Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.
Institute of Public Health of the Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany.
Health Expect. 2021 Apr;24(2):317-326. doi: 10.1111/hex.13171. Epub 2021 Feb 2.
Understanding peoples' evaluations of their health care is important to ensure appropriate health-care services.
To understand what factors influence peoples' satisfaction with care and how interpersonal trust is established between doctors and cancer patients in Germany.
A narrative interview study that included women with a diagnosis of breast cancer and men with a diagnosis of prostate cancer. A question-focused analysis was conducted.
Interviewees were sought across Germany through self-help organizations, clinics, rehabilitation facilities, physicians and other health-care professionals, in order to develop modules on experiencing cancer for the website krankheitserfahrungen.de (illness experiences.de).
Satisfaction was related to the perception of having a knowledgeable and trusted physician. Trust was developed through particular interactions in which 'medical expertise' and 'humaneness' were enacted by physicians. Humaneness represents the ability of physicians to personalize medical expertise and thereby to convey working in the individual's best interest and to treat the patient as an individual and unique human being. This was fostered through contextual and relational factors including among others setting, time, information transfer, respect, availability, profoundness, sensitivity and understanding.
It was the ability to make oneself known to and know the patient in particular ways that allowed for satisfying care experiences by establishing interpersonal trust. This suggests the importance of conceptualizing the doctor-patient relationship as a fundamentally reciprocal human interaction of caregiving and care-receiving. At the core of the satisfying care experiences lies a doctor-patient relationship with a profoundly humane quality.
了解人们对医疗保健的评价对于确保提供适当的医疗保健服务至关重要。
了解哪些因素影响人们对护理的满意度，以及医生和德国癌症患者之间如何建立人际信任。
这是一项叙事性访谈研究，包括被诊断患有乳腺癌的女性和被诊断患有前列腺癌的男性。进行了以问题为中心的分析。
通过自助组织、诊所、康复设施、医生和其他医疗保健专业人员在德国各地寻找受访者，以便为 krankheitserfahrungen.de（疾病体验.de）网站开发有关癌症体验的模块。
满意度与对有知识和值得信赖的医生的看法有关。信任是通过特定的互动建立起来的，在这些互动中，医生表现出“医学专业知识”和“人性化”。人性化代表医生将医学专业知识个性化的能力，从而传达出为患者的最佳利益工作，并将患者视为个体和独特的人。这是通过环境和关系因素促进的，包括但不限于环境、时间、信息传递、尊重、可用性、深入程度、敏感性和理解。
正是通过特定的方式让自己和患者相互了解的能力，通过建立人际信任，实现了令人满意的护理体验。这表明将医患关系概念化为一种基本的相互关怀和接受的人类互动关系的重要性。令人满意的护理体验的核心是具有深刻人性化品质的医患关系。
