Physician-patient communication and patient satisfaction in Japanese cancer consultations
Physician-patient communication and patient satisfaction in Japanese cancer consultations
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DOI：
10.1016/s0277-9536(01)00173-3
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发表时间：
2002-07-01
影响因子：
5.4
通讯作者：
Katsumata, N
中科院分区：
文献类型：
--
作者：
Ishikawa, H;Takayama, T;Katsumata, N
在过去的几十年里，医患沟通在西方国家得到了广泛的研究，因为它对医患关系和患者的健康结果具有重要的意义。尽管日本最近引入了关于这种关系的各种概念和模型，但关于日本医患互动的研究很少。这项研究的目的是描述日本癌症会诊中医患沟通的特点，并检验这种互动与患者满意度的关系。包括140名癌症门诊患者和12名医生。应用Roter交互分析系统(RIAS)，这是最常用的医患交互分析系统之一。医生比病人说出更多的话来指导互动，他们的讨论主要集中在生物医学主题上。研究结果表明，本研究的医患互动结构与西方以往的研究基本相似，但也存在一定的差异。医患沟通与患者满意度之间的关系与以往的研究基本一致。患者对医生使用更多开放式问题的会诊更满意。另一方面，医生的指导和鼓励与患者满意度呈负相关。此外，问问题越多的患者对会诊的满意度越低。(C)2002爱思唯尔科学有限公司。保留所有权利。
Over the past few decades, physician-patient communication has been intensively studied in western countries, because of its importance for the physician-patient relationship and patient health outcomes. Although various concepts and models of this relationship have recently been introduced in Japan, there are few studies on Japanese physician-patient interaction. The purpose of this study is to describe characteristics of physician-patient communication in a Japanese cancer consultation, and to examine the relation of this interaction with patient satisfaction. One hundred and forty cancer outpatients and twelve physicians were included. The Roter Interaction Analysis System (RIAS), one of the most frequently used systems for analyzing physician-patient interaction, was applied. physicians made more utterances directing the interaction than patients did, and their discussion was largely focused on biomedical topics. It can be concluded that the structure of the physician-patient interaction in our study was basically similar to those in previous western studies, although some differences were also found. The relation between physician-patient communication and patient satisfaction was generally consistent with previous studies. Patients were more satisfied with consultations in which the physician used more open-ended questions. On the other hand, physician direction and encouragement was negatively associated with patient satisfaction. Also, patients who asked more questions were less satisfied with the consultation. (C) 2002 Elsevier Science Ltd. All rights reserved.