Shanghai Normal University, Department of Psychology, Shanghai, China; School of Psychiatry, Wenzhou Medical University, Wenzhou, China.
School of Psychiatry, Wenzhou Medical University, Wenzhou, China; East China Normal University, Faculty of Education, Shanghai, China.
Patient Educ Couns. 2021 Jul;104(7):1674-1680. doi: 10.1016/j.pec.2020.12.013. Epub 2020 Dec 23.
To assess doctors' communication skills in mainland China using the SEGUE Framework.
A survey on doctors' communication skills with doctors (n = 1361) and patients (n = 1757) from 14 provinces in eastern, central and western China was conducted.
The doctors' self-evaluation scores were higher than patients' evaluations (p < .001). The scores of female doctors were higher than males (p = .022). Both doctors' self-evaluations and patients' evaluations indicated that the scores of doctors in tertiary hospitals were higher than those in primary hospitals.
Doctors' communication skills don't match patients' needs. Female doctors are more empathetic and patient than male doctors and consequently have better communication skills. Doctors in tertiary hospitals have better communication skills because tertiary hospitals provide more training opportunities in communication skills and have better medical services and management.
This study confirms the applicability of the SEGUE Framework to doctors and patients in mainland China. The effectiveness of cultivating doctors' communication skills should be evaluated through feedback from the perspective of both doctors and patients. Medical institutes need to prioritize patients' needs and provide training in doctors' communication skills to address the discrepancy in the perceptions of doctors and patients.
运用 SEGUE 框架评估中国大陆医生的沟通技巧。
对来自中国东部、中部和西部 14 个省份的 1361 名医生和 1757 名患者进行了一项关于医生沟通技巧的调查。
医生的自我评价得分高于患者评价（p<0.001）。女医生的得分高于男医生（p=0.022）。医生和患者的评价都表明，三级医院医生的得分高于一级医院。
医生的沟通技巧与患者的需求不匹配。女医生比男医生更有同理心和耐心，因此沟通技巧更好。三级医院的医生沟通技巧更好，因为三级医院提供更多的沟通技巧培训机会，并且拥有更好的医疗服务和管理。
本研究证实了 SEGUE 框架在中国大陆医生和患者中的适用性。应从医生和患者的角度评估培养医生沟通技巧的效果。医疗机构需要优先考虑患者的需求，并提供医生沟通技巧培训，以解决医生和患者看法的差异。
