How are patients' specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians?
How are patients' specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians?
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DOI：
10.1046/j.1525-1497.2002.10209.x
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发表时间：
2002-01-01
影响因子：
5.7
通讯作者：
Cleary, PD
中科院分区：
文献类型：
--
作者：
Keating, NL;Green, DC;Cleary, PD
内容：很少有数据是关于病人的问题与人际方面的medicalcare.Objective的后果：要评估门诊问题的经验和病人的信任，他们的医生，他们的医生评级，并考虑更换医生之间的关系。我们将患者的报告归类为问题经历，他们的医生并不总是1）给他们足够的时间解释就诊的原因，2）回答可以理解的问题，3）花足够的时间回答问题，4）询问他们的家庭或生活状况如何影响他们的健康，5）提供尽可能多的医疗信息，研究设计：1997年电话调查，对象：患者（N= 2，052; 58%回答）由一家大型国家健康保险公司承保。测量指标：患者信任度、医生的总体评分以及是否考虑更换医生。大多数患者（78%）报告至少有1次问题经历，在多变量分析中，每次问题经历与较低的信任独立相关（所有P
Context: Few data are available regarding the consequences of patients' problems with interpersonal aspects of medical care.Objective: To assess the relationships between outpatient problem experiences and patients' trust in their physicians, ratings of their physicians, and consideration of changing physicians. We classified as problem experiences patients' reports that their physician does not always 1) give them enough time to explain the reason for the visit, 2) give answers to questions that are understandable, 3) take enough time to answer questions, 4) ask about how their family or living situation affects their health, 5) give as much medical information as they want, or 6) involve them in decisions as much as they want.Design: Telephone survey during 1997.Participants: Patients (N= 2,052; 58% response) insured by a large national health insurer.Measurements: Patient trust, overall ratings of physicians, and having considered changing physicians.Results: Most patients (78%) reported at least 1 problem experience, in multivariable analyses, each problem experience was independently associated with lower trust (all P