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首页> 外文期刊>Journal of health communication >Which patient and clinician characteristics are associated with high-quality communication among veterans with chronic obstructive pulmonary disease?
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Which patient and clinician characteristics are associated with high-quality communication among veterans with chronic obstructive pulmonary disease?

机译：慢性阻塞性肺疾病的退伍军人之间高质量的沟通与哪些患者和临床医生特征相关？

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摘要

The authors evaluated associations of patient and clinician characteristics with high-quality communication among patients with chronic obstructive pulmonary disease. Using a cross-sectional analysis from patients with chronic obstructive pulmonary disease enrolled in a clinical trial, the authors evaluated the association of patient and clinician characteristics with patient-reported communication quality. The authors measured these associations using general estimating equations and adjusted odds ratios for best imagined communication quality. Most patient and clinician characteristics, including age, race/ethnicity, mental health attributes, and clinician specialty, were not associated with communication quality. Patient-reported clinician expertise (OR = 2.10, 95% CI [1.52, 2.88], p <.001) was associated with increased communication quality, while the patient not being married was associated with decreased quality (OR = 0.52, 95% CI [0.27, 0.99], p =.047). Only one modifiable characteristic, patient-reported clinician expertise, was associated with best imagined communication quality. This characteristic may be important to include as a potential intermediate outcome in future communication intervention studies. Predictors and outcomes of communication quality are not uniform across patient populations and settings. To maximize the effectiveness of communication interventions, it is important to have a thorough understanding of which patient, clinician, and system factors are associated with communication quality.
机译：作者评估了慢性阻塞性肺疾病患者中患者和临床医生特征与高质量交流的关联。使用一项纳入临床试验的慢性阻塞性肺疾病患者的横断面分析，作者评估了患者和临床医生特征与患者报告的沟通质量之间的关联。作者使用通用估计方程式和调整的优势比来测量这些关联，以获得最佳的想象通信质量。大多数患者和临床医生的特征，包括年龄，种族/民族，心理健康属性和临床医生专长，均与沟通质量无关。患者报告的临床医生专业知识（OR = 2.10，95％CI [1.52，2.88]，p <.001）与沟通质量提高相关，而未婚患者则与沟通质量下降相关（OR = 0.52，95％CI [0.27，0.99]，p ＝ .047）。只有一种可修改的特征（患者报告的临床医生专业知识）与最佳想象的通信质量相关。该特征可能很重要，可以作为将来的交流干预研究的潜在中间结果。沟通质量的预测因素和结果在患者人群和环境之间并不统一。为了最大程度地提高沟通干预的效率，重要的是要彻底了解哪些患者，临床医生和系统因素与沟通质量有关。

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