患者体验和对共享决策的满意度:在门诊患者中进行的一项横截面研究
Cindy Yue Tian1, Eliza Lai-Yi Wong1, Hong Qiu1
1JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China; Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Patient education and counseling
|September 1, 2024
概括
更好的医生沟通和更长的访问改善了患者对共享决策 (SDM) 的满意度,尽管不一定是参与. 患者对医生的信任是SDM满意度的关键.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者体验患者体验
- 分享决策的共同决策
背景情况:
- 有效的医生-病人沟通和信任对于患者的满意度至关重要.
- 共享决策 (SDM) 旨在让患者参与他们的医疗保健选择.
研究的目的:
- 调查医生与患者之间的沟通和信任对SDM内的患者体验和满意度的影响.
- 分析沟通风格和咨询时间如何影响患者参与和对决策的满意度.
主要方法:
- 来自香港27家专科门诊的12,401名患者的横截面调查数据.
- 采用多变量回归模型来分析沟通因素,信任和SDM结果之间的关联.
主要成果:
- 医生沟通技能的提高与决策参与率较低有关,但对参与的满意度明显更高.
- 较长的咨询时间也与参与度减少,但满意度增加相关.
- 患者对医生的信任显著介导了沟通/咨询时间和决策满意度之间的关系,但不是持续时间和满意度.
结论:
- 改善的沟通和扩展的咨询积极影响患者对SDM的满意度,即使直接参与并不增加.
- 患者的信任是SDM过程中的关键调解者,影响参与和满意度.
- 医疗保健提供者应该根据患者的偏好和能力量身定制沟通策略,以优化决策中的满意度.
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