Yale School of Medicine, 333 Cedar St., PO Box 208032, New Haven, CT, 05620, USA.
National Institute of Oncology, New Haven, USA.
Breast Cancer Res Treat. 2019 Jul;176(2):349-356. doi: 10.1007/s10549-019-05232-w. Epub 2019 Apr 25.
Communication between patients and health providers influences patient satisfaction, but it is unknown whether similarity in communication styles results in higher patient satisfaction.
This study was conducted in the Smilow Cancer Hospital Breast Center. During routine follow-up visits, patients completed a Communication Styles Assessment (CSA), health survey (SF-12), Princess Margaret Hospital Satisfaction with Doctor Questionnaire, and brief demographic form. Physicians and Advanced Practice Providers were also asked to complete the CSA. Patients and providers were blinded to each other's responses. A communication styles concordance score was calculated as the Pearson correlation between 80 binary CSA items for each provider/patient pair. Factors affecting patient satisfaction scores were assessed in mixed-effects models.
In total, 330 patients were invited to participate; of these 289 enrolled and 245 returned surveys. One hundred seventy-four completed all survey components, and 18 providers completed the CSA. Among the factors considered, physical health score (effect size = 0.0058, 95% CI 0.00051 to 0.0011, p = 0.032) and employment status (0.12, 95% CI - 0.0094 to 0.25, p = 0.069) had the greatest impact on patient satisfaction. However, patients who were not employed and less physically healthy had significantly elevated satisfaction scores when their communication style was more similar to their provider's (1.52, 95% CI 0.66 to 2.38, p = 0.0016).
Patients who were physically healthy and employed were generally more satisfied with their care. The similarity in communication styles of patients and providers had a greater impact on patient satisfaction for patients who were less physically healthy and not employed.
医患沟通会影响患者满意度，但沟通方式的相似性是否会导致更高的患者满意度尚不清楚。
本研究在斯米尔罗癌症医院乳腺中心进行。在常规随访期间，患者完成沟通方式评估（CSA）、健康调查（SF-12）、玛格丽特公主医院医生满意度问卷和简要人口统计学表格。医生和高级执业医师也被要求完成 CSA。患者和提供者彼此对对方的回答不知情。为每个提供者/患者对计算了沟通方式一致性评分，即每个提供者/患者对的 80 个二进制 CSA 项的 Pearson 相关系数。使用混合效应模型评估影响患者满意度评分的因素。
共邀请 330 名患者参加；其中 289 名入组并返回了调查。174 名患者完成了所有调查部分，18 名提供者完成了 CSA。在所考虑的因素中，身体健康评分（效应量=0.0058，95%CI 0.00051 至 0.0011，p=0.032）和就业状况（0.12，95%CI-0.0094 至 0.25，p=0.069）对患者满意度的影响最大。然而，当患者的沟通方式与提供者更相似时，那些身体不健康和没有工作的患者的满意度显著提高（1.52，95%CI 0.66 至 2.38，p=0.0016）。
身体健康和有工作的患者通常对他们的护理更满意。对于身体健康状况较差且没有工作的患者，患者和提供者沟通方式的相似性对患者满意度的影响更大。
