Expectations and Level of Satisfaction of Patients and Their Physicians: Concordance and Discrepancies
Expectations and Level of Satisfaction of Patients and Their Physicians: Concordance and Discrepancies
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DOI：
10.1016/j.psym.2014.10.001
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发表时间：
2015-09-01
期刊：
影响因子：
3.4
通讯作者：
Baider, Lea
中科院分区：
文献类型：
--
作者：
Goldzweig, Gil;Abramovitch, Amitai;Baider, Lea
背景资料：识别患者对医生提供的支持的期望与医生对他们提供给患者的支持的评价之间的差异，是构建有效医患沟通的关键因素。目的：目前的研究提出并探讨了一种范式，用于评估癌症患者和医生对“实际”和“理想”（期望）的情感和认知支持肿瘤学家的看法之间可能存在的差距和重叠。提供给患者。方法：研究对象为1027例癌症患者和47名肿瘤科资深医师。患者和医生的期望水平和满意度的情感和认知的支持，由医生提供的评估使用的实际和理想的情况之间的差异的定量测量。这项措施是为这项研究开发的，并在200名患者和17名肿瘤学家的随机样本中进行了测试。结果如下：结果表明，医生和患者的需求和支持，患者接受的看法一致，然而，肿瘤学家（lid）没有感到高度信任他们的患者，肿瘤学家希望较少的参与治疗计划比患者的期望。肿瘤学家认为，他们实际上向患者家属提供了所需的解释水平，而患者认为他们的炎症得到的解释比预期的要少。结论：实际和理想的沟通水平应该从医生和患者的角度来描述，以更好地理解患者满意度的复杂情况。肿瘤学家应该考虑患者对支持的期望与他们自己的期望，以有效地满足患者的需求。
Background: Identifying discrepancies between patients expectations for support provided by their physicians, and physicians' appraisal of the support they provide to their patients, is a key factor in constructing effective doctor-patient communication. Objective: The current study proposes and explores a paradigm for assessing possible gaps and overlaps between perceptions of patients with cancer and physicians about the "actual" and the "ideal" (desired) emotional and cognitive support oncologists. provide to patients. Methods: Participants included 1027 patients' with cancer and 47 senior oncologists. Patients' and physicians' levels of expectations and satisfaction with the emotional and cognitive support offered by physicians were assessed using a quantitative measure of discrepancy between the actual and the ideal situation. The measure was developed for this study and tested on a random sample of 200 patients and 17 oncologists. Results: The results indicated consistency between physicians' and patients' perceptions of the needs and support that the patients received, Nevertheless, oncologists (lid not feel highly trusted by their patients, oncologists desired less involvement of patients in the treatment plan than the patients expected. Oncologists thought that they actually provided the desired levels of explanation to patients' families, whereas patients thought their flamilies got less explanations than expected. Conclusion: Actual and ideal levels of communication should be described from the points of view of both physicians and patients to better understand the complex picture of patient satisfaction. Oncologists should consider patients' expectations for support vs their own expectations to effectively address patients needs.