分发给每位住院医师以供查看。另外45名患者再次对住院医师进行记录,并由患者和教员进行评估。
干预后,教员调查中关于患者满意度的得分,包括解释更清楚(P>0.001)、认真倾听(P>0.001)、解答患者问题(P>0.001)、表示尊重(P>0.001)和花费足够时间(P = 0.0005)均显著提高,整体表现(P = 0.014)也显著提高。患者调查的得分也有显著提高。
本研究表明,在门诊耳鼻喉科诊所环境中使用谷歌眼镜作为第一人称记录设备可提高患者满意度和医患沟通。