Department of Surgery, Professorial Unit, Our Lady of Lourdes Hospital, Drogheda, Ireland.
National Surgical Training Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Postgrad Med J. 2018 Apr;94(1110):204-206. doi: 10.1136/postgradmedj-2017-135402. Epub 2018 Jan 13.
This explorative study was triggered by the '#hellomynameis' campaign initiated by Dr Kate Granger in the UK. Our objectives were twofold: first, to measure rates of introduction in an Irish hospital setting by both consultant and non-consultant hospital doctors. Second to establish whether such practices were associated with patient perceptions of the doctor/patient interaction.
A patient 'exit' survey was undertaken following doctor-patient consultations in both acute (surgical and medical assessment units) and elective settings (outpatient clinics). The survey was carried out over a 5-month period by three trained clinical observers.
A total of 353 patients were surveyed. There were 253 outpatients and 100 inpatients surveyed. There were 121 outpatients (47.8%) who attended a surgeon, 73 were medical (28.8%), while 59 (23.3%) were divided between obstetrics, gynaecology and ophthalmology. One hundred acute presentations were surveyed: 52% in the emergency department, 20% to the acute medical assessment unit, 21% attended the acute surgical assessment unit and 7% attended other specialties/departments.
According to the returned forms, 79% of doctors (n=279) introduced themselves to patients. Eleven per cent (39) of doctors did not introduce themselves, and 8.5% of patients (30) were unsure whether the doctor had introduced themselves. Five patients left their response blank.Consultants were significantly more likely (P=0.02) to introduce themselves or shake hands than non-consultant hospital doctors. Gender had no bearing (P=0.43) on introductions or handshakes regardless of grade of doctor.Three hundred and seventeen patients (89.7%) felt that an introduction had made a positive difference to their healthcare visit. Thirty patients (8.5%) felt it did not make a difference and 8 patients (2.2%) were unsure or failed to answer.This study has highlighted the importance of introductions to patients. Definite evidence of an introduction was documented in 79% of patients with 14.5% either not receiving or could not recall whether an introduction had been made on repeat visits. 6.5% stated that they did not receive an introduction.
本探索性研究是由英国的 Kate Granger 医生发起的“#hellomynameis”活动引发的。我们的目标有两个：首先，测量爱尔兰医院环境中顾问医生和非顾问医生介绍自己的比率。其次，确定这些做法是否与患者对医患互动的看法有关。
在急性（外科和医疗评估单位）和选择性（门诊诊所）环境中进行医生-患者咨询后，进行了一项患者“出院”调查。该调查由三名经过培训的临床观察员在五个月的时间内进行。
共调查了 353 名患者。其中 253 名门诊患者和 100 名住院患者接受了调查。有 121 名门诊患者（47.8%）就诊于外科医生，73 名是内科（28.8%），而 59 名（23.3%）则分别在妇产科和眼科就诊。调查了 100 例急性就诊：52%在急诊室，20%在急性内科评估单位，21%在急性外科评估单位，7%在其他专科/部门就诊。
根据返回的表格，79%的医生（n=279）向患者自我介绍。11%（39）的医生没有自我介绍，8.5%的患者（30）不确定医生是否自我介绍。5 名患者留空。顾问医生明显更有可能（P=0.02）自我介绍或握手，而非顾问医院医生。无论医生的级别如何，性别对介绍或握手都没有影响（P=0.43）。317 名患者（89.7%）认为自我介绍对他们的医疗就诊有积极影响。30 名患者（8.5%）认为没有影响，8 名患者（2.2%）不确定或未回答。本研究强调了向患者自我介绍的重要性。在 79%的患者中记录了明确的自我介绍，其中 14.5%的患者要么没有收到，要么在重复就诊时无法回忆是否进行了自我介绍。6.5%的患者表示他们没有收到自我介绍。
