Gross D A, Zyzanski S J, Borawski E A, Cebul R D, Stange K C
Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio, USA.
J Fam Pract. 1998 Aug;47(2):133-7.
We examined the variables related to patient satisfaction with the time spent with their family physician during the office visit.
Research nurses directly observed consecutive patient visits to 138 family physicians in 84 practices. Analyses examined sequential models of the association of patient and physician characteristics, visit type and length, and time use during visits, with patients' satisfaction with the amount of time spent with their physician.
Among 2315 visit by adult patients returning questionnaires, patient satisfaction with the time spent with their physician was high and strongly linked to longer visits (P < 001). After controlling for visit duration, greater patient satisfaction with time spent was associated with older patient age, white race, better perceived health status, visits for well care, and visits with a greater proportion of the visit spent chatting. The physician's discussion of test results or findings from the physical examination was associated with greater satisfaction with time spent for visits longer than 15 minutes, but with less satisfaction with time spent for shorter visits.
Physicians can enhance patient satisfaction with the amount of time spent during an office visit by spending a small proportion of time chatting about nonmedical topics, and by allowing sufficient time for exchange with the patient is feedback is necessary.
我们研究了与患者对门诊期间与家庭医生相处时间的满意度相关的变量。
研究护士直接观察了84家诊所中138位家庭医生的连续患者就诊情况。分析考察了患者和医生特征、就诊类型和时长以及就诊期间时间利用情况与患者对与医生相处时间满意度之间的序列模型。
在2315名返还问卷的成年患者就诊中，患者对与医生相处时间的满意度较高，且与较长的就诊时间密切相关（P < 0.001）。在控制就诊时长后，对相处时间更高的满意度与患者年龄较大、白人种族、更好的自我感知健康状况、健康检查就诊以及就诊期间聊天比例更高有关。对于超过15分钟的就诊，医生对检查结果或体格检查发现的讨论与对相处时间更高的满意度相关，但对于较短的就诊，与对相处时间较低的满意度相关。
医生可以通过花一小部分时间聊聊非医疗话题，以及在必要时留出足够时间与患者交流反馈，来提高患者对门诊期间相处时间的满意度。
