명상도서관
A Multicenter Study of Physician Mindfulness and Health Care Quality
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- 자료유형학술지논문
- 저자명Beach, M.C.,Roter, D.,Korthuis, P.T.,Epstein, R.M.,Sharp, V.,Ratanawongsa, N.,Cohn, J.,Eggly, S.,Sankar, A.,Moore, R.D.
- 학회/출판사/기관명Annals of Family Medicine, Inc.
- 출판년도2013
- 언어영어
- 학술지명/학위논문주기ANNALS OF FAMILY MEDICINE
- 발행사항Vol.11No.5[2013]_x000D_
- ISBN/ISSN1544-1709
- 소개/요약Purpose: Mindfulness (ie, purposeful and nonjudgmental attentiveness to one's own experience, thoughts, and feelings) is associated with physician well-being. We sought to assess whether clinician self-rated mindfulness is associated with the quality of patient care. Methods: We conducted an observational study of 45 clinicians (34 physicians, 8 nurse practitioners, and 3 physician assistants) caring for patients infected with the human immunodeficiency virus (HIV) who completed the Mindful Attention Awareness Scale and 437 HIV-infected patients at 4 HIV specialty clinic sites across the United States. We measured patient-clinician communication quality with audio-recorded encounters coded using the Roter Interaction Analysis System (RIAS) and patient ratings of care. Results: In adjusted analyses comparing clinicians with highest and lowest tertile mindfulness scores, patient visits with high-mindfulness clinicians were more likely to be characterized by a patient-centered pattern of communication (adjusted odds ratio of a patient-centered visit was 4.14; 95% CI, 1.58-10.85), in which both patients and clinicians engaged in more rapport building and discussion of psychosocial issues. Clinicians with high-mindfulness scores also displayed more positive emotional tone with patients (adjusted β = 1.17; 95% CI, 0.45- 1.9). Patients were more likely to give high ratings on clinician communication (adjusted prevalence ratio [APR] = 1.48; 95% CI, 1.17-1.85) and to report high overall satisfaction (APR = 1.45; 95 CI, 1.15-1.84) with high-mindfulness clinicians. There was no association between clinician mindfulness and the amount of conversation about biomedical issues. Conclusions: Clinicians rating themselves as more mindful engage in more . patient-centered communication and have more satisfied patients. Interventions should determine whether improving clinician mindfulness c
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