BACKGROUND Communication between patients and health providers influences patient satisfaction, but it is unknown whether similarity in communication styles results in higher patient satisfaction. METHODS This study was conducted in the Smilow Cancer Hospital Breast Center. During routine follow-up visits, patients completed a Communication Styles Assessment (CSA), health survey (SF-12), Princess Margaret Hospital Satisfaction with Doctor Questionnaire, and brief demographic form. Physicians and Advanced Practice Providers were also asked to complete the CSA. Patients and providers were blinded to each other's responses. A communication styles concordance score was calculated as the Pearson correlation between 80 binary CSA items for each provider/patient pair. Factors affecting patient satisfaction scores were assessed in mixed-effects models. RESULTS In total, 330 patients were invited to participate; of these 289 enrolled and 245 returned surveys. One hundred seventy-four completed all survey components, and 18 providers completed the CSA. Among the factors considered, physical health score (effect size = 0.0058, 95% CI 0.00051 to 0.0011, p = 0.032) and employment status (0.12, 95% CI - 0.0094 to 0.25, p = 0.069) had the greatest impact on patient satisfaction. However, patients who were not employed and less physically healthy had significantly elevated satisfaction scores when their communication style was more similar to their provider's (1.52, 95% CI 0.66 to 2.38, p = 0.0016). CONCLUSIONS Patients who were physically healthy and employed were generally more satisfied with their care. The similarity in communication styles of patients and providers had a greater impact on patient satisfaction for patients who were less physically healthy and not employed.

中文翻译：

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沟通方式对患者满意度的影响。

背景技术患者与健康提供者之间的交流会影响患者的满意度，但是未知的交流方式是否会导致更高的患者满意度。方法本研究在Smilow癌症医院乳腺癌中心进行。在常规的随访中，患者完成了沟通风格评估（CSA），健康调查（SF-12），玛格丽特公主医院对医生问卷的满意度以及简短的人口统计表。还要求医师和高级实践提供者完成CSA。患者和提供者对彼此的反应视而不见。计算沟通风格的一致性得分，作为每个提供者/患者对的80个二进制CSA项目之间的皮尔森相关性。在混合效应模型中评估影响患者满意度得分的因素。结果总共邀请了330名患者参加。在这289个已登记的调查和245个返回的调查中。一百七十四完成了所有调查的组成部分，有18个提供商完成了CSA。在考虑的因素中，身体健康评分（效应量= 0.0058，95％CI为0.00051至0.0011，p = 0.032）和就业状况（0.12，95％CI-0.0094为0.25，p = 0.069）对患者满意度的影响最大。 。然而，当他们的沟通方式与提供者的沟通方式更为相似时，未就业且身体健康状况较差的患者的满意度得分显着提高（1.52，95％CI 0.66至2.38，p = 0.0016）。结论身体健康且受雇的患者通常对他们的护理更满意。