The impact of matching the patient's vocabulary: a randomized control trial.
The impact of matching the patient's vocabulary: a randomized control trial.
复制标题
匹配患者词汇的影响：随机对照试验。
DOI：
10.1093/fampra/cmh610
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发表时间：
2004
期刊：
影响因子：
2.2
通讯作者：
J. Ogden
中科院分区：
文献类型：
--
作者：
N. Williams;J. Ogden
背景
全科医学研究强调咨询中匹配的模型、信念和词汇的重要性。
客观化
本研究旨在探讨匹配与不匹配词汇对患者会诊满意度的影响。
方法
这项研究是在一家内城综合诊所进行的。患者(n=62)在咨询与性、身体功能或解剖学相关的问题时，被随机分为匹配词汇咨询和不匹配词汇咨询。匹配的会诊要求医生使用与患者相同的词汇。不匹配的会诊需要医生使用医学词汇。来自60名患者的完整问卷被收回。主要测量结果是患者满意度(使用医学访谈满意度量表)。它评估总体满意度，并有四个子量表：痛苦缓解；沟通舒适度；融洽；和合规意图。还评估了医生对咨询的满意度。
结果
结果表明，两组在人口统计学变量和医生满意度方面具有可比性。但配对咨询组患者的总体满意度、亲和力、沟通舒适度、痛苦缓解和遵医意向评分均显著高于非配对咨询组。
结论
结果表明，医生对词汇的选择会在全科会诊后立即影响患者的满意度，使用与患者相同的词汇可以改善患者的预后。
BACKGROUND
Research in general practice emphasizes the importance of matched models, beliefs and vocabulary in the consultation.
OBJECTIVE
The present study aimed to explore the impact of matched and unmatched vocabulary on patient satisfaction with consultations.
METHODS
The study took place in one inner city general practice. Patients (n=62) were randomized to either matched or unmatched vocabulary consultations when consulting for problems relating to sexual or bodily function or anatomy. Matched consultations required the doctor to use the same vocabulary as the patient. Unmatched consultations required the doctor to use medical vocabulary. Completed questionnaires were received from 60 patients. The main outcome measure was patient satisfaction (using the Medical Interview Satisfaction Scale). This assesses total satisfaction and has four subscales: distress relief; communication comfort; rapport; and compliance intent. Doctor satisfaction with the consultation was also assessed.
RESULTS
The results showed that the two groups were comparable for demographic variables and doctor satisfaction. However, patients in the matched consultation group had significantly higher total satisfaction scores and higher ratings of rapport, communication comfort, distress relief and compliance intent than those in the unmatched group.
CONCLUSION
The results indicate that a doctor's choice of vocabulary affects patient satisfaction immediately after a general practice consultation and that using the same vocabulary as the patient can improve patient outcomes.