Heinze Kevin, Suwanabol Pasithorn A, Vitous C Ann, Abrahamse Paul, Gibson Kristen, Lansing Bonnie, Mody Lona
Department of Ophthalmology & Visual Sciences, University of Illinois, Chicago, IL, USA.
Department of Surgery, University of Michigan, MI, USA.
J Patient Exp. 2020 Dec;7(6):1044-1053. doi: 10.1177/2374373520968447. Epub 2020 Oct 28.
We conducted a cross-sectional, survey study of 764 volunteers to gain insight into patients' perceptions of physician qualities of compassion and competence. Among 651 (85% response rate) survey participants, mean age was 52.4 (SD 21.4) years, 70.8% (n = 458) were female, and 84% (n = 539) identified as white. Predictors of compassion over competence included female gender (adjusted odds ratio [aOR] = 1.4, 95% CI: 1.04-1.89) and whether the respondent had a personal connection to the vignette (aOR = 1.24, 95% CI: 1.0-1.53). Thematic analysis demonstrated that preferences were influenced by: (a) explicit beliefs regarding the value of physician compassion and physician competence; (b) impact of emotional and mental health on medical experiences; (c) the type and frequency of health care exposure; and (d) perceived role of the physician in various clinical vignettes. Patients had wide-ranging, complex opinions on the qualities they valued in their physicians. These findings suggest that patients are engaged and can provide critical thoughtful feedback on the practice and delivery of health care.
我们对764名志愿者进行了一项横断面调查研究，以深入了解患者对医生同情心和能力素质的看法。在651名（回复率85%）调查参与者中，平均年龄为52.4岁（标准差21.4），70.8%（n = 458）为女性，84%（n = 539）为白人。同情心高于能力的预测因素包括女性性别（调整后的优势比[aOR]=1.4，95%置信区间：1.04 - 1.89）以及受访者是否与 vignette 有个人关联（aOR = 1.24，95%置信区间：1.0 - 1.53）。主题分析表明，偏好受到以下因素影响：（a）关于医生同情心和医生能力价值的明确信念；（b）情绪和心理健康对医疗体验的影响；（c）医疗保健接触的类型和频率；以及（d）医生在各种临床 vignette 中的感知角色。患者对他们所看重的医生素质有着广泛而复杂的看法。这些发现表明患者积极参与其中，并且能够就医疗保健的实践和提供提供关键的深思熟虑的反馈。
