Patient satisfaction and participation in the doctor-patient relationship, 1991

This study was designed to examine the ability of patients to estimate how long they need to spend with their doctor, and the effect of a patient making such an estimate on his/her satisfaction with the consultation and on participation in the doctor-patient relationship. It was hoped that the study would indicate whether time-estimation by patients would encourage patients to be actively involved in the consultation, and whether it would be a useful tool in general practice. The study involved the development of measurement tools for patient satisfaction and participation. Patients were assigned to three groups: (1) the patient was asked to estimate the time the doctor would need to spend with him/her, and the doctor was informed of the patient's estimate; (2) the patient was asked to estimate the time the doctor would need to spend with him/her, and the doctor was not informed of the patient's estimate; and (3) the patient was not asked for an estimate. The data file indicates to which group the patient was assigned, and gives the patient's responses to 22 questions concerning satisfaction with the consultation, and the doctor's responses to 7 questions about the consultation. The patient questionnaire covered topics such as whether the patient would recommend the doctor to friends, whether the consultation seemed rushed, whether the patient understood the doctor, and whether the patient always sees the same doctor. The doctor questionnaire asked for the doctor's perceptions about whether the doctor and patient had good rapport, and whether the patient seemed motivated about treatment and seemed to understand his/her condition. The patient's age is also recorded in the data file.

本研究旨在考察患者估算其与医生面诊所需时长的能力，以及患者作出此类时长估算对面诊满意度与医患关系参与度的影响。本研究期望明确，患者的时长估算行为能否推动其主动参与面诊，同时能否成为全科医疗中的实用工具。研究开发了用于评估患者满意度与参与度的测量工具。研究将患者分为三组：(1) 要求患者估算医生所需面诊时长，并将患者的估算结果告知医生；(2) 要求患者估算医生所需面诊时长，但不将患者的估算结果告知医生；(3) 未要求患者进行时长估算。数据文件记录了患者所属组别，以及患者针对22项面诊满意度相关问题的作答结果，同时包含医生针对7项面诊相关问题的作答结果。患者问卷涵盖的议题包括：是否会向亲友推荐该医生、面诊是否显得仓促、患者是否理解医生的诊疗讲解，以及是否始终固定就诊于同一位医生。医生问卷则询问了医生对以下情况的感知：医患双方是否建立了良好的融洽关系，患者是否对治疗抱有积极性，以及是否理解自身病情。数据文件中同时记录了患者的年龄信息。