Sheikh Muhammad Mubbashir, Qayyum Rehan, Panda Mukta
Internal Medicine, University of Tennessee College of Medicine, Chattanooga, USA.
Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, USA.
Cureus. 2019 Jun 25;11(6):e4991. doi: 10.7759/cureus.4991.
Objective The purpose of this study was to assess the association between the psychological well-being and satisfaction of patients with physicians during their hospitalization. Methods This cross-sectional study was conducted at a local hospital using the following surveys: Brief Inventory of Thriving (BIT), tool to assess inpatient satisfaction with care from hospitalists (TAISCH) survey, and Erlanger Internal Patient satisfaction survey addressing demographic questions and questions on physicians' quality of care and etiquette. Mixed linear regression models were created to examine the effect of psychological well-being on patient satisfaction. Models were adjusted for age, race, and gender, and all analyses were performed in R 3.1.1 using the 'lme4' package with statistical significance set at p<0.05. Results A total of 360 patients were enrolled in this analysis and the mean age of the cohort was 54.5 years. In the unadjusted analysis, each unit increase in BIT score was associated with a 0.3% (95% CI:0.19-0.4, p<0.001) increase in mean satisfaction score using the five-domain questionnaire and a 0.25% (95%CI:0.16-0.34, p<0.01) increase in mean satisfaction score using the TAISCH questionnaire. Multivariable models, after adjusting confounding variables, also showed the direct and statistically significant relationship between patients' level of psychological well-being and patient satisfaction. Each unit increase in BIT score was associated with a 0.31% (95% CI:0.20-0.43, p<0.001) and 0.26% (95% CI:0.17-0.36, p<0.001) increase in mean satisfaction scores across the five-domain questionnaire and TAISCH questionnaire. Conclusions There is a positive correlation between the level of patients' psychological well-being and satisfaction with his/her physician with a statistical significance. With patient-specific strategies, we can further improve patient rapport with their physicians, resulting in positive patient outcomes.
目的 本研究旨在评估患者住院期间心理健康状况与对医生满意度之间的关联。方法 本横断面研究在当地一家医院开展，使用了以下调查问卷：简明繁荣量表（BIT）、评估住院患者对医院医生护理满意度的工具（TAISCH）调查问卷，以及埃尔朗格内部患者满意度调查问卷，该问卷涉及人口统计学问题以及有关医生护理质量和礼仪的问题。创建混合线性回归模型以检验心理健康状况对患者满意度的影响。模型对年龄、种族和性别进行了调整，所有分析均在R 3.1.1中使用“lme4”软件包进行，设定统计学显著性为p<0.05。结果 本分析共纳入360例患者，队列的平均年龄为54.5岁。在未调整分析中，BIT评分每增加一个单位，使用五领域问卷的平均满意度评分增加0.3%（95%CI：0.19 - 0.4，p<0.001），使用TAISCH问卷的平均满意度评分增加0.25%（95%CI：0.16 - 0.34，p<0.01）。在调整混杂变量后的多变量模型中，也显示出患者心理健康水平与患者满意度之间存在直接且具有统计学显著性的关系。BIT评分每增加一个单位，使用五领域问卷和TAISCH问卷的平均满意度评分分别增加0.31%（95%CI：0.20 - 0.43，p<0.001）和0.26%（95%CI：0.17 - 0.36，p<0.001）。结论 患者心理健康水平与对医生的满意度之间存在正相关，且具有统计学显著性。通过针对患者的特定策略，我们可以进一步改善患者与医生之间的关系，从而产生积极的患者治疗结果。
