患者对葡萄牙家庭医生的沟通能力的看法:一项跨部门研究
Catarina A Gonçalves1, Catarina F Alves1, Catarina S Alves2
1USF (Unidade de Saúde Familiar) Pedras Rubras, ULS (Unidade Local de Saúde) São João, Maia, PRT.
Cureus
|January 30, 2026
概括
患者对医生沟通的看法因地区和医生性别而异,农村地区和女性医生表现出更好的沟通. 女性患者和男性医生经历了最多的沟通挑战,突出了赋予患者权力的必要性.
科学领域:
- 医学沟通 医学沟通
- 患者与医生的关系
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的医生与患者沟通对于强大的医生与患者伙伴关系至关重要.
- 性别和社会经济地位等因素影响沟通质量.
- 了解患者对医生沟通的看法对于改善医疗保健互动至关重要.
研究的目的:
- 评估患者对不同地区医生沟通行为的看法.
- 分析社会人口学特征如何影响患者对医生沟通的看法.
- 确定需要增强的医生与患者沟通的特定维度.
主要方法:
- 一项涉及439名患者的横截面观察性研究.
- 医生沟通行为问卷 (DCBQ-QCCM) 的管理.
- 使用曼-惠特尼和克鲁斯卡尔-瓦利斯测试进行区域和社会人口统计比较的统计分析.
主要成果:
- DCBQ-QCCM的高内部一致性 (克朗巴赫的α=0.964).
- 在"理解" (89.8%) 和"口头沟通" (81.8%) 中达成最高一致.
- 基于地区 (农村与城市),医生类型和医生-病人性别对象的沟通感知有显著差异.
结论:
- 与城市相比,在农村环境中,人们对沟通的看法更为乐观.
- 与男性医生相比,女性医生通常表现出优越的沟通技巧.
- 加强以患者为中心的沟通,特别是通过"给患者发声",对于临床实践至关重要.
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