Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Patient's Characteristics Influencing Patient's Comprehensibleness of Doctor's Explanation

의사의 진료설명 이해 용이성에 영향을 미치는 환자의 특성

  • 김미영 (을지대학교 간호학과) ;
  • 김유정 (호서대학교 생명보건대학 간호학과) ;
  • 이은미 (호서대학교 생명보건대학 간호학과)
  • Received : 2017.10.03
  • Accepted : 2017.12.15
  • Published : 2017.12.31
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Abstract

Purpose:The purpose of this study was to identify the patient's characteristics influencing patient's comprehensibleness of doctor's explanation. Methods: This study was conducted as a secondary data analysis using the raw data of The 6th Korea National Health and Nutrition Examination Survey (KNHANES VI) conducted in 2015. The survey sampled 22,948 adults, and 4,469 of them were included in this analysis. Multiple regression analysis was performed to determine the patient's characteristics influencing patient's comprehensibleness of doctor's explanation. Results: The patient's comprehensibleness of doctor's explanation were more higher as age (t=5.65, p<.001), female (t=4.40, p<.001), subjective good health status (t=3.48, p=.001) were higher. On the other hand, the patient's comprehensibleness of doctor's explanation were more higher education level (t=-6.80, p<.001), not-recent outpatient experience (t=-6.04, p<.001), pain/discomfort (t=-2.64, p=.008), anxiety/depression (t=-2.58, p=.010) were lower. Conclusion:It is necessary to be provided the patients who are higher education level, pain/discomfort and anxiety/depression with applying the doctor's detailed explanation and intervention programs.

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References

  1. Baek MS. The effective explanatory skills needed by doctors. Health Communication. 2010;5(1):49-61.
  2. Roter DL, Hall JA. Doctors talking with patients/patients talking with doctors: improving communication in medical visits. Auburn House Paperback, Reprint Edition, 1993.
  3. Lee JH, Kim CJ. Effect of patient-centered communication of doctor on patient participation: Focusing on moderating effect of trust. Journal of the Korea Contents Association. 2013;13(3):278-286. https://doi.org/10.5392/JKCA.2013.13.03.278
  4. Lee HS. Doctor-patient communication: An essential element. Health Communication. 2006;1(1):52-58.
  5. Korea Consumer Agency. An analysis of trends in consumers' relief from damages of medical service [Internet]. Seoul, Korea: Korea Consumer Agency; 2006 [cited 2017 Aug 25]. Available from: http://www.kca.go.kr/ brd/m_32/view.do?seq=709&srchFr=&srchTo=&srchWord=의료서비스&srchTp=0&itm_seq_1=0&itm_seq_2=0&multi_itm_seq=0&company_cd=&company_nm=&pitem=10&page=1.
  6. The National Law Information Center. Medical law. [Internet]. Sejong, Korea: Ministry of Health and Welfare; 2017 [cited 2017 Nov 19]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=188411&efYd=20170921#0000.
  7. Kim GK, Park SG. The revision of the ethical codes and guidelines of the Korean Medical Association. Journal of the Korean Medical Association. 2017;60(1):5-7. https://doi.org/10.5124/jkma.2017.60.1.5
  8. Korea Institute for Healthcare Accreditation. KOIHA Healthcare accreditation survey standard book. Ver 2.1 [Internet]. Seoul, Korea: Ministry of health and Welfare, Korea Institute for Healthcare Accreditation; 2016 [cited 2017 Nov 5]. Available from: http://www.koiha.kr/member/kr/board/establish/establish_BoardView.do.
  9. Korea Insurance Review and Assessment Service. Patient experience survey. [Internet]. Wonju, Korea: Korea Insurance Review and Assessment Service; 2017 [cited 2017 Nov 6]. Available from: http://www.hira.or.kr/co/search.do?collection=ebook&category=&startCount= 0&realQuery=%ED%99%98%EC%9E%90%ED%8F%89%EA%B0%80%EC%A1%B0%EC%82%AC&tapMoveCheck=1&categoryFlag=n&categoryValue=&categoryName=&query=%ED%99%98%EC%9E%90%ED%8F%89%EA%B0%80%EC%A1%B0%EC%82%AC&checkSearchFields=ALL&period=A&startDate=&endDate=&sort=DESC&cookieonoff=on.
  10. Korea Centers for Disease Control and Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3). Seoul, Korea: Korea Centers for Disease Control and Prevention; 2015.
  11. Kim SH, Shin HH. A comparison of patients' and service providers' views on failures and recoveries in healthcare services. Journal of the Korea Service Management Society. 2008;9(4):89-109.
  12. Lee YT, Yoon TY, Kim SH. Functional health literacy and understanding of explanation according to characteristics of patients. Health and Social Science. 2012;32:145-171.
  13. Park SJ. Patients’ self-rating and nurses’ rating on health literacy of hospitalized patients. The Journal of the Korea Contents Association. 2017;17(4):434-443. https://doi.org/10.5392/JKCA.2017.17.04.434
  14. Kang HY. A study on the medical service satisfaction of the Seoul municipal hospital [master's thesis]. Seoul, Korea: Hanyang University; 2007.
  15. Kim MJ, Kim SJ. Differences of satisfaction between patients and hospital employees with medical care services in the general hospital. Korea Home Management Association. 1999;17(1):73-85.
  16. Noh JH, Lee MH, Jeon JH. Services satisfaction level of in-patients in a public medical agency. Inje Medical Journal. 2002;23(3):539-547.
  17. DiMatteo MR, Lepper HS. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine. 2000;160(14):2101-2107. https://doi.org/10.1001/archinte.160.14.2101