Dear Doctor: A Tool to Facilitate Patient-Centered Communication
Dear Doctor: A Tool to Facilitate Patient-Centered Communication
复制标题
DOI：
10.1002/jhm.2073
复制
发表时间：
2013-10-01
影响因子：
2.6
通讯作者：
Kim, Christopher S.
中科院分区：
文献类型：
--
作者：
Farberg, Aaron S.;Lin, Andrew M.;Kim, Christopher S.
以患者为中心的护理已被确定为21世纪世纪医疗保健系统的6个目标之一。记事本是一个简单的提醒和个人互动的工具。我们引入了Dear Doctor（DD）notes，这是一种床边记事本，旨在提示患者问题并提高患者满意度。（2009年7月至2009年9月），在一家大型学术医疗中心，干预组（1名普通内科和1名心脏病科）的所有住院患者都收到了DD记事本、一支笔及其使用说明。我们调查了干预组（n = 440）收到DD笔记的患者，并将其反应与匹配的对照组（1个普通内科和1个心脏科，n = 224）进行了比较。在干预组接受调查的440名患者中，78%（n = 343）在其房间内收到了笔记本，47%（n = 207）使用了笔记本。在343名接受DD记事本的患者中，65%（n = 223）报告说他们记录了与住院时间相关的笔记，而对照组224名患者（n = 50）中只有22%（P < 0.001）。使用DD笔记的207名患者的问题更经常被他们的医生回答，与对照组相比（4.63 vs 4.45; P < 0.001）。然而，在意向性治疗分析中，干预组和对照组的总体沟通评分没有差异（4.55 vs 4.55，P = 0.89）。所有使用DD记事本的患者在调查中回答说，与他们的医生的沟通至少在一定程度上得到了加强。一个简单的，低成本的，以病人为中心的工具，如DD笔记，可以提高病人的整体经验与他们的供应商和医院。医院医学杂志2013;8：553-558。(c)2013医院医学学会
BACKGROUNDPatient-centered care has been identified as 1 of the 6 aims for the 21st century healthcare system. The notepad is a simple tool for reminders and personal interactions. We introduced Dear Doctor (DD) notes, a bedside notepad designed to prompt patient questions and improve patient satisfaction.OBJECTIVETo provide DD notes as a bedside tool to facilitate patient communication and improve patient encounters with physicians in the hospital.DESIGNThis is a single-center, cross-sectional survey.METHODSOver a 3-month period (July 2009-September 2009), all hospitalized patients in the intervention group (1 general medicine and 1 cardiology unit) at a large academic medical center received a DD notepad, a pen, and instructions on its use. We surveyed patients who received the DD notes on the intervention group (n = 440) and compared their responses to those from a matched control group (1 general medicine and 1 cardiology unit, n = 224).RESULTSOf the 440 patients surveyed in the intervention group, 78% (n = 343) received the notepads in their rooms and 47% (n = 207) used them. Of the 343 patients who received the DD notepads, 65% (n = 223) reported that they took notes related to their hospital stay compared to only 22% of 224 patients (n = 50) in the control group (P < 0.001). The 207 patients using the DD notes had their questions more often answered by their physicians as measured on a 5-point Likert scale, compared to the control group (4.63 vs 4.45; P < 0.001). However, overall rating of communication did not differ between intervention and control groups in an intention-to-treat analysis (4.55 vs 4.55, P = 0.89). All patients who used the DD notepads responded on the survey that communication with their physicians was enhanced to at least some degree.CONCLUSIONSUtilizing a bedside notepad improved patients' satisfaction with physician communication. A simple, low-cost, patient-centered tool such as the DD notes may enhance a patient's overall experience with their providers and the hospital. Journal of Hospital Medicine 2013;8:553-558. (c) 2013 Society of Hospital Medicine