耳鼻咽喉科医患沟通的影响因素分析及对策

Analysis and Countermeasures on the Influence Factors of Doctor-patient Communication in Otolaryngology Department

目的:分析耳鼻咽喉科医患沟通的影响因素,提出针对性的对策,为改善医患沟通现状提供科学依据。方法:通过调查患者和医生对医患沟通满意度的评价及对可能影响医患沟通效果的因素进行定量分析,以黑龙江省几所三级甲等医院就诊患者及就职的医生为对象,通过问卷调查收集数据。结果:医患沟通满意度方面,有19.3%的被调查者认为医患沟通很好,41.7%的被调查者认为较好,两项合并占被被调查者总数的61%。被调查者认为医患沟通时间少、看病难、看病贵,医患信息不对称等因素在不同程度上影响着医患沟通效果。结论:建议针对影响医患沟通效果的因素在耳鼻喉科教学及工作中建立以人为本的沟通体系,改善医疗服务质量,促进医患关系顺畅与和谐的发展。

Objective： To analyse the influence factors of doctor-patient communication in otolaryngology department and put forward corresponding countermeasures, which will provide scientific basis to improve the present situation of doctor-patient communication. Methods： The results of the survey were analyzed quantitatively. And the subjects were the doctors and patients in otolaryngology departmenti of some grade A tertiary hospitals in Heilongjiang Province. Data collected by the questionnaire survey was investigated. Results： 19.3% of the respondents thought doctor-patient communication was very good and 41.7% of respondents thought better, two merger accounting for 61% of the total. Some influencing factors were thought to affect the doctor-patient communication to varying degrees, such as the asymmetric information influences, less time to communicate and the high cost of medical treatment. Conclusion： With the principle of ＂patient-oriented＂, doctor-patient communication system based on the influencing factors should be established to improve the medical service quality and to promote the harmonious development of the doctor-patient relationship.