Al-Hemiary Nesif J, Cucchi Angie, Al-Nuaimi Ahmed Sameer, Al-Saffar Hilal, Al-Ani Kifah
Psychiatry Unit, Department of Medicine, College of Medicine, University of Baghdad, Iraq.
Department of Psychotherapy & Counselling, Regent's University London, London, UK.
Heliyon. 2020 Oct 16;6(10):e05145. doi: 10.1016/j.heliyon.2020.e05145. eCollection 2020 Oct.
The current study sought to evaluate the communication skills of Iraqi physicians from a patient perspective, differentiating between "interpersonal" and "content" components of communication. In the past century, the doctor-patient relationship has changed considerably, shifting from a paternalistic, physician-dominated approach to a more dynamic and patient-centered. In such a context, effective communication skills have become even more crucial for good medical practice and most accreditation organizations urge medical schools to teach and evaluate communication skills.
A cross-sectional study was conducted at Baghdad Teaching Hospital's three major departments (Surgery, Medicine, Obs/ Gyne). The final sample included 270 participants. A factor analysis was performed and generated two dimensions ("interpersonal" and "content"). Statistical differences between the groups and between the two dimensions of the questionnaire were analysed through t-tests and ANOVA. In addition, a multiple linear regression model was used to study the effect of some variables on the dependent variable "communication".
The study showed a significant difference between "interpersonal" and "content" communication, with patients reporting higher satisfaction for the former. Reported satisfaction rates varied amongst the three departments with the Surgery specialty scoring significantly lower than the Medicine and the Obs/Gyne department. The duration of care under the current physician, a higher rank of specialty and the settings (inpatients versus outpatients) were positively and significantly associated with a higher quality of communication skills.
These findings have significant implications for training institutions.
本研究旨在从患者角度评估伊拉克医生的沟通技巧，区分沟通的“人际”和“内容”组成部分。在过去的一个世纪里，医患关系发生了很大变化，从家长式的、以医生为主导的方式转变为更加动态和以患者为中心的方式。在这种背景下，有效的沟通技巧对于良好的医疗实践变得更加关键，大多数认证机构敦促医学院校教授和评估沟通技巧。
在巴格达教学医院的三个主要科室（外科、内科、妇产科）进行了一项横断面研究。最终样本包括270名参与者。进行了因子分析并生成了两个维度（“人际”和“内容”）。通过t检验和方差分析分析了各组之间以及问卷两个维度之间的统计学差异。此外，使用多元线性回归模型研究一些变量对因变量“沟通”的影响。
研究表明“人际”沟通和“内容”沟通之间存在显著差异，患者对前者的满意度更高。三个科室的报告满意度有所不同，外科专业的得分显著低于内科和妇产科。当前医生的护理时长、更高的专业级别以及环境（住院患者与门诊患者）与更高质量的沟通技巧呈正相关且具有统计学意义。
这些发现对培训机构具有重要意义。
