Listening and talking to patients. A remedy for malpractice suits?
Listening and talking to patients. A remedy for malpractice suits?
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倾听患者并与患者交谈。
DOI：
10.1097/00006254-199310000-00012
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Susan Smith
中科院分区：
文献类型：
--
作者：
Gregory W. Lester;Susan Smith
这项研究评估了医生与患者沟通的方式和患者对医生因不良医疗结果而感觉到的过错程度是引发医疗事故诉讼的风险因素的假设。这项研究涉及160名成年人，他们观看了医生治疗病人的录像带，同时使用积极或消极的沟通行为。参与者被告知，病例要么是阳性结果，要么是由于医生的无过错而产生的坏结果，要么是由于不确定的原因而产生的坏结果，要么是由于医生的过错而产生的坏结果。参与者然后对他们喜欢打官司的感觉进行评分。结果表明，医生使用消极沟通行为会增加诉讼意向。越来越多的人认为医生的过错是糟糕的结果，这也增加了诉讼的意图。然而，对糟糕结果的原因的不确定性引发的诉讼情绪几乎与人们认为的医生过错一样多。这项研究的结果支持了这样的假设，即改变医生沟通的方式和改善患者教育可以影响医疗事故诉讼的风险。
This study evaluates the hypothesis that the way physicians communicate with patients and the degree patients perceive physician fault for bad medical outcomes are risk factors for the initiation of malpractice lawsuits. The study involved 160 adults who viewed a videotape of a physician treating a patient while using either positive or negative communication behaviors. Participants were told that the case had either a positive result, a bad result through no fault of the physician, a bad result for uncertain reasons, or a bad result that was the physician's fault. Participants then rated their litigious feelings. Results showed that the use of negative communication behaviors by the physician increased litigious intentions. An increased perception of physician fault for the bad result also increased litigious intentions. Uncertainty as to the reason for the bad outcome, however, raised litigious feelings nearly as much as did perceived physician fault. The results of the study support the hypothesis that altering the way physicians communicate and improving patient education can affect the risk of malpractice lawsuits.