Rosenberg E E, Pless I B
Fam Pract. 1985 Mar;2(1):23-9. doi: 10.1093/fampra/2.1.23.
This study was designed to determine what doctors and nurses in family medicine actually know about the families of their patients; to assess the accuracy of the professed knowledge; and to relate this knowledge to the patient's level of satisfaction and compliance. Clinicians completed questionnaires dealing with their knowledge of personal and family information about patients. These patients completed a mirror-image questionnaire--to assess the accuracy of the clinician's responses--and a questionnaire about their satisfaction with the consultation. At a follow-up visit by the patients, clinicians completed questionnaires which assessed patients' compliance. Clinicians thought they knew the patient's occupation in 86% of cases and were correct in 73% of the total. The respective percentages for the spouse's level of education were 49% and 35%. Clinicians and patients agreed on whether there was a marital or a financial problem 66% and 47% of the time respectively. High clinician knowledge scores were not associated with either high satisfaction or good compliance on the patient's side.
本研究旨在确定家庭医学领域的医生和护士对其患者家庭实际了解多少;评估所宣称知识的准确性;并将这些知识与患者的满意度和依从性水平联系起来。临床医生完成了关于他们对患者个人和家庭信息了解情况的问卷。这些患者完成了一份镜像问卷——以评估临床医生回答的准确性——以及一份关于他们对会诊满意度的问卷。在患者的随访就诊中,临床医生完成了评估患者依从性的问卷。临床医生认为他们在86%的病例中知道患者的职业,在总数的73%中是正确的。配偶教育水平的相应百分比分别为49%和35%。临床医生和患者分别在66%和47%的时间里就婚姻或财务问题达成一致。临床医生的高知识得分与患者的高满意度或良好依从性均无关联。