Favrat B, Francillon C, Burnand B, Pécoud A, Decrey H
Policlinique médicale universitaire, Lausanne.
Schweiz Med Wochenschr. 1994 Nov 5;124(44):1955-8.
Difficulties in the doctor-patient relationship may arise because of differences in socio-cultural background. The aim of this study was to evaluate the doctors' satisfaction in an ambulatory care setting when confronted with 3 different cultural groups (Swiss, foreign residents, refugees) and to review some preconceived ideas. Actually, the foreign population did not consult more often in emergencies than the Swiss population, nor did it present more frequently with somatizations in first interview. However, the doctors felt globally less satisfied with the refugees than with the other patients, mainly because of communication difficulties and therefore a less satisfying doctor-patient relationship. Nevertheless, the doctors felt they had the same diagnostic accuracy in the 3 groups. Studies on the satisfaction of primary care doctors are important, because the quality of the doctor-patient relationship directly influences the quality of medical care.
医患关系中的困难可能因社会文化背景的差异而产生。本研究的目的是评估医生在门诊护理环境中面对3个不同文化群体（瑞士人、外国居民、难民）时的满意度，并审视一些先入为主的观念。实际上，外国人群在紧急情况下就诊的频率并不比瑞士人群高，在首次就诊时出现躯体化症状的频率也没有更高。然而，总体而言，医生对难民患者的满意度低于其他患者，主要原因是沟通困难，进而导致医患关系不太令人满意。尽管如此，医生认为他们在这3组患者中具有相同的诊断准确性。对初级保健医生满意度的研究很重要，因为医患关系的质量直接影响医疗服务的质量。
