探索医生与患者关系的动态:影响患者满意度和投诉的因素
Mehrnaz Mostafapour1, Jacqueline H Fortier1, Gary Garber1,2,3
1Department of Safe Medical Care Research, Canadian Medical Protective Association, Ottawa, Canada.
概括
了解医生与患者之间的关系是减少患者不满和医疗投诉的关键. 本综述确定了患者和医生特征,它们的相互作用以及影响满意度和法律风险的医疗保健系统的因素.
科学领域:
- 医学社会学 医学社会学
- 医疗保健管理的管理
- 患者体验研究 研究研究
背景情况:
- 医生与病人之间的关系是医疗保健的核心.
- 患者的不满和医疗法律投诉往往源于关系问题.
- 需要对影响因素进行系统分析,以提高护理质量.
研究的目的:
- 确定影响医生与患者关系的因素.
- 探索这些因素对患者满意度和投诉的影响.
- 制定一个框架来缓解医疗保健中的关系问题.
主要方法:
- 92项定量,定性和混合方法研究的系统审查.
- 检索文献的专题分析.
- 开发一个描述模型,说明关键主题.
主要成果:
- 三个相互关联的主题显著影响医生与患者的动态:患者/医生特征,人际交互以及医疗保健系统/政策因素.
- 这些主题直接影响患者的满意度和医疗法律投诉的可能性.
- 一个描述模型可视化了这些复杂的关系.
结论:
- 医生可以通过解决已识别的关系问题来改善治疗关系.
- 缓解这些因素可以降低医学法律风险,提高临床实践质量.
- 这些发现为医疗教育和干预开发提供了一个框架,以改善医生与患者的互动.
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