Bush T, Cherkin D, Barlow W
Group Health Cooperative of Puget Sound, Center for Health Studies, Seattle, Wash.
Arch Fam Med. 1993 Mar;2(3):301-5. doi: 10.1001/archfami.2.3.301.
We wished to determine whether patient satisfaction was related to physicians' confidence in their abilities to effectively manage low back pain, and to examine their attitudes about patients with back pain. The confidence and attitudes of primary care providers were determined using self-administered questionnaires. Patient satisfaction with care was assessed during telephone interviews conducted 3 weeks after a clinic visit for low back pain. The study was conducted in a primary care clinic of a large health maintenance organization. Completed surveys were obtained from 21 primary care providers (18 physicians and three physician assistants) and 270 of their patients with low back pain. Three satisfaction scales specific to low back pain were used to measure patient satisfaction with regard to information received from provider, caring, and effectiveness of treatment. The results showed that the providers' attitudes about patients with low back pain were not associated with any of the patient satisfaction measures. However, patients of more confident providers were significantly more satisfied with the information they received than were patients of less confident providers. These differences could not be explained by years in practice, length of visit, patient demographics, or the severity and duration of low back pain. These findings suggest that providers who have more confidence in their abilities to effectively manage low back pain may in fact be more effective patient educators.
我们希望确定患者满意度是否与医生对有效管理下腰痛能力的信心相关，并考察他们对背痛患者的态度。通过自我填写问卷来确定初级保健提供者的信心和态度。在因下腰痛进行门诊就诊3周后进行电话访谈时，评估患者对护理的满意度。该研究在一家大型健康维护组织的初级保健诊所进行。从21名初级保健提供者（18名医生和3名医师助理）及其270名下腰痛患者那里获得了完整的调查问卷。使用三个特定于下腰痛的满意度量表来衡量患者对从提供者那里获得的信息、关怀以及治疗效果的满意度。结果表明，提供者对下腰痛患者的态度与任何患者满意度指标均无关联。然而，提供者信心较高的患者对所获得信息的满意度明显高于提供者信心较低的患者。这些差异无法用从业年限、就诊时长、患者人口统计学特征或下腰痛的严重程度和持续时间来解释。这些发现表明，对有效管理下腰痛能力更有信心的提供者实际上可能是更有效的患者教育者。
