在奥地利的内部医学中,选择性和合同医生之间的患者赋权差异:定量内容分析
Bettina Simetsberger1,2, Manfred Pferzinger3,4, Martin K J Waiguny3
1IMC University of Applied Sciences Krems, Krems, Austria. bsimetsberger@gmx.at.
BMC health services research
|April 1, 2025
概括
维也纳的选择性医生比合同医生更好地促进患者的赋权,特别是在健康素养和自我管理方面. 医生与患者的互动时间是促进患者赋权的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者赋权研究 患者赋权研究
- 医生与病人沟通 医生与病人沟通
背景情况:
- 医生在促进患者赋权方面发挥着至关重要的作用.
- 奥地利的任择医生和合同医生在与社会医疗保险的合同关系上有所不同.
- 这项研究调查了维也纳的选择性和合同医生之间的患者赋权差异.
研究的目的:
- 为了比较在维也纳内科的选择性和合同医生之间促进患者赋权.
- 分析患者赋权的四个关键维度之间的差异.
主要方法:
- 在DocFinder.at.at上的医生评论的定量内容分析.
- 一个演式-诱导式的方法,使用一个代码书,有七个类别和48个变量.
- 分析了从总共有1,153个收集的评论中收集的912个相关评论.
主要成果:
- 选择性医生在健康素养和自我管理方面表现出色,提供更有效的关系因素和详细的解释.
- 在共享决策方面没有显著差异,尽管治疗选择讨论与医生时间相关.
- 选择性医生在事实和人际沟通方面表现出优势,但在患者提出问题能力方面没有.
结论:
- 选择性医生培养一个更有利的环境,为患者赋权.
- 医生与患者的互动时间是影响患者赋权的关键因素.
- 未来使用调查或采访的研究可以提供更全面的理解.
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