Survey of Patient and Physician Satisfaction Regarding Patient-Centered Outpatient Consultations in Japan
Survey of Patient and Physician Satisfaction Regarding Patient-Centered Outpatient Consultations in Japan
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DOI：
10.2169/internalmedicine.50.5107
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发表时间：
2011-01-01
影响因子：
1.2
通讯作者：
Maezawa, Masaji
中科院分区：
文献类型：
--
作者：
Kisa, Kengo;Kawabata, Hidenobu;Maezawa, Masaji
目的本研究的目的是显示在农村环境中的病人和医生之间的咨询满意度的差异，并确定影响他们的满意度的变量，这些encounter.Methods我们收集的数据，包括满意度的问题，以病人为中心的方法，病人和医生，转录数据的医疗记录，并观察咨询的人。然后，我们建立了累积logits的病人和医生的满意度评分进行有序的logistic回归使用比例优势model.Patients七名医生和122名patients participated in the study.Results患者和医生都表示很高的满意度，他们的咨询会议。患者的满意度往往高于医生的满意度。医生对更长时间的咨询感到满意，但病人不满意。此外，漫长的等待时间使患者感到不满。在单次访视期间出现多个医疗事件（不同疾病的治疗过程）的情况下，患者满意度下降，而医生满意度增加。医生满意度的互动一般是少，当他们检查同一个病人谁以前访问them.Conclusion我们的研究结果表明，如果医生感到满意，他们的咨询，病人也感到满意，无论医生的意见。影响患者和医生满意度的变量包括同一位医生的既往访视、咨询时间、较长的等待时间和发作次数。这些来自日本诊所的发现与以前报道的其他国家一致。
Objective The purpose of this study was to show the difference in consultation satisfaction between patient and physician in rural settings, and identify the variables affecting their satisfaction regarding these encounters.Methods We collected data by administering questionnaires that included questions regarding satisfaction for a patient-centered approach to patients and physicians, transcribing data from medical records, and observing consultations in person. We then modeled cumulative logits of patient and physician satisfaction scores by performing ordered logistic regression using the proportional odds model.Patients Seven physicians and 122 patients participated in the study.Results Both patients and physicians expressed high satisfaction with their consultation sessions. Patient satisfaction tended to be higher than physician satisfaction. Physicians were satisfied with longer consultations but patients were not. Moreover, the long waiting times dissatisfied patients. In cases of multiple healthcare episodes (courses of treatment for a different condition) during a single visit, patient satisfaction decreased, while physician satisfaction increased. Physician satisfaction for interactions in general was less when they checked the same patient who had previously visited them.Conclusion Our findings suggest that if physicians feel satisfied with their consultation, patients also feel satisfied regardless of the physician's opinion. The variables that affect patient and physician satisfaction include prior visits with the same physician, consultation length, longer waiting times, and number of episodes. These findings from Japanese clinics are consistent with those previously reported for other countries.