A Percepção do Paciente em Relação à Visita Médica num Hospital-Escola: um Estudo Exploratório

Summary: Medical visits are important educational instruments in teaching residents and medical students. The goal of this study was to investigate patients perception about the medical visits. Twenty patients of a university hospital were interviewed according to a semi-structured model, where patients were asked how they felt during the medical visit, its positive and negative aspects, if they understood its content, and what changes they would make in the situation. Data collected point out that the majority of patients have a positive opinion about the medical visits, but show -conflictive feelings towards it. They resent the most the lack of information about their disease and treatment, and the personal exposure during the situation. Suggestions are made in order to improve the assistencial aspect of medical visits, without harming its educational purpose.摘要：临床接诊（medical visits）是培训住院医师与医学生的重要教学载体。本研究旨在探究患者对临床接诊的认知体验。研究采用半结构化模型（semi-structured model），对某大学医院的20名患者开展访谈，询问内容涵盖患者在接诊过程中的主观感受、接诊的正反两方面特征、患者对接诊内容的理解程度，以及他们针对该场景的改进意向。收集到的研究数据表明，多数患者对临床接诊持积极评价，但同时存在矛盾的情绪体验。患者最为不满的问题在于缺乏针对自身疾病与治疗方案的相关信息告知，以及接诊过程中个人隐私暴露情况。本研究最终提出优化建议，以期在不损害临床接诊原有教学功能的前提下，提升其医疗照护服务属性。