Author/Editor		Drinovec, Jože
Title		Odnos zdravnik-bolnik - njegovo ocenjevanje in merjenje
Translated title		Physician-patient relationship - his estimation and measuring
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 10
Publication year		1998
Volume		str. 579-82
Language		slo
Abstract		Background. Last 30 years literature survey shows an increased interest of medicine in the relationship between a physician and a patient. Mainly with chronic diseases and in old age the improved communication increases the patient's satisfaction, and with some diseases it also favourably influences on their process. Methodology. Psycho-social studies of the physician-patient relationship have defined a series of this relationship models. From the historically oldest paternal or authoritative one froma physician side respectively, and a passive one from the side of a patient, to a noways prevailing partnership relation model which increases the patient autonomy, and places him into a responsible position to chose among various possibilities. The physician-patient relationship research is primarily oriented towards the patient's satisfaction study by means of verified inquiry questionnaires. The most important criteria on the patient's satisfaction are: personal view of care, technical quality of care, accessibility and advantage of care, continuance of care, convenience, physical environment, material evaluation, efficiency. Conclusions. The physician-patient relationship may be studied and measured. A wholesome physician approach which includes a quality and responsible understanding improves medical care.
Summary		Izhodišča. Pregled literature zadnjih 30 let kaže na povečano zanimanje medicine za odnos med zdravnikom in bolnikom. Predvsem pri kroničnih in v starosti izboljšana komunikacije povečuje zadovoljnost bolnika in pri nekaterih boleznih tudi ugodno vpliva na njihov potek. Metodologija. Psihosocialne raziskave odnosa zdravnik-bolnik so opredelile vrsto modelov tega odnosa. Od zgodovinsko najstarejšega paternalističnega oz. avtoritativnega s strani zdravnika in pasivnega s strani bolnika do danes prevladujočega modela partnerskega odnosa, ki povečuje bolnikovo avtonomnost in ga postavlja na mesto, ko odgovorno izbira med več možnostmi. Raziskovanje odnosa zdravnik-bolnik je v prvi vrsti usmerjeno v preučevanje bolnikove zadovoljnosti s pomočjo preverjenih anketnih vprašalnikov. Najpomembnejši kriteriji zadovoljnosti bolnika so: osebni pogledi na oskrbo, tehnična kakovost oskrbe, dostopnost in koristnost oskrbe, neprekinjenost oskrbe, prikladnost, fizično okolje, materialna ocena, učinkovitost. Zaključki. Odnos zdravnik-bolnik je možno preučevati in meriti. Celostni pristop zdravnika, ki vključuje kakovostno in odgovorno sporazumevanje z bolnikom, izboljšuje zdravstveno oskrbo.
Descriptors		PHYSICIAN-PATIENT RELATIONS PATIENT SATISFACTION PATIENT ACCEPTANCE OF HEALTH CARE