DO PHYSICIANS TAKE INTO ACCOUNT PATIENTS EXPECTATIONS

被引：65

作者：

SANCHEZMENEGAY, C

STALDER, H

机构：

[1] Policlinique de Médecine, Hôpital Cantonal Universitaire de Genève, Geneva, 1211

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1994年 / 9卷 / 07期

关键词：

CONSUMER EXPECTATIONS; AMBULATORY CARE; PHYSICIANS; PATIENTS;

D O I：

10.1007/BF02629524

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

To determine whether patient expectations are fulfilled when they are expressed to physicians, self-administrated questionnaires were given to 360 consecutive ambulatory patients. Information was randomly given or not given to physicians. Diagnosis (94% ), information about prognosis (82% ) and prevention (76% ), and continuing care (80% ) were important expectations. There was no agreement between global or individual patient expectation and physician response (kappa less-than-or-equal-to 0.3). The physicians prescribed more medications than expected, and almost never discussed prevention or prognosis. Finally, the characteristics of care were not different between the physicians who knew and those who did not know patient expectations. The authors conclude that ambulatory patients visit physicians to receive a diagnosis, continuing care, and information about prognosis and prevention. In this study, physician knowledge of those expectations did not increase their fulfillment.

引用

页码：404 / 406

页数：3

共 12 条

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