McLeod P J, Tamblyn R, Benaroya S, Snell L
McGill University, Department of Medicine, Montreal, Quebec, Canada.
J Gen Intern Med. 1994 Jun;9(6):321-6. doi: 10.1007/BF02599179.
To determine whether patient satisfaction ratings can be predicted by faculty ratings or self-ratings of resident humanism.
A prospective three-month collection of patient satisfaction ratings in two ambulatory care clinics and simultaneous acquisition of faculty ratings and self-ratings of resident humanism using ABIM questionnaires.
Two teaching hospital ambulatory care internal medicine clinics.
Forty-seven internal medicine residents and 17 faculty internists were sent questionnaires for evaluation of humanism of individual residents. One thousand one hundred ninety-four consecutive outpatients cared for by the residents were eligible for patient satisfaction questionnaires.
Thirty-three residents and 13 faculty completed evaluations of resident humanism while 792 patients completed satisfaction questionnaires, which were used for analysis. The faculty ratings of resident humanism correlated strongly with patient satisfaction ratings, while the resident self-ratings did not.
Faculty ratings of resident humanism were highly predictive of patient satisfaction with the care rendered by internal medicine residents in two ambulatory care clinics. This suggests that ambulatory care settings are useful for evaluation of noncognitive behavioral features of resident performance.
确定患者满意度评分是否可通过教员对住院医师人文关怀的评分或住院医师自评来预测。
在两家门诊护理诊所进行为期三个月的前瞻性患者满意度评分收集，并同时使用美国内科医学委员会（ABIM）问卷获取教员对住院医师人文关怀的评分及住院医师自评。
两家教学医院的门诊护理内科诊所。
向47名内科住院医师和17名内科教员发放问卷，以评估个体住院医师的人文关怀情况。由住院医师护理的1194名连续门诊患者符合患者满意度问卷调查条件。
33名住院医师和13名教员完成了对住院医师人文关怀的评估，同时792名患者完成了满意度问卷，这些问卷用于分析。教员对住院医师人文关怀的评分与患者满意度评分密切相关，而住院医师自评则不然。
教员对住院医师人文关怀的评分能高度预测两家门诊护理诊所内科住院医师所提供护理的患者满意度。这表明门诊护理环境有助于评估住院医师表现中的非认知行为特征。
