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[患者对医患沟通感到满意:一项应用“个体临床医生反馈”问卷的试点研究]

[Patients are Satisfied with the Physician-Patient Communication: A Pilot Study Applying the "Individual Clinician Feedback" Questionnaire].

作者信息

Prengel Peggy, Kotte Nina, Antoine Sunya-Lee, Eikermann Michaela, Neugebauer Edmund A M, Stahl Katja, Pieper Dawid

机构信息

Institut für Forschung in der Operativen Medizin (IFOM), Universität Witten/Herdecke, Köln.

Produktentwicklung & Forschung, Picker Institut Deutschland GmbH, Hamburg.

出版信息

Gesundheitswesen. 2018 Oct;80(10):882-887. doi: 10.1055/s-0043-104690. Epub 2017 Jun 6.

Abstract

AIM OF THE STUDY

Patient-centeredness as an essential aspect of quality of patient care is becoming increasingly important. The aim of the pilot study is to gain insight into the physician-patient communication from the patient's perspective. A German questionnaire in a maximum care hospital was tested.

METHODS

The German "Individual Clinician Feedback" questionnaire (ICF) was tested in a pilot study in the special consultation in a voluntary cohort of surgeons. In the survey period from June to August 2015, the questionnaire was given to the patient. The physicians received their assessment results as a compressed score. They were rated on a scale of 1-10 on which 10 is "very good".

RESULTS

12 physicians were recruited from five departments. There was a high response rate of 46% (n=219). The patients evaluated the communication as very good (on average over all items and physicians 8.5 to 9.5 points). 89% of the patients had the feeling that the doctor took adequate time for them, while 50% of the patients had a consultation time of 11-20 min. 12% of the patients had still open questions after treatment that they did not ask. 19% and 21% of patients reported that the physician has not asked them if they had any questions, or that they just forgot about it at the end of treatment.

CONCLUSION

The results of the pilot study are associated with a good response rate and patients were mostly very satisfied with the physician-patient communication. However, a selection bias among participating physicians is likely.

摘要

研究目的

以患者为中心作为优质患者护理的一个重要方面正变得越来越重要。该试点研究的目的是从患者的角度深入了解医患沟通情况。在一家特级护理医院对一份德语问卷进行了测试。

方法

在一项试点研究中,对自愿参与的一组外科医生的特殊会诊中测试了德语版的“个体临床医生反馈”问卷(ICF)。在2015年6月至8月的调查期间,将问卷发放给患者。医生收到的评估结果是一个综合得分。他们的评分范围是1至10分,10分为“非常好”。

结果

从五个科室招募了12名医生。回应率很高,为46%(n = 219)。患者对沟通的评价很高(所有项目和医生的平均得分在8.5至9.5分之间)。89%的患者感觉医生为他们花了足够的时间,而50%的患者会诊时间为11至20分钟。12%的患者在治疗后仍有未问出口的问题。19%和21%的患者表示医生没有询问他们是否有任何问题,或者在治疗结束时他们自己忘记了询问。

结论

试点研究的结果伴随着较高的回应率,并且患者大多对医患沟通非常满意。然而,参与研究的医生中可能存在选择偏倚。

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