调查以患者为中心的沟通与中国电子咨询质量的关系:一项跨部门标准化患者研究
Faying Song1, Xue Gong2, Rui Guo1
1School of Public Health, Capital Medical University.
Health communication
|October 9, 2024
概括
在电子咨询中改善医生与患者的沟通提高了服务质量. 较高的以患者为中心的沟通得分与更好的诊断,满意度和结果相关.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 数字卫生服务数字卫生服务
- 患者体验研究 研究研究
背景情况:
- 以患者为中心的沟通对于高质量的医疗保健至关重要.
- 电子咨询对医生与患者的互动提出了独特的挑战.
- 了解沟通对电子咨询质量的影响至关重要.
研究的目的:
- 在电子咨询期间识别当前医生与患者沟通的弱点.
- 确定以患者为中心的沟通的关键要素,以提高电子咨询服务质量.
- 分析沟通质量与电子咨询结果之间的关联.
主要方法:
- 利用了321个标准化的患者互动,用于疹和儿童腹病例.
- 衡量以患者为中心的沟通 (探索经验,社会情况,共识).
- 通过回归分析评估电子咨询服务质量 (响应时间,诊断准确性,处方适当性,建议,满意度,意图,成本).
主要成果:
- 平均以患者为中心的沟通得分为17.67;平均响应长度为178.55个字.
- 准确诊断率高 (82.87%),但适当处方率较低 (21.81%).
- 更高的以患者为中心的沟通与更长的反应,准确的诊断,适当的处方,更好的建议,更高的满意度,持续意图和更高的成本相关.
结论:
- 在电子咨询中标准化和加强医生与患者之间的沟通是必要的.
- 针对医生的有针对性的培训可以提高沟通技巧和电子咨询结果.
- 以患者为中心的沟通显著影响了数字医疗互动的有效性和质量.
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