医生诊疗过程对在华留学生就医满意度、焦虑自评和自我效能的影响。
The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China.
机构信息
School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
School of Management, Hubei University of Chinese Medicine, Wuhan, China.
出版信息
Front Public Health. 2021 Sep 23;9:737278. doi: 10.3389/fpubh.2021.737278. eCollection 2021.
To investigate the communication mechanism between international students and Chinese physicians by evaluating the influence of the transaction process on patient satisfaction, self-rating anxiety and self-efficacy. A cross-sectional survey was conducted among international students living in Central, Northern and Eastern China; enrolled at Chinese universities and experienced outpatient and inpatient healthcare services. Guided by the elements of King's transaction process: IR, Initiating and Responding; IP, Identifying Problems; MGS, Mutual Goal Setting; and EM, Exploring means and agreeing on means to achieve goals. We used spearman correlation analysis to calculate the correlation of the variables: patient satisfaction, self-efficacy, transaction process, IR, IP, MGS, and EM and regression analysis to measure the influence of transaction process on patient satisfaction, self-rating anxiety and self-efficacy. Four hundred and four (404) participants were investigated for this study. The results of correlation analysis showed that there was a significant positive correlation among patient satisfaction, self-efficacy, transaction process, IR, IP, MGS, and EM ( < 0.05). Regression analysis showed that the higher scores of IR (β = 0.176, = 0.003) and MGS (β = 0.249, = 0.002) was associated with the higher score of patient satisfaction; the higher the score of IR and IP was associated with the higher self-efficacy score (β = 0.148,0.225; = 0.016,0.001); and higher the MGS score was associated the lower the self-rating anxiety (β = -0.220, = 0.022). The influence of transaction process on patient satisfaction, self-rating anxiety and self-efficacy between Chinese physicians and international students (Patients) was established. Findings support the urgent implementation of tools at healthcare facilities to improve the communication between Chinese doctors and international students, therefore improving patient satisfaction and self-efficacy, and reducing anxiety.
本研究旨在通过评估交易过程对患者满意度、自评焦虑和自我效能的影响，探讨留学生与中国医生之间的沟通机制。研究采用横断面调查方法，选取居住在中国中部、北部和东部地区，在中国大学就读并经历过门诊和住院医疗服务的留学生作为研究对象。研究以 King 的交易过程要素为指导，包括 IR（信息交流）、发起和响应；IP（识别问题）；MGS（共同设定目标）；和 EM（探索方法并就实现目标的方法达成一致）。我们使用 Spearman 相关分析计算变量之间的相关性，包括患者满意度、自我效能、交易过程、IR、IP、MGS 和 EM。同时，我们使用回归分析来衡量交易过程对患者满意度、自评焦虑和自我效能的影响。本研究共调查了 404 名参与者。相关性分析结果表明，患者满意度、自我效能、交易过程、IR、IP、MGS 和 EM 之间存在显著正相关（ < 0.05）。回归分析显示，IR（β=0.176， = 0.003）和 MGS（β=0.249， = 0.002）得分越高，患者满意度得分越高；IR 和 IP 得分越高，自我效能得分越高（β=0.148，0.225； = 0.016，0.001）；MGS 得分越高，自评焦虑得分越低（β=-0.220， = 0.022）。本研究建立了中国医生与留学生（患者）之间交易过程对患者满意度、自评焦虑和自我效能的影响模型。研究结果支持在医疗机构实施工具，以改善中国医生与留学生之间的沟通，从而提高患者满意度和自我效能，降低焦虑。
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