From the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center (Dr. Golz, Dr. Murphy, and Dr. Salazar), and Department of Orthopaedic Surgery and Rehabilitation, Loyola University Chicago, Stritch School of Medicine (Mr. Kim), Maywood, IL.
J Am Acad Orthop Surg. 2021 Feb 1;29(3):e126-e131. doi: 10.5435/JAAOS-D-20-00230.
Numerous studies have demonstrated that patient-centered interaction promotes higher satisfaction and improved health outcomes, whereas poor communication behaviors have been associated with decreased satisfaction and an increased risk of malpractice claims. To our knowledge, no such study has investigated patient preferences for greetings and handshakes in the outpatient orthopaedic setting.
A survey was generated with ranking and Likert scale questions regarding the initial patient-orthopaedic surgeon outpatient interaction. The survey was offered to adult patients at an urban, academic, outpatient orthopaedic surgery clinic. Surveys were completed by subjects while in the waiting room and returned before the first interaction with their orthopaedic surgeon.
Completed surveys were collected from 160 patients over a 3-month period. Overall, medical knowledge was valued above other physician attributes, including the physician greeting (P < 0.001). Subjects preferred a more formal introduction by their physician, with the use of title and first and last name preferred to the physician's first name only (P < 0.001), first and last name only (P < 0.001), and title and last name only (P < 0.001). Patients strongly preferred their physician address them by their first name only compared with first and last name (P < 0.001). Shaking hands was determined to be moderately important and did not vary by any demographic category.
Patients in this cohort considered their orthopaedic surgeon's greeting to be less important than their surgeon's medical knowledge, but more important than their appearance and attire. Respondents preferred their orthopaedic surgeon introduce themselves with their title, first name, and last name but to use the patient's first name only. The results of our study should be taken into consideration when greeting patients to facilitate rapport-building and improve the patient experience.
Level IV, cross-sectional survey study.
许多研究表明，以患者为中心的互动可以提高患者的满意度并改善健康结果，而不良的沟通行为则与满意度降低和医疗事故索赔风险增加有关。据我们所知，尚无研究调查门诊骨科环境中患者对问候和握手的偏好。
采用排名和李克特量表对初始患者-骨科医生门诊互动进行了调查。该调查面向城市、学术性门诊骨科手术诊所的成年患者。患者在候诊室时填写调查问卷，并在与骨科医生第一次互动之前交回。
在 3 个月的时间里，共收集了 160 名患者的完整调查问卷。总的来说，医学知识比其他医生属性更受重视，包括医生的问候（P < 0.001）。患者更喜欢医生更正式的介绍，使用职称、名和姓优于仅使用医生的名（P < 0.001）、仅使用名和姓（P < 0.001）以及仅使用职称和姓（P < 0.001）。患者强烈希望医生仅用他们的名来称呼他们，而不是名和姓（P < 0.001）。握手被认为是中等重要的，且不受任何人口统计学类别影响。
在本队列中，患者认为骨科医生的问候不如医生的医学知识重要，但比医生的外表和着装更重要。受访者希望他们的骨科医生用自己的职称、名和姓介绍自己，但只用患者的名。在问候患者时，应考虑我们研究的结果，以促进建立融洽关系并改善患者体验。
IV 级，横断面调查研究。
