Patient Participation in the Patient-Provider Interaction: The Effects of Patient Question Asking on the Quality of Interaction, Satisfaction and Compliance*
Patient Participation in the Patient-Provider Interaction: The Effects of Patient Question Asking on the Quality of Interaction, Satisfaction and Compliance*
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患者参与医患互动：患者提问对互动质量、满意度和依从性的影响*
DOI：
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发表时间：
1977
期刊：
影响因子：
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通讯作者：
D. Roter
中科院分区：
文献类型：
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作者：
D. Roter
本研究的目的是调查的有效性，动力学和健康教育干预的后果，旨在增加病人的医疗访问期间的病人提问。数据收集在巴尔的摩家庭和社区健康中心，提供门诊服务，以低收入，主要是黑人和女性人口。此外，大多数研究参与者都是老年人和慢性病患者。共有294名患者和3名提供者参加了这项研究。研究设计包括将患者随机分配到实验组和安慰剂组以及两个非等效（非随机）对照组。结果发现：（1）实验组病人比安慰剂组病人提出更多的直接问题和更少的间接问题。(2)实验组患者-提供者互动的特点是消极的影响，焦虑和愤怒，而安慰剂组患者-提供者互动的特点是相互同情。(3)与安慰剂组患者相比，实验组患者对就诊当天在诊所接受的护理不太满意。(4)实验组患者在四个月的前瞻性监测期间表现出更高的预约保持率（平均预约次数除以平均预约次数）。
The purpose of this study was to investigate the effectiveness, dynamics, and consequences of a health education intervention designed to increase patient question asking during the patient's medical visit. Data were collected at a Baltimore family and community health center which provides outpatient services to a low income, predominantly black and female population. The majority of the study participants were, in addition, elderly and chronically ill. A total of 294 patients and 3 providers took part in the study. The study design included random assignment of patients to experimental and placebo groups with two non-equivalent (non-randomized) control groups. Findings included: (1) The experimental group patients asked more direct questions and fewer indirect questions than did placebo group patients. (2) The experimental group patient-provider interaction was characterized by negative affect, anxiety, and anger, while the placebo group patient-provider interaction was characterized as mutually sympathetic. (3) The experimental group patients were less satisifed with care received in the clinic on the day of their visit than were placebo patients. (4) The experimental group patients demonstrated higher appointment-keeping ratios (an average number of appointments kept divided by an average number of appointments made) during a four-month prospective monitoring period.