Resumo

TSUCHIDA FERNANDEZ, Marisa Beatriz; BANDRES SANCHEZ, María Pilar  e  GUEVARA LINARES, Ximena. Nivel de satisfacción general y análisis de la relación médico paciente de los médicos en entrenamiento en las salas de hospitalización de medicina interna. Rev Med Hered [online]. 2003, vol.14, n.4, pp.175-180. ISSN 1018-130X.

Objective: To review the doctor-patient relationship and the patients level of general satisfaction by their physicians with medical care provided. Patients and methods: Cross-sectional descriptive study. We interviewed 64 patients hospitalized in the internal medicine wards of the Hospital Nacional Arzobispo Loayza in March of 2003. The level of general satisfaction of the patients with respect to the doctors behaviour was recorded. The clinical and demographic variables were: Age, sex, level of education, socioeconomic status, employment, duration of hospital stay, period of illness greater than a year, number of previous hospitalizations in the last 5 years, doctor in training identified as responsible for the patient and the number of patients he/she was assigned to. Results: The average age of the patients was of 42 years, 56% women, 34% completed primary education, 67% in the E socioeconomic status and, 88% viewed the intern as being their principal caregiver. The level of general satisfaction was 82.8%, with lower levels of satisfaction for the abilities of communication with the patient (73%), the respect for the patients autonomy (31%), the ability to consider the patients values and perspective (21%) and psychosocial aspects (18%). Conclusion: The level of general satisfaction is similar to that found in other countries, revealing the necessity of reinforcing: communication skills, respect for the perspective values and the autonomy of patients, and psychosocial aspects in the medical curriculum: To review the doctor-patient relationship and the patients level of general satisfaction by their physicians with medical care provided. Patients and methods: Cross-sectional descriptive study. We interviewed 64 patients hospitalized in the internal medicine wards of the Hospital Nacional Arzobispo Loayza in March of 2003. The level of general satisfaction of the patients with respect to the doctors behaviour was recorded. The clinical and demographic variables were: Age, sex, level of education, socioeconomic status, employment, duration of hospital stay, period of illness greater than a year, number of previous hospitalizations in the last 5 years, doctor in training identified as responsible for the patient and the number of patients he/she was assigned to. Results: The average age of the patients was of 42 years, 56% women, 34% completed primary education, 67% in the E socioeconomic status and, 88% viewed the intern as being their principal caregiver. The level of general satisfaction was 82.8%, with lower levels of satisfaction for the abilities of communication with the patient (73%), the respect for the patients autonomy (31%), the ability to consider the patients values and perspective (21%) and psychosocial aspects (18%). Conclusion: The level of general satisfaction is similar to that found in other countries, revealing the necessity of reinforcing: communication skills, respect for the perspective values and the autonomy of patients, and psychosocial aspects in the medical curriculum. (Rev Med Hered 2003; 14: 175-180 ).

Palavras-chave : Physician-patient relations; quality assurance; health care.

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