한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제29권1호
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  • Pages.43-57
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  • 2023
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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일개 병원의 입원환자 회진의 의사소통 내용 분석 - 환자 중심 의사소통을 위한 함의

Analysis of Communication Content on Bedside Rounds in a Hospital - Implications for Patient Centered Communication

  • 장연훈 (분당서울대학교병원 디지털헬스케어 연구사업부) ;
  • 유명순 (서울대학교 보건대학원) ;
  • 박기범 (서울대학교 융합과학기술대학원) ;
  • 서봉원 (서울대학교 융합과학기술대학원) ;
  • 송창은 (한양대학교 의과대학 명지병원 이비인후과)
  • Yeon-Hoon Jang (Office of eHealth Research and Businesses, Seoul National University Bundang Hospital) ;
  • Myoung-Soon You (Department of Public Health, Graduate School of Public Health, Seoul National University) ;
  • Gi-Beom Park (Graduate School of Convergence Science and Technology, Seoul National University) ;
  • Bong-Won Suh (Graduate School of Convergence Science and Technology, Seoul National University) ;
  • Chang-Eun Song (Department of Otolaryngology-Head & Neck Surgery, Myongji Hospital, Hanyang University College of Medicine)
  • 투고 : 2023.03.31
  • 심사 : 2023.06.16
  • 발행 : 2023.06.30
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초록

Purpose:Few studies on bedside rounds have focused on the principles of patient-centered communication (PCC). This study pursued three objectives. First, we investigated the verbal contents of bedside rounds from the PCC perspective. Next, we analyzed inpatient surveys concerning patients' experience of and perspective regarding bedside rounds. Finally, we identified which factors affect patient satisfaction levels. Methods: To evaluate doctor-patient communication, the contents of bedside rounds from 151 patients (88 in medical wards and 63 in surgical wards) were analyzed using the Roter Interaction Analysis System. An inpatient survey was also conducted to obtain further information about patient experience. Results: The average duration of bedside rounds was 71.3 seconds. The distribution of conversations between doctors and patients was significantly different, with doctors accounting for 62% and patients for 38% of the total (p<.001). Both doctors (44.7%) and patients (40.5%) considered provision of biomedical information as the most important aspect of communication. On the other hand, the proportion of psychological-social communication was relatively low in both groups, at 2.3% and 4.2%, respectively. In the inpatient survey, 40.8% of respondents reported being uninformed about the ward round in advance, while 44.7% stated that the rounds did not take place at the pre-informed time. While 66.7% of participants felt that the interaction during rounds was sufficient, those who felt that they had insufficient round time were the least satisfied. There was a positive correlation between sufficiency of the bedside round duration and overall satisfaction with bedside round (p<.01). Conclusion: The findings of this study indicate that neither the verbal contents of the bedside rounds nor the overall patient satisfaction adequately meet the conditions for patient centeredness.

키워드

과제정보

This research was supported by the faculty grant of Myongji Hospital (1902-09-25)

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