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透过镜子:比较医院医生和内科医生对反的看法
Andrew V Raikhel1,2, Helene Starks3, Gabrielle Berger2
1Department of Hospital Medicine, VA (Veteran's Affairs) Puget Sound Healthcare System, Seattle Division, Seattle, USA.
Cureus
|July 30, 2024
概括
住院医生和医院医生在反的具体性和及时性方面存在分歧. 医院医生报告提供比居民报告接收更有效的反组件,这表明医疗教育中存在关键的沟通缺口.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
- 医生沟通 医生沟通 医生沟通
背景情况:
- 有效的反对于内部医学的住院发展至关重要.
- 有共同期望的合作关系提高了反质量.
- 有限的研究存在于居民和医院医师对反组件的看法.
研究的目的:
- 探索内科住院医生和医院医师对关键反组件的观点.
- 识别反特异性,及时性,尊重沟通和可操作性的感知中的差异.
主要方法:
- 在一个大型城市培训计划中,对内科住院医生和医院医生进行了一项调查.
- 参与者报告了他们对有效反的四个基本要素的看法.
- 住院医生的反应率为71%和医院医生的57% .
主要成果:
- 在反的具体性和及时性方面发现了显著的不一致.
- 与医院医生报告 (90%和82%) 相比,居民报告的反 (54%) 和及时性 (33%) 较少.
- 两组人都同意,反是双向对话 (84%对89%) 和尊重地交付 (95%对97%).
结论:
- 居民和医院医生对反特异性和时间的看法之间存在着显著的差距.
- 医院医生认为提供更有效的反元素比居民报告收到的更有效.
- 这种不一致的原因很可能是复杂的,需要进一步调查.
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