How much do surgeons like their patients?
How much do surgeons like their patients?
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外科医生有多喜欢他们的病人？
DOI：
10.1016/j.pec.2005.05.009
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发表时间：
2006
影响因子：
3.5
通讯作者：
Drum,Melinda
中科院分区：
文献类型：
--
作者：
Levinson,Wendy;Frankel,RichardM;Roter,Debra;Drum,Melinda
目的：在常规就诊过程中，医生会感受到对病人的关怀，有时甚至会感到沮丧。到目前为止，还没有研究探索外科医生对病人的感觉。我们的目标是：(1)评估外科医生对患者的喜好程度；(2)评估外科医生对患者和外科医生特征的喜好与患者满意度的关系。研究对象包括科罗拉多州和俄勒冈州的66名外科医生(骨科和普通外科医生)和701名患者。退出调查问卷询问外科医生他们对病人的满意程度，范围从“完全不喜欢”到“非常喜欢”。患者对访问的满意度按1-5分进行评分。以外科医生的喜好和病人的满意度为因变量进行Logistic回归分析。结果外科医生的喜好程度在所有五个类别中都不同。年龄在65岁以上、受教育程度和收入较高以及健康状况较好的患者特征与较高的喜好分数相关。外科医生的特征、每周工作时间、实践设置和外科医生对自己健康的自我评估与喜好有关。患者的满意度与“喜欢”有关。结论和实践这些发现揭示了一个很少被解决的问题--外科医生对他们病人的感觉。我们发现，外科医生并不同样喜欢他们的病人。他们的感觉与外科医生和患者的特征以及患者的满意度有关。我们的发现对于寻求改善护理、努力提高或保持自己的职业满意度的外科医生具有重要的意义。
OBJECTIVESPhysicians experience feelings of caring and sometimes frustration toward patients during routine visits. To date, no studies have explored surgeons’ feelings toward patients. Our objectives were: (1) to examine how much surgeons like their patients and (2) to assess the relationship of surgeons’ liking to patient and surgeon characteristics and to patient satisfaction.METHODSParticipants included 66 surgeons (orthopaedic and general surgeons) in community practice in Colorado and Oregon, and 701 of their patients. Exit questionnaires asked surgeons how much they liked the patient on a 1–5 scale ranging from “not at all” to “very much”. Patients scored satisfaction with the visit on a 1–5 scale. Logistic regression was conducted with surgeon liking and patient satisfaction as dependent variables.RESULTSSurgeons’ ratings of liking ranged across all five categories. Patient characteristics including age over 65 years, higher education and income, and better health were associated with higher liking scores. Surgeon characteristics hours worked per week, practice setting and surgeons’ self-rating of their own health were associated with liking. Patient satisfaction were associated with “liking”.CONCLUSION AND PRACTICE IMPLICATIONSThese findings shed light on a rarely addressed issue—surgeons’ feelings toward their patients. We found that surgeons do not like their patients equally. Their feelings are associated with surgeon and patient characteristics, and with patient satisfaction. Our findings have important implications for surgeons seeking to improve care striving to enhance or maintain their own career satisfaction.