Evaluation of doctor-patient communication skills of senior residents in a grade Ⅲ class A hospital and analysis its influencing factors
Li Hui
Chen Baiquan
Li Jie
Cheng Yu
Zhong Yun
Wang Huaiming
Zhi Min
Abstract：Objective To investigate the doctor-patient communication ability of the third-year residents during their standardized training in a grade Ⅲ class A hospital in Guangzhou and analyze its influencing factors.Methods A questionnaire survey was conducted among 115 third-year residents in May 2023.The communication skills of residents were scored by the doctor-patient communication score scale,which was from the standard plan for clinical practice ability assessment(2023 version)and different standard patients(SP)were used in different majors.Results The median(the upper and lower quartiles)of the total score of doctor-patient communication ability of residents was 89.00(82.00,94.00),the score of task completion was 37.00(35.00,38.00),and the score of comprehensive performance was 52.00(48.00,55.00).The experiences of the types of informed consent conversations and average monthly income were the main factors affecting the score of doctor-patient communication skills.The residents with the experiences of more than 3 types of informed consent conversations had higher total score than those with fewer than 3 types[95%CI:(1.919±10.536),P=0.005],and also had higher score of task completion[95%CI:(1.473±4.713),P<0.001].The residents with average monthly income of less than 10 000 had higher total score than those with more than10 000[95%CI:(-9.381±-0.629),P=0.025],and also higher score of comprehensive performance[95%CI:(-7.206±-0.021),P=0.049].Conclusion The communication skills of the third-year residents in the grade III class A hospital is generally good.The residents with the experiences of more than 3 types of informed consent conversations might accomplish doctor-patient communication better than those with fewer than 3 types.The residents with average monthly income of less than10 000 might have better humanistic care in doctor-patient communication than those with more than10 000.
Keywords：doctor-patient communicationstandardized residency trainingintensity of traininghumanistic care
Publication Date：2024-05-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 380-384 )