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“非常谦逊”与“不谦逊”:带有谦逊描述符的虚构医生简介的评分如何揭示潜在患者的偏好和行为?

"Very humble" vs. "Not humble": What do ratings of fictitious physician profiles with humility descriptors reveal about potential patient preferences and behaviors?

机构信息

Department of Science and Mathematics, Texas A&M University, San Antonio, USA.

Department of Science and Mathematics, Texas A&M University, San Antonio, USA.

出版信息

Patient Educ Couns. 2020 Jul;103(7):1399-1406. doi: 10.1016/j.pec.2020.01.021. Epub 2020 Jan 30.

DOI:10.1016/j.pec.2020.01.021
PMID:32019696
Abstract

OBJECTIVES

The current study examined the impact of physician humility on future medical interactions and physician-related outcomes (e.g., patient patronage, loyalty) using a non-patient, community sample.

METHODS

Participants (N = 417) were recruited online through Amazon Mechanical Turk (mTurk) and paid a nominal fee for their participation. They reviewed randomly assigned fictitious physician profiles that differed in humility (high, low), general effectiveness (high, low), physician gender (male, female), and specialty (family practice, orthopedic surgery). Then they reported their likelihood to trust, adhere to recommendations, and be satisfied with the physician. They also conveyed how likely they would select and recommend this physician to others, and how much out-of-pocket money they would be willing to spend to see the physician.

RESULTS

Humble physicians were rated higher than their non-humble counterparts on all five outcomes. For physicians who were generally ineffective, the physicians low in humility scored lower on intended adherence, trust, and anticipated satisfaction than the physicians high in humility. Additionally, for physicians specializing in family practice, physicians low in humility scored lower on anticipated satisfaction and out-of-pocket expenditure than the physicians high in humility.

CONCLUSIONS

Findings from this study highlight how physician humility can affect the process of care even before it begins.

PRACTICE IMPLICATIONS

The study emphasizes the need for deliberate pursuit of humility to improve outcomes for patients and physicians.

摘要

目的

本研究使用非患者社区样本,考察了医生谦逊对未来医疗互动和与医生相关的结果(如患者光顾、忠诚度)的影响。

方法

参与者(N=417)通过亚马逊 Mechanical Turk(mTurk)在线招募,并为他们的参与支付象征性费用。他们查看了随机分配的谦逊程度(高、低)、一般效能(高、低)、医生性别(男、女)和专业(家庭医学、骨科)不同的虚构医生档案。然后,他们报告了自己信任、遵守建议和对医生满意的可能性。他们还传达了自己选择和推荐这位医生的可能性,以及为了看医生愿意支付多少自付费用。

结果

谦逊的医生在所有五个结果上的评分都高于不谦逊的医生。对于一般效能较低的医生来说,谦逊程度较低的医生在预期的依从性、信任和预期的满意度方面的得分低于谦逊程度较高的医生。此外,对于专门从事家庭医学的医生来说,谦逊程度较低的医生在预期满意度和自付支出方面的得分低于谦逊程度较高的医生。

结论

这项研究的结果强调了医生谦逊如何在治疗开始之前就影响治疗过程。

实践意义

这项研究强调了刻意追求谦逊以改善患者和医生的结果的必要性。

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"Very humble" vs. "Not humble": What do ratings of fictitious physician profiles with humility descriptors reveal about potential patient preferences and behaviors?“非常谦逊”与“不谦逊”:带有谦逊描述符的虚构医生简介的评分如何揭示潜在患者的偏好和行为?
Patient Educ Couns. 2020 Jul;103(7):1399-1406. doi: 10.1016/j.pec.2020.01.021. Epub 2020 Jan 30.
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Humble doctors, healthy patients? Exploring the relationships between clinician humility and patient satisfaction, trust, and health status.谦逊的医生,健康的患者?探究临床医生谦逊与患者满意度、信任和健康状况之间的关系。
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What do humble doctors do? A conceptualization of clinician humility from the patient's perspective.谦逊的医生做什么?从患者视角出发对临床医生谦逊的概念化理解。
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Influences on patients' ratings of physicians: Physicians demographics and personality.对患者对医生评分的影响:医生的人口统计学特征和个性。
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