Reichgott M J, Schwartz J S
J Med Educ. 1983 Sep;58(9):703-9. doi: 10.1097/00001888-198309000-00004.
The attitudes of private patients toward resident participation in their ambulatory care were evaluated. Of 195 patients (29 percent) responding to 667 mailed prospective questionnaires, 143 (73 percent) stated that they would allow resident participation in their care. Satisfactory prior experiences with trainees was the most important factor predicting acceptance (p less than .0001) of resident participation. A majority of "accepting" respondents would allow the following limited delegation of responsibility to residents: history-taking, physical examination, and visit scheduling. The majority (71 percent) desired faculty consultation at every visit. A small, retrospective survey of resident-treated private patients revealed that 70 percent were fully satisfied, 20 percent partially satisfied, and 10 percent dissatisfied. Dissatisfaction by the patients was associated with not knowing beforehand that a trainee would participate in the health care delivery. The private patients usually accepted trainees for outpatient care if: (a) they had been informed in advance, (b) they had not had a prior unsatisfactory resident experience, and (c) the responsibility of the residents had been carefully delegated and the residents closely supervised.
对自费患者对于住院医师参与其门诊护理的态度进行了评估。在回复667份邮寄的前瞻性问卷的195名患者（占29%）中，143名（占73%）表示他们会允许住院医师参与其护理。之前与实习医生有过满意的经历是预测对住院医师参与护理接受程度的最重要因素（p<0.0001）。大多数“接受”的受访者会允许将以下有限的职责委托给住院医师：病史采集、体格检查和预约就诊。大多数人（71%）希望每次就诊时都有教员会诊。对由住院医师治疗的自费患者进行的一项小型回顾性调查显示，70%的患者完全满意，20%的患者部分满意，10%的患者不满意。患者的不满与事先不知道会有实习医生参与医疗服务有关。自费患者通常会接受实习医生进行门诊护理，条件如下：（a）他们事先已被告知；（b）他们之前没有过对住院医师不满意的经历；（c）住院医师的职责已得到仔细分配，且住院医师受到密切监督。
