Toole Joseph, Kohansieh Michelle, Khan Umer, Romero Sandor, Ghali Mounir, Zeltser Roman, Makaryus Amgad N
Department of Internal Medicine, Northwell Lenox Hill Hospital, New York, NY, USA.
Stern College for Women, Yeshiva University, New York, NY, USA.
J Patient Exp. 2020 Dec;7(6):1151-1157. doi: 10.1177/2374373520948400. Epub 2020 Aug 14.
The empathy and quality of communication between the physician and patient is believed to correlate with patient satisfaction and knowledge of the diagnoses and treatment plan. Examining patients' understanding of their plan can allow providers to better aid patients upon their discharge from the hospital in the hopes of improving home care compliance. We sought to evaluate factors that we hypothesized to have an impact on a patient's ability to understand their medical management plan in the inpatient setting. Over a 14-month period, patients were given a 10-question survey during their stay on the inpatient medical units at a safety-net tertiary care community hospital. The survey was given to patients to self-complete after our research team introduced it. A total of 366 patients were surveyed. Of the patients surveyed, more than two-thirds of participants had a clear idea of the management plan for their condition (68.5%), while 3.1% had no knowledge of their management plan. Significant associations between knowledge of the management plan and participants knowing their attending physician's name ( < .0005), participants having a primary care physician ( < .0001), and educational background ( < .0387) were found. These assessed factors can be addressed with quality communication and a strong patient-physician relationship. Accomplishing these 2 objectives with the gained knowledge of patient beliefs and perceptions from our study will likely lead to the patient having a much clearer idea of how their medical condition is being treated by his/her team and have overall positive health implications.
医生与患者之间的同理心和沟通质量被认为与患者满意度以及对诊断和治疗计划的了解程度相关。检查患者对其治疗计划的理解情况,可以使医护人员在患者出院后更好地为其提供帮助,以期提高家庭护理的依从性。我们试图评估一些我们假设会对患者在住院环境中理解其医疗管理计划的能力产生影响的因素。在14个月的时间里,我们在一家安全网三级医疗社区医院的住院内科病房,对患者进行了一项包含10个问题的调查。在我们的研究团队介绍完调查后,由患者自行完成。总共对366名患者进行了调查。在接受调查的患者中,超过三分之二的参与者(68.5%)对自己病情的管理计划有清晰的认识,而3.1%的患者对自己的管理计划一无所知。我们发现,对管理计划的了解与参与者知道其主治医生的姓名(<.0005)、参与者有初级保健医生(<.0001)以及教育背景(<.0387)之间存在显著关联。通过高质量的沟通和牢固的医患关系,可以解决这些评估因素。利用我们研究中获得的关于患者信念和认知的知识来实现这两个目标,可能会使患者更清楚地了解其医疗团队如何治疗自己的病情,并对整体健康产生积极影响。