Matthews D A, Sledge W H, Lieberman P B
University of Connecticut School of Medicine, Farmington.
Am J Med. 1987 Nov;83(5):938-44. doi: 10.1016/0002-9343(87)90655-3.
Patients, as the recipients of medical care, have a unique and crucial perspective from which to judge the performance of physicians. In this study, 27 interns (postgraduate year 1 residents) were evaluated by a sample of 212 medical inpatients at two university-affiliated hospitals using a previously validated questionnaire constructed from patients' comments. Patients were generally very satisfied with the performance of their interns and valued traditional clinical skills and interpersonal skills equally. The most important and characteristic attributes of the interns as rated by patients were demonstrating personal concern, skill in treating disease, providing information about findings, preparation for impending events, availability, manner of communication, trust, and comforting and listening skills. Encouraging mutuality by the interns was not often done and was not believed to be particularly important by patients. Older patients and whites were more satisfied with their interns, whereas college-educated, employed, and male patients were less satisfied. Implications of the findings for understanding and teaching about the physician-patient relationship are discussed.
患者作为医疗服务的接受者，在评判医生的表现方面有着独特且至关重要的视角。在本研究中，两所大学附属医院的212名住院患者使用一份根据患者意见构建的先前已验证的问卷，对27名实习生（第一年住院医师）进行了评估。患者总体上对其实习生的表现非常满意，并且对传统临床技能和人际技能给予同等重视。患者评定的实习生最重要且最具特色的属性包括表现出个人关怀、治疗疾病的技能、提供检查结果信息、为即将发生的事情做准备、随时可及、沟通方式、信任以及安慰和倾听技巧。实习生鼓励相互性的情况并不常见，且患者认为这并非特别重要。老年患者和白人对其实习生更满意，而受过大学教育、有工作的患者以及男性患者则不太满意。文中讨论了这些研究结果对于理解医患关系以及进行相关教学的意义。
