亚兹德市公立医院医师沟通理解模式调查

Rohollah Mirjalili, Malike Beheshti Far, H. Kazemi
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摘要

研究背景:良好、健康的医患沟通是良好医疗服务的基础,沟通技巧对患者满意度和治疗效果起着重要作用。本研究旨在运用现象学方法探讨亚兹德市公立医院医师沟通情况。方法:本研究于2021年1月至2022年8月采用现象学方法进行定性研究。研究地点是亚兹德沙希德·萨多吉大学附属的两家医院。统计人口包括亚兹德市政府医院的全科医生和专家。在这些医生中,采用选择性和目的性的方法,选取12名工作经验在11年以上且愿意配合研究者的医生作为样本。通过访谈收集数据。采用Lincoln和Guba标准评估研究的效度和信度,并通过NVIVO11软件对这些数据进行分析。结果:结果表明:医生沟通方式由11个子主题组成:心理因素;家庭因素;缺乏技能;信息障碍;与患者、同事和医疗专业相关的挑战;医院环境;社会危害;还有宗教因素。这些副主题被分为五个主要主题:环境、个人、交流、文化和专业方面。结论:建立良好的医患关系是高质量医疗服务的重要组成部分。改善这种关系会使患者对治疗更投入,对医疗团队更满意,减少医疗差错和投诉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating the Communication Apprehension Model of Physicians in Public Hospitals of Yazd City
Background: A good and healthy communication between the physician and patient and the therapeutic staff is the basis of good medical care, and communication skills play an important role in patient's satisfaction and their treatment. The aim of this study was to explore the physicians' communication in public hospitals of Yazd city using phenomenological methods. Methods: This qualitative research was conducted using the phenomenology method from January 2021 to August 2022. The location of the study was 2 hospitals affiliated to Shahid Sadoughi University of Yazd. The statistical population included general practitioners and specialists from the government hospitals of Yazd city. Among these doctors, 12 people who had a working experience of more than 11 years and were willing to cooperate with the researcher were selected as the sample using a selective and purposive method. Data were collected through interviews. Lincoln and Guba criteria were used to assess validity and reliability of the research, and these data were analyzed by NVIVO11 software. Results: Results demonstrated that physicians' communication pattern consisted of 11 sub-themes: psychological factors; family factors; lack of skills; information disorders; challenges related to patients, colleagues, and medical profession; hospital environment; social harm; and religious factors. These sub-themes were categorized into five main themes: environmental, individual, communicative, cultural, and professional aspects. Conclusion: Establishing a proper relationship between the patient and physician is the essential component of a high quality medical care. Improving this relationship will cause patient's more commitment to the treatment, more satisfaction with the medical team, and less medical errors and complaints.
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