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适当利用急诊和口头沟通对医生(不)满意医患互动的影响,特别考虑到移民背景。

Influence of appropriate emergency department utilization and verbal communication on physicians' (dis)satisfaction with doctor-patient interactions with special consideration of migrational backgrounds.

机构信息

Campus Virchow Clinic, Clinic for Gynecology with Center for Oncological Surgery, Charité University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

School of Public Health, Dept. of Epidemiology and International Public Health, Bielefeld University, Bielefeld, Germany.

出版信息

Wien Med Wochenschr. 2024 May;174(7-8):140-148. doi: 10.1007/s10354-022-00948-9. Epub 2022 Jul 18.

DOI:10.1007/s10354-022-00948-9
PMID:35849244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9294758/
Abstract

In recent years, utilization of emergency departments (EDs) has increased continuously, both in Germany and internationally. Inappropriate use of EDs is believed to be partly responsible for this trend. The topic of doctor-patient interaction (DPI) has received little attention in research. However, successful DPI is not only important for adherence and treatment success, but also for the satisfaction of medical staff. This non-interventionl cross-sectional study attempts to identify factors influencing physicians' satisfaction with DPIs, with a particular focus on the appropriate utilization of EDs and verbal communication. We carried out tripartite data collection in three EDs of major referral hospitals in Berlin between July 2017 and July 2018. Migration experience, communication and language problems, level of education, and a large gap between physicians' and patients' perceived urgency regarding the utilization of EDs influence the quality of the doctor-patient relationships and interactions.

摘要

近年来,无论是在德国还是在国际上,急诊科(ED)的利用率都在持续增加。人们认为急诊科的不当使用是造成这种趋势的部分原因。医患互动(DPI)这一主题在研究中很少受到关注。然而,成功的 DPI 不仅对患者的依从性和治疗效果很重要,而且对医务人员的满意度也很重要。这项非干预性横断面研究试图确定影响医生对 DPI 满意度的因素,特别关注 ED 的合理使用和口头沟通。我们于 2017 年 7 月至 2018 年 7 月在柏林的三家主要转诊医院的急诊科进行了三方数据收集。移民经历、沟通和语言问题、教育程度以及医生和患者对 ED 使用的紧迫性感知之间的巨大差距,都会影响医患关系和互动的质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc39/11061037/1187e0eb4399/10354_2022_948_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc39/11061037/1187e0eb4399/10354_2022_948_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc39/11061037/1187e0eb4399/10354_2022_948_Fig1_HTML.jpg

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本文引用的文献

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Adequate Utilization of Emergency Services in Germany: Is There a Differential by Migration Background?德国紧急服务的充分利用:是否存在移民背景的差异?
Front Public Health. 2021 Jan 8;8:613250. doi: 10.3389/fpubh.2020.613250. eCollection 2020.
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德国低急症患者前往急诊科就诊的动机:一项比较城市和农村地区的定性研究。
BMJ Open. 2016 Nov 16;6(11):e013323. doi: 10.1136/bmjopen-2016-013323.
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