THE RELATIONSHIP BETWEEN PATIENTS SATISFACTION WITH THEIR PHYSICIANS AND PERCEPTIONS ABOUT INTERVENTIONS THEY DESIRED AND RECEIVED
THE RELATIONSHIP BETWEEN PATIENTS SATISFACTION WITH THEIR PHYSICIANS AND PERCEPTIONS ABOUT INTERVENTIONS THEY DESIRED AND RECEIVED
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DOI：
10.1097/00005650-198911000-00004
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发表时间：
1989-11-01
期刊：
影响因子：
3
通讯作者：
BLUM, MJ
中科院分区：
文献类型：
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作者：
BRODY, DS;MILLER, SM;BLUM, MJ
本研究旨在确定患者对医生的满意度，患者报告他们接受的干预措施类型之间的关系，以及这些干预措施与他们想要的干预措施类型之间的一致性。118名有症状的成人初级保健患者在各自的医疗访视前后完成了问卷调查。接受教育（P< 0.001）、压力咨询（P< 0.05）和协商（P< 0.01）这三种非技术性干预措施之一的患者比未接受这些干预措施的患者更满意。患者对接受技术干预，即检查，测试，药物治疗和非药物治疗的看法，与患者满意度无关。除了接受药物治疗与访视后药物治疗意愿之间的相互作用外，患者干预意愿与接受干预的感知之间的一致性与满意度之间没有显著相关（P< 0.001）。一系列的多元回归分析显示，在一般情况下，对非技术干预的看法是更好的预测病人的满意度比对技术干预的看法。
This study was designed to determine the relationship between patients' satisfaction with their physician, the types of interventions that patients reported they received, and the congruence between those interventions and the types of interventions they desired. One hundred eighteen symptomatic adult primary-care patients completed questionnaires before and after their respective medical visits. Patients who indicated they received any one of the three nontechnical interventions: education (P< 0.001), stress counseling (P< 0.05), and negotiation (P< 0.01), were significantly more satisfied than those who had not received these interventions. Patient perceptions about receiving technical interventions, ie, examination, tests, medications, and nondrug therapy, were not related to patient satisfaction. The congruence between patient-intervention desires and perceptions about interventions received generally were not significantly related to satisfaction except for the interaction between receiving a medication and postvisit-medication desires (P< 0.001). A series of multiple regression analyses revealed that, in general, perceptions about nontechnical interventions were better predictors of patient satisfaction than perceptions about technical interventions.