Influences on patients' ratings of physicians: Physicians demographics and personality
Influences on patients' ratings of physicians: Physicians demographics and personality
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DOI：
10.1016/j.pec.2006.09.007
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发表时间：
2007-02-01
影响因子：
3.5
通讯作者：
Epstein, Ronald M.
中科院分区：
文献类型：
--
作者：
Duberstein, Paul;Meldrum, Sean;Epstein, Ronald M.
目的：有相当大的兴趣的影响，对患者的评级的physics.Methods：在这个横断面研究中，患者（n = 4616;年龄范围：18-65岁）评价他们的满意度与他们的初级保健医生（n = 96）。患者和医生从罗切斯特，纽约大都会地区的初级保健实践中招募。出于分析目的，对患者-医生关系的长度进行分层（= 5年）。主成分因子分析的项目，从卫生保健气候问卷，初级保健评估调查和病人满意度问卷产生了一个单一的因素标记为“满意度”，作为唯一的因变量。分数越高意味着满意度越高。感兴趣的预测因素是患者的人口统计学和发病率以及医生的人口统计学和个性，评估项目从NEO-FFI.Results：患者治疗的医生为1年或更少的评价男性医生高于女性医生。这种性别差异在1年后消失，但两种医生人格特征（开放性和尽责性）与患者在更长时间的医患关系中的评分相关。患者报告说，他们对那些开放性相对较高、尽责性相对较好的医生更满意。老年患者对医生的评价高于年轻患者，且医疗负担越重的患者对医生的评价越高。未来对病人满意度和医患关系的研究将受益于对医生个性的考虑。识别医生的人格特质，促进或破坏沟通，信任，以病人为中心，和病人坚持规定的treatments is a important priority.Practice implications：Learning environments could be created to reinforce certain traits and corresponding habits of mind that enhance patient satisfaction.医学教育和实践文化的这种转变可能对患者护理产生影响。(c)2006年由Elsevier爱尔兰有限公司出版。
Objective: There is considerable interest in the influences on patients' ratings of physicians.Methods: In this cross-sectional study, patients (n = 4616; age range: 18-65 years) rated their level of satisfaction with their primary care physicians (n = 96). Patients and physicians were recruited from primary care practices in the Rochester, NY metropolitan area. For analytic purposes, length of the patient-physician relationship was stratified (= 5 years). Principal components factor analysis of items from the Health Care Climate Questionnaire, the Primary Care Assessment Survey and the Patient Satisfaction Questionnaire yielded a single factor labeled "Satisfaction" that served as the sole dependent variable. Higher scores mean greater satisfaction. Predictors of interest were patient demographics and morbidity as well as physician demographics and personality, assessed with items from the NEO-FFI.Results: Patients treated by a physician for 1 year or less rated male physicians higher than female physicians. This gender difference disappeared after 1 year, but two physician personality traits, Openness and Conscientiousness, were associated with patients' ratings in lengthier patient-physician relationships. Patients report being more satisfied with physicians who are relatively high in Openness and average in Conscientiousness. Older patients provide higher ratings than younger patients, and those with greater medical burden rated their physicians higher.Conclusion: Patients' ratings of physicians are multi determined. Future research on patient satisfaction and the doctor-patient relationship would benefit from a consideration of physician personality. Identifying physician personality traits that facilitate or undermine communication, trust, patient-centeredness, and patient adherence to prescribed treatments is an important priority.Practice implications: Learning environments could be created to reinforce certain traits and corresponding habits of mind that enhance patient satisfaction. Such a shift in the culture of medical education and practice could have implications for patient care. (c) 2006 Published by Elsevier Ireland Ltd.