Chen J Gene, Zou Baiming, Shuster Jonathan
Department of Pediatrics, University of Florida College of Medicine, Orlando, FL, USA.
Arnold Palmer Hospital for Children, Orlando Health, Orlando, FL, USA.
J Patient Exp. 2017 Dec;4(4):177-184. doi: 10.1177/2374373517714453. Epub 2017 Jun 16.
Physician care influences patient satisfaction. Inherent physician attributes may also affect scores.
To determine the relationship between physician characteristics and patient satisfaction regarding physician care and communication.
Observational retrospective study. We examined patient satisfaction surveys from inpatient adults across 9 questions (HCAHPS: Courtesy, Listen, and Explain; Press Ganey: Time, Concern, Informed, Friendliness, Skill, Rating) in relation to physician gender, age, ethnicity, race, and specialty.
We analyzed 51 896 surveys on 914 physicians. In univariate analysis, males were rated significantly more often in the highest category (top box) compared to females on Informed and Skill, and whites were rated in the top box more often than nonwhites on all questions. In multivariate analysis, there were no significant associations between ratings and physician gender, ethnicity, and race. On all questions, the odds of being rated in the top box were highest for obstetricians, second highest for surgeons, and lowest for medicine providers. On the question of Skill, the odds of being rated in the top box were higher with increasing age.
Patient satisfaction regarding physicians is associated with physician specialty and age.
医生的医疗服务会影响患者满意度。医生的固有特质也可能影响评分。
确定医生特征与患者对医生医疗服务及沟通的满意度之间的关系。
观察性回顾性研究。我们针对9个问题(医院患者医疗服务满意度调查:礼貌、倾听与解释;Press Ganey:时间、关心、信息告知、友好度、技能、评分),研究了成年住院患者的满意度调查,这些问题与医生的性别、年龄、种族、民族和专业有关。
我们分析了针对914名医生的51896份调查问卷。在单因素分析中,在信息告知和技能方面,男性被评为最高等级(最高档)的频率显著高于女性;在所有问题上,白人被评为最高档的频率高于非白人。在多因素分析中,评分与医生性别、种族和民族之间无显著关联。在所有问题上,被评为最高档的几率,产科医生最高,外科医生次之,内科医生最低。在技能问题上,被评为最高档的几率随年龄增长而增加。
患者对医生的满意度与医生专业和年龄有关。