Rau J, Cross J L, Hofherr L K, Peddecord K M, Benenson A S, Garfein R S, Francis D P
Laboratory Assurance Program, Graduate School of Public Health, College of Health and Human Services, San Diego State University, CA 92182-4162, USA.
Med Care. 1996 Jan;34(1):1-10. doi: 10.1097/00005650-199601000-00001.
Physician satisfaction with the laboratory testing process is one indicator of the physician's perception of the quality of laboratory testing and the effectiveness of the communication of the laboratory results. This study compares the level of satisfaction of physicians reporting their experience with human immunodeficiency virus type 1 (HIV-1) testing with the satisfaction levels of those physicians reporting their experience with hepatitis B virus (HBV) testing. By mail, 6,570 licensed San Diego County physicians were surveyed. Among those who tested for HIV-1 or HBV, their satisfaction with four different HIV-1 or HBV testing parameters was assessed: 1) specimen submission process, 2) test accuracy, 3) clarity of test report, and 4) turnaround time. Overall, physician satisfaction with both HIV-1 and HBV testing was high, particularly for test accuracy (means of 2.79 and 2.84, respectively on a 3-point scale), although slightly lower for turnaround time (means of 2.40 and 2.43, respectively). Mean satisfaction with the specimen submission process and test accuracy were higher for physicians who ordered HBV tests than for those who ordered HIV-1 tests. Satisfaction with the four HIV-1 testing process parameters varied significantly by physician specialty, practice type, and type of laboratory used. For HBV testing, significant differences were observed only for turnaround time. For both HIV-1 and HBV testing, those who received a final interpretation of laboratory results were more satisfied with test report clarity than those who did not. Although physician satisfaction with HIV-1 and HBV testing is high, this study identifies the least satisfied groups and specific areas in the testing process than may need improvement.
医生对实验室检测过程的满意度是医生对实验室检测质量及实验室结果沟通有效性认知的一个指标。本研究比较了报告其人类免疫缺陷病毒1型（HIV-1）检测经历的医生的满意度水平与报告其乙型肝炎病毒（HBV）检测经历的医生的满意度水平。通过邮件对圣地亚哥县6570名持照医生进行了调查。在那些进行过HIV-1或HBV检测的医生中，评估了他们对四个不同的HIV-1或HBV检测参数的满意度：1）标本提交过程，2）检测准确性，3）检测报告的清晰度，以及4）周转时间。总体而言，医生对HIV-1和HBV检测的满意度都很高，尤其是检测准确性（在3分制量表上分别为2.79和2.84），不过周转时间的满意度略低（分别为2.40和2.43）。开具HBV检测单的医生对标本提交过程和检测准确性的平均满意度高于开具HIV-1检测单的医生。医生对HIV-1检测过程四个参数的满意度因医生专业、执业类型和所用实验室类型的不同而有显著差异。对于HBV检测，仅在周转时间上观察到显著差异。对于HIV-1和HBV检测，那些收到实验室结果最终解读的医生比未收到的医生对检测报告清晰度更满意。尽管医生对HIV-1和HBV检测的满意度较高，但本研究确定了满意度最低的群体以及检测过程中可能需要改进的具体领域。
