Weyrauch K F
Department of Psychiatry and Behavioral Science, University of Washington, Seattle, USA.
J Am Board Fam Pract. 1996 Jan-Feb;9(1):31-6.
This study describes the relation between patient satisfaction with physician performance and seeing one's "own doctor" for a recent office visit.
A cross-sectional, randomized, computer-assisted telephone interview survey was performed at an urban health maintenance organization; 1146 responses were analyzed.
Patients seeing their own physicians were significantly more satisfied than patients seeing another physician, even after controlling for effects of patient age, sex, reason for visit, clinic attended, satisfaction with appointment making, and interval between scheduling and making the visit. The interaction between getting one's choice of provider and seeing one's own physician was a significant predictor of satisfaction (P = 0.003). Among patients who got their choice of provider, seeing one's own physician had a more significant effect on satisfaction than seeing any other physician (P = 0.0009 compared with P = 0.04). Patients who did not receive their choice of provider but who did see their own physician had the highest satisfaction scores (P = 0.007).
To increase patient satisfaction with physician performance, health maintenance organizations should ensure that patients see their "own doctor" whenever possible for routine office visits.
本研究描述了患者对医生表现的满意度与近期门诊就诊时看“自己的医生”之间的关系。
在一家城市健康维护组织进行了一项横断面、随机、计算机辅助电话访谈调查；对1146份回复进行了分析。
即使在控制了患者年龄、性别、就诊原因、就诊诊所、对预约的满意度以及预约与就诊之间的间隔等因素后，看自己医生的患者比看其他医生的患者满意度显著更高。选择医生的同时又看自己的医生这种相互作用是满意度的一个显著预测因素（P = 0.003）。在选择了自己心仪医生的患者中，看自己的医生对满意度的影响比看其他任何医生都更显著（P = 0.0009，而看其他医生时P = 0.04）。未选择到自己心仪医生但看了自己医生的患者满意度得分最高（P = 0.007）。
为提高患者对医生表现的满意度，健康维护组织应确保患者在进行常规门诊就诊时尽可能看“自己的医生”。
