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[一般内科会诊中的言语沟通障碍与患者满意度]

[Barriers to verbal communication and consumer satisfaction with consultations in general medicine].

作者信息

Aizpuru Barandiarán F

机构信息

Consejería de Sanidad, Gobierno Vasco, Vitoria-Gasteiz.

出版信息

Gac Sanit. 1993 Jan-Feb;7(34):27-31. doi: 10.1016/s0213-9111(93)71130-9.

Abstract

With the objective of knowing the barriers to verbal communication experienced by general practice users, and their satisfaction with the information received, a sample of 1553 adults (> 14 years old), users of the Basque Health Service general practice services, was interviewed. A questionnaire of 13 questions, administered after the consultation, was employed. The most frequently experienced barrier was the lack of written information, that affected to a 77.7% of those interviewed. This percentage is greater (p < 0.005) among those visiting traditional doctors (81.9%), than among those enrolled with primary care teams (72.4%) or rural doctors (70.0%). Those who were given written information left out the consultation more satisfied than the others (p < 0.001). The provision of written information seems to be related to the user's satisfaction. It is advised to modify the doctors' attitude towards the communicative process with their patients.

摘要

为了解全科医疗服务使用者在言语交流中遇到的障碍以及他们对所获信息的满意度,我们对1553名巴斯克地区卫生服务机构全科医疗服务的成年使用者(年龄大于14岁)进行了访谈。访谈采用了一份13个问题的问卷,在咨询后发放。最常遇到的障碍是缺乏书面信息,77.7%的受访者受到影响。在看传统医生的人群中这一比例更高(81.9%,p<0.005),高于加入初级保健团队的人群(72.4%)或乡村医生的患者(70.0%)。收到书面信息的人比其他人对咨询的满意度更高(p<0.001)。提供书面信息似乎与使用者的满意度有关。建议改变医生与患者交流过程中的态度。

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