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医生的角色。公众和专业人士对患者护理七个方面的看法。

The physician's role. Views of the public and the profession on seven aspects of patient care.

作者信息

McBride C A, Shugars D A, DiMatteo M R, Lepper H S, O'Neil E H, Damush T M

机构信息

Department of Psychology, University of California-Riverside.

出版信息

Arch Fam Med. 1994 Nov;3(11):948-53. doi: 10.1001/archfami.3.11.948.

DOI:10.1001/archfami.3.11.948
PMID:7804476
Abstract

OBJECTIVES

To determine the importance of various areas of physician competency and to assess the public's ratings of their own physicians.

DESIGN

A nationwide household telephone survey.

PARTICIPANTS

A random sample of 640 US adults (61% response rate).

MAIN OUTCOME MEASURES

Ratings of importance and physicians' competencies in diagnosing and treating illness, communication, ethical conduct, cooperation with other health care professionals, promotion of preventive care, use of technology, and consideration of the cost of care to the patient.

RESULTS

Physicians were rated lowest on communication skills and on attention to the costs of the recommended treatment. A comparison of the results with a similar survey of physicians shows that physicians rate their training the lowest in these same areas. Physicians in general practice were rated lower on several competencies than were other physicians.

CONCLUSIONS

Health care consumers and physicians share similar values about what is important in the role of a physician. In the areas of communication and attention to the costs of treatment, public needs are not always being met.

摘要

目的

确定医生能力各个领域的重要性,并评估公众对自己医生的评分。

设计

一项全国性的家庭电话调查。

参与者

640名美国成年人的随机样本(回复率61%)。

主要观察指标

对诊断和治疗疾病、沟通、道德行为、与其他医疗保健专业人员合作、促进预防保健、技术使用以及对患者护理成本的考虑等方面的重要性评分和医生能力评分。

结果

医生在沟通技巧和对推荐治疗成本的关注度方面评分最低。将结果与对医生的类似调查进行比较表明,医生在这些相同领域对自身培训的评分也最低。全科医生在多项能力方面的评分低于其他医生。

结论

医疗保健消费者和医生对医生角色中重要内容的价值观相似。在沟通和对治疗成本的关注度方面,公众需求并非总能得到满足。

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