医疗服务提供中影响医患沟通的因素评估

Laurine Chikodiri Nwosu, Great Iruoghene Edo, M. Yeşiltaş, Endurance Agoh, Rashidat Adelola Lawal
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引用次数: 0

摘要

在尼日利亚的医疗保健服务提供研究中,医患沟通受到的关注较少。majorityofcommunicationreliesonmessagedeliveryratherthaninterpersonalcommunication。即使医生有重要的知识可以与病人分享,他们也常常缺乏成功地做到这一点所需的人际沟通技巧。本定量研究采用了对拉各斯州执业医师150份有效回复的分析。采用描述性统计方法了解影响医患沟通的因素。结果显示,医生的沟通能力较好,他们同意与患者进行社交对话,认真倾听他们的意见,并促进提问。调查结果还显示,有限的咨询时间和不利的工作环境等因素也会对医患沟通产生负面影响。此外,该假设还揭示了医生的年龄和性别之间的显著相关性(p < 0.05),而医生的种族和宗教之间的相关性不显著。对影响医患沟通的因素的评估显示,一些个人和环境因素有助于有效的沟通,包括医生沟通技巧,患者健康素养和系统层面的因素,如时间限制和工作量。医疗机构和政策制定者应优先努力改善医患沟通,解决已确定的影响沟通的因素,并实施循证干预措施,以加强医患之间的沟通。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of factors influencing physician–patient communication in healthcare service delivery
Physician–patient communication has received less focus in the study of healthcare service delivery in Nigeria. The majorityofcommunicationreliesonmessagedeliveryratherthaninterpersonalcommunication.Evenwhendoctors have significant knowledge to share with their patients, they frequently lack the interpersonal communication skills required to do it successfully. This quantitative study employed the analysis of 150 valid responses from practicing physicians in Lagos state. Descriptive statistics were carried out to understand the factors influencing physician–patient communication. The results revealed good communication skills among physicians as they agreed to have social conversations with patients, listen intently to them, and promote question-asking. The responses from the survey also revealed that factors such as limited consultation time and unfavorable working environmentscouldnegativelyimpactphysician–patientcommunication.Furthermore,thetesthypothesisrevealed a significant correlation between physicians’ age and gender (p < 0.05), whereas physicians’ ethnicity and religion had non-significant associations. The evaluation of factors influencing physician–patient communication revealed that several individual and contextual factors contribute to effective communication, including physician communication skills, patient health literacy, and system-level factors such as time constraints and workload. Healthcare organizations and policymakers should prioritize efforts to improve physician–patient communication by addressing the identified factors that influence communication and implementing evidence-based interventions to enhance communication between physicians and patients.
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