全科医师规范化培训中医患沟通现状调查

目的 调查参加全科医师规范化培训学员的医患沟通水平,为医患沟通培训体系构建提供参考依据.方法 采用标准化病人(standardized patient,SP)模式进行接诊,于2019年12月27日对成都市第五人民医院全科医学科103名规培医师使用医患沟通技能评价量表(SEGUE)进行现场观察打分,评估其医患沟通能力.结...

Investigate on status quo of doctor-patient communication skills in standardized training of general practice

Objective To investigate the doctor-patient communication level of resident physicians in standardized training of general practice,and to provide reference for the construction of doctor-patient communication training system.Methods On December 27,2019,the standardized patient(SP)mode was adopted for admissions.Total 103 resident physicians in standardized training in the Department of General Medicine of Chengdu Fifth People's Hospital were observed and scored using the doctor-patient communication evaluation scale(SEGUE)to evaluate their doctor-patient communication ability.Results The total score of SEGUE scale was 4-22 points,with an average of(13.5±4.8)points.The preparation stage score was(2.7±1.2)points,the information collection stage score was(5.5±2.1)points,the information giving stage score was(2.5±1.1)points,the comprehend patient stage score was(2.3±1.1)points,and the end questioning stage score was(0.5±0.7)points.The score of SEGUE scale of senior standardized training physicians was higher than that of lower grade(P<0.05).The scores of general practitioners in the following communication items were low:protecting patient privacy(29.1%),letting patients tell their views on the process of disease development and/or health problems(26.2%),understanding the impact of diseases on their lives(35.0%),verifying the information obtained(34.0%),encouraging patients to ask questions and verifying whether patients understand(22.3%),recognizing the patient's efforts,changes and difficulties(17.5%),asking patients if there are any other problems to be discussed(22.3%).Conclusion The clinical communication skills of resident physicians in standardized training of general practice need to be further improved,and an effective training course of doctor-patient communication is urgently necessary.