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皮肤科医生的人口统计学特征与患者满意度:一项单中心调查研究。

Dermatologist demographics and patient satisfaction: A single-center survey study.

作者信息

Nakamura Mio, Briones Naomi F, Thy Do Thy, Couper Mick P, Cha Kelly B

机构信息

Department of Dermatology, University of Michigan, Ann Arbor, MI, United States.

Institute for Social Research, University of Michigan, Ann Arbor, MI, United States.

出版信息

Int J Womens Dermatol. 2020 May 28;6(4):290-293. doi: 10.1016/j.ijwd.2020.05.010. eCollection 2020 Sep.

Abstract

BACKGROUND

Patient satisfaction is a proxy for quality clinical care. Understanding the factors that drive patient satisfaction scores is important because they are publicly reported, may be used in determining hospital and physician compensation, and may allow patients to preselect physicians.

OBJECTIVE

This single-center survey study of adult patients at the Michigan Medicine outpatient dermatology clinics aimed to investigate how patients respond differently to theoretical dermatologic scenarios with varying dermatologist gender.

METHODS

Each questionnaire contained one of four clinical scenarios illustrating overall positive or negative encounters with a male or female dermatologist, followed by questions derived from the Press Ganey survey to assess patient satisfaction.

RESULTS

A total of 452 completed questionnaires were collected. There were statistically significant differences in overall patient satisfaction scores between positive versus negative female and positive versus negative male dermatologists, but there were no differences in scores between positive female and positive male dermatologists or between negative female and negative male dermatologists. There were also no differences in overall scores after controlling for patient demographic characteristics or patient-dermatologist gender concordance.

CONCLUSION

Previous studies have suggested that male physicians receive better patient satisfaction scores compared to female physicians. However, our study found that, in response to hypothetical scenarios of positive and negative dermatology encounters, dermatologist gender did not affect any domain of patient satisfaction scores. Limitations include the use of hypothetical patient-dermatologist encounters and possible lack of generalizability because the study was conducted at one academic center in southeast Michigan with a predominantly Caucasian patient population.

摘要

背景

患者满意度是临床优质护理的一个指标。了解驱动患者满意度评分的因素很重要,因为这些评分会公开报告,可能用于确定医院和医生的薪酬,还可能让患者预先选择医生。

目的

这项针对密歇根大学医学中心门诊皮肤科成年患者的单中心调查研究旨在调查患者对不同性别皮肤科医生的理论皮肤科场景的反应有何不同。

方法

每份问卷包含四种临床场景之一,描绘了与男性或女性皮肤科医生的总体积极或消极接触,随后是来自Press Ganey调查的问题,以评估患者满意度。

结果

共收集到452份完整问卷。女性皮肤科医生的积极与消极情况之间以及男性皮肤科医生的积极与消极情况之间,患者总体满意度评分存在统计学显著差异,但积极的女性皮肤科医生与积极的男性皮肤科医生之间或消极的女性皮肤科医生与消极的男性皮肤科医生之间的评分没有差异。在控制患者人口统计学特征或患者与皮肤科医生性别一致性后,总体评分也没有差异。

结论

先前的研究表明,与女性医生相比,男性医生获得的患者满意度评分更高。然而,我们的研究发现,在对皮肤科积极和消极接触的假设场景的反应中,皮肤科医生的性别不会影响患者满意度评分的任何领域。局限性包括使用假设的患者与皮肤科医生接触情况,以及可能缺乏普遍性,因为该研究是在密歇根州东南部的一个学术中心进行的,患者群体主要是白种人。

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本文引用的文献

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