Medical Interview Skills and Patient Satisfaction Levels in a Setting Utilizing Electronic Medical Records
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概要
- 論文の詳細を見る
BACKGROUND : Electronic medical records (EMRs) were first introduced in the 1960s, and in Japan they are starting to become popular. Recognizing the need to adapt to a new clinical setting with EMRs, we aimed to explore which interviewing skills were associated with patient satisfaction in this era of EMR use.METHODS : A prospective observational study was conducted to evaluate interviewing skills among medical residents and to collate data on patients satisfaction levels at an outpatient general medicine walk-in clinic at a teaching hospital in Japan. Five trained raters reviewed the video recordings of these interviews and assessed them based on a predetermined set of criteria for medical interview skills developed specifically for an outpatient EMR setting. The relationships between these assessment scores and patient satisfaction levels were analyzed.RESULTS : Significant skills that were associated with higher scores of patient satisfaction included : employed appropriate eye contact (P=0.021) ; and, invited patients directly without using a microphone (P=0.008). In addition, the degree of keyboard typing during interviews was not associated with patient satisfaction.CONCLUSIONS : In an outpatient setting with EMR, using good non-verbal communication skills to build trustful relationships with patients is more likely to influence patient satisfaction levels. Even when physicians are typing on a keyboard, if they keep appropriate eye contact during medical interviews, patient satisfaction can be improved.
- 日本総合診療医学会の論文
- 2010-06-01
著者
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Tokuda Yasuharu
Mito Medical Center, University of Tsukuba Hospital, Institute of Clinical Medicine, Graduate School
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Yoshioka Yasuo
The National Institute for Japanese Language
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TOKUDA Yasuharu
University of Tsukuba Graduate School of Human Sciences
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Motomura Kazuhisa
Okinawa Prefectural Chubu Hospital
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NISHIZAKI Yuji
St. Luke's International Hospital
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HAYANO Keiko
Saiseikai Kumamoto Hospital
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MIURA Junichi
Iwase General Hospital
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TAKEI Junko
St. Luke's International Hospital
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FUJITANI Shino
St. Luke's International Hospital
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MORI Nobuyoshi
St. Luke's International Hospital
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NOMURA Seitaro
St. Luke's International Hospital
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TAMAKI Hiromichi
St. Luke's International Hospital
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SETOYAMA Takeshi
St. Luke's International Hospital
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Yoshioka Yasuo
The National Institution For Japanese Language
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Mori Nobuyoshi
St. Luke's International Hospital
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Takei Junko
St. Luke's International Hospital
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Setoyama Takeshi
St. Luke's International Hospital
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Fujitani Shino
St. Luke's International Hospital
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Tokuda Yasuharu
Mito Kyodo Hospital University Of Tsukuba
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Tamaki Hiromichi
St. Luke's International Hospital
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Nomura Seitaro
St. Luke's International Hospital
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Nishizaki Yuji
St. Luke's International Hospital
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Tokuda Yasuharu
Department Of Internal Medicine Mito Kyodo Hospital University Of Tsukuba
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