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沙特阿拉伯患者的观点:优秀称职的精神科医生应具备哪些品质?

Patient Perspective in Saudi Arabia: What Qualities Make a Good and Competent Psychiatrist?

作者信息

AlMuhanna Norah F, Sodagar Omar T, Al-Hayek Omar O, AlQahtani Feras A, Alghomgham Mahmoud A

机构信息

Psychiatry, Imam Abdulrahman Bin Faisal University, Khobar, SAU.

出版信息

Cureus. 2022 Dec 27;14(12):e33022. doi: 10.7759/cureus.33022. eCollection 2022 Dec.

DOI:10.7759/cureus.33022
PMID:36589701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9797760/
Abstract

Introduction The good qualities of a psychiatrist can vary when asking a psychiatrist, a resident, a student, or even a patient. The patient's perspective, however, is of utmost importance and can be extremely unique. Our study aims to visualize and analyze the perspective of outpatients of the psychiatric department at King Fahad Hospital University on what qualities make a good and competent psychiatrist. As psychiatric medicine depends a lot on the psychological aspect, it yields high importance on studying how patients perceive and see their doctors in different regions of the world. For this reason, we conducted our study in Al-Khobar, Kingdom of Saudi Arabia (KSA). Materials and methods A self-structured questionnaire named "What Qualities Make a Good and Competent Psychiatrist?" was developed and used to achieve the study objectives. It encompasses six sections: patients' personal data and demographics, patients' medical data, psychiatrists' personal traits, knowledge domain, social domain, and clinical setting domain. Results After data collection and analysis, our results showed the following. Patients did not have a generalized preference for personal traits or demographics; however, they preferred Saudi and Arabic-speaking physicians among others. Patients preferred their psychiatrists to be up to date with current research. The score per item is the lowest in the clinical domain, indicating that for the respondents, the clinical domain is the most important trait of a psychiatrist. Of the patients, 66.8% reported that appropriate grooming and clothing were crucial for a psychiatrist. Empathy and proper communication were also very important from the patients' points of view. Social and knowledge domains are also of extreme importance in our region. Discussion In our study, there seems to be no preference toward a psychiatrist's demographic traits with the exception of a Saudi nationality and being an Arabic speaker. The traits explored in this study are categorized into three domains: clinical setting domain, knowledge domain, and social domain. Of the three domains mentioned, the clinical setting domain was deemed the most important, followed by the social and knowledge domains. In a study conducted in Singapore, the social characteristics of the psychiatrist, which represented care and sympathy, were the main concern of patients. A study conducted in the UK showed that the participants were less concerned with the organizational social aspects of the medical processes than the clinical management components. Although the overall requirement for a knowledgeable, skilled, and socially competent psychiatrist and a proper clinical setting is sought by most psychiatric patients in different cultures and countries, there are also significant differences in the priorities of such characteristics. This emphasizes how every region has its standards for this occupation. Conclusion The results of this study suggest a variety of patients' and guardians' perspectives in different cultures with the clinical setting being an integral part of the psychiatrist's practice in Al-Khobar, KSA. The results showed that the clinical setting domain was the most critical domain, followed by social and knowledge domains. To improve patient experience and satisfaction, certain actions should be taken into consideration in our region.

摘要

引言 当询问精神科医生、住院医生、学生甚至患者时,优秀精神科医生的特质可能会有所不同。然而,患者的观点至关重要且可能极为独特。我们的研究旨在直观呈现并分析法赫德国王大学医院精神科门诊患者对于优秀且称职的精神科医生应具备何种特质的看法。由于精神医学在很大程度上依赖心理层面,研究世界各地患者如何看待他们的医生具有高度重要性。因此,我们在沙特阿拉伯王国胡拜尔市开展了这项研究。

材料与方法 我们设计并使用了一份名为“优秀且称职的精神科医生应具备哪些特质?”的自拟问卷来实现研究目标。该问卷涵盖六个部分:患者的个人数据和人口统计学信息、患者的医疗数据、精神科医生的个人特质、知识领域、社交领域以及临床环境领域。

结果 经过数据收集和分析,我们得到了以下结果。患者对于个人特质或人口统计学特征并无普遍偏好;然而,他们更倾向于沙特籍且会说阿拉伯语的医生等。患者希望他们的精神科医生能紧跟当前研究进展。临床领域的单项得分最低,这表明对于受访者而言,临床领域是精神科医生最重要的特质。66.8%的患者表示得体的仪容和着装对精神科医生至关重要。从患者的角度来看,同理心和恰当的沟通也非常重要。社交和知识领域在我们所在地区也极为重要。

讨论 在我们的研究中, 除了沙特国籍和会说阿拉伯语之外,患者似乎对精神科医生的人口统计学特征并无偏好。本研究探讨的特质分为三个领域:临床环境领域、知识领域和社交领域。在上述三个领域中,临床环境领域被认为是最重要的,其次是社交和知识领域。在新加坡进行的一项研究中,精神科医生体现关心和同情的社交特质是患者主要关注的方面。在英国进行的一项研究表明,参与者对医疗过程的组织社交方面的关注低于对临床管理部分的关注。尽管不同文化和国家的大多数精神科患者都追求知识渊博、技能娴熟且具备社交能力的精神科医生以及合适的临床环境,但这些特征的优先顺序也存在显著差异。这凸显了每个地区对该职业都有其标准。

结论 本研究结果表明,不同文化背景下患者和监护人有多种观点,在沙特阿拉伯王国胡拜尔市,临床环境是精神科医生执业不可或缺的一部分。结果显示,临床环境领域是最关键的领域,其次是社交和知识领域。为了改善患者体验和满意度,我们所在地区应考虑采取某些行动。

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