Schauffler H H, Rodriguez T, Milstein A
Division of Health Policy and Administration, University of California at Berkeley School of Public Health, San Francisco, USA.
J Fam Pract. 1996 Jan;42(1):62-8.
The objective of this research was to determine whether patients who reported that their physician or other health care professional had discussed health education topics with them were more satisfied with their physician than were patients who reported they had not.
Data were from the 1994 Health Plan Value Check conducted by the Pacific Business Group on Health (52% response rate). The study sample included 5066 employees ranging in age from 19 to 64 years and representing four large corporations and 21 health plans. This population was randomly sampled by company and health plan. Bivariate and multivariate analyses were used to assess the relationship between level of patient satisfaction with physician and reported discussion of health education topics with a physician or other health professional in the last 3 years.
Patients who reported that their physician or other health care professional discussed at least one health education topic with them in the last 3 years were more likely to be satisfied with their physician (unadjusted odds ratio [OR] = 1.96; 95% confidence interval [CI] 1.79 to 2.25) compared with patients who did not. In the multivariate model, the relationship remained positive and statistically significant (adjusted OR = 1.49; 95% CI, 1.32 to 1.68). This relationship was observed for patients enrolled in all types of HMOs and managed care plans, as well as those with indemnity or fee-for-service insurance.
Patients who reported that their physician or other health care professional had discussed one or more health education topics with them in the last 3 years were more likely to be very satisfied with their physician than were patients who reported they had not.
本研究的目的是确定那些报告其医生或其他医疗保健专业人员曾与他们讨论过健康教育主题的患者，是否比那些报告未讨论过的患者对其医生更满意。
数据来自太平洋商业健康组织于1994年进行的健康计划价值检查（回复率为52%）。研究样本包括5066名年龄在19至64岁之间的员工，代表了四家大公司和21个健康计划。该人群按公司和健康计划进行随机抽样。采用双变量和多变量分析来评估患者对医生的满意度水平与过去3年中与医生或其他健康专业人员报告的健康教育主题讨论之间的关系。
那些报告其医生或其他医疗保健专业人员在过去3年中至少与他们讨论过一个健康教育主题的患者，与未讨论过的患者相比，更有可能对其医生感到满意（未调整的优势比[OR]=1.96；95%置信区间[CI]为1.79至2.25）。在多变量模型中，这种关系仍然呈正向且具有统计学意义（调整后的OR=1.49；95%CI为1.32至1.68）。在所有类型的健康维护组织（HMO）和管理式医疗计划的参保患者中，以及那些拥有赔偿或按服务收费保险的患者中，都观察到了这种关系。
那些报告其医生或其他医疗保健专业人员在过去3年中曾与他们讨论过一个或多个健康教育主题的患者，比那些报告未讨论过的患者更有可能对其医生非常满意。
