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Effects of BATHE Interview Protocol on Patient Satisfaction

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Background: BATHE, the acronym for background, affect, trouble, handling, and empathy, is an interview approach that can be applied in the out-patient setting whereby questions belonging to each of the 5 categories are asked in the above order. As we have been taught to believe that BATHE raises the level of patient satisfaction and the quality of medical treatment overall, this study was designed to test the validity of the claim that applying BATHE heightens patient satisfaction. Methods: Each of the 5 doctors was assigned 10 patients (5 in the BATHE group and the other 5 in the control group) with each patient being randomly assigned to either of the groups. The control group was interviewed as usual and the BATHE group was interviewed using BATHE. Immediately after the interview, each patient anonymously filled out a patient satisfaction questionnaire. Whether the questions asked were appropriate for each category of the protocol was evaluated by the researcher through video clips taped during the interviews. Results: On 7 out of 10 items on the patient satisfaction questionnaire, the BATHE group was found to experience higher level of satisfaction than the control group in a statistically significant manner. The questions asked the BATHE group were confirmed to be more appropriate for each category of the protocol except empathy than those asked the control group. Conclusion: As applying the BATHE approach was found to achieve higher level of patient satisfaction, we recommend using it in the out-patient setting.

Abstract

Background: BATHE, the acronym for background, affect, trouble, handling, and empathy, is an interview approach that can be applied in the out-patient setting whereby questions belonging to each of the 5 categories are asked in the above order. As we have been taught to believe that BATHE raises the level of patient satisfaction and the quality of medical treatment overall, this study was designed to test the validity of the claim that applying BATHE heightens patient satisfaction. Methods: Each of the 5 doctors was assigned 10 patients (5 in the BATHE group and the other 5 in the control group) with each patient being randomly assigned to either of the groups. The control group was interviewed as usual and the BATHE group was interviewed using BATHE. Immediately after the interview, each patient anonymously filled out a patient satisfaction questionnaire. Whether the questions asked were appropriate for each category of the protocol was evaluated by the researcher through video clips taped during the interviews. Results: On 7 out of 10 items on the patient satisfaction questionnaire, the BATHE group was found to experience higher level of satisfaction than the control group in a statistically significant manner. The questions asked the BATHE group were confirmed to be more appropriate for each category of the protocol except empathy than those asked the control group. Conclusion: As applying the BATHE approach was found to achieve higher level of patient satisfaction, we recommend using it in the out-patient setting.

참고문헌 (7)

  1. Stuart MR, "The fifteen minute hour: applied psychotherapy for the primary care physician. 2nd ed" (1993), Praeger
  2. Lieberman JA, "Practicing biopsychosocial medicine. In: Rakel RE, editor. Textbook of family practice. 6th ed", pp.65~70 (2002), Saunders
  3. Stuart MR, "The fifteen minute hour: a short-term approach to psychotherapy in primary care", pp.1205~1211 (2001), F. A. Davis Co.
  4. Heje HN, "Doctor and practice characteristics associated with differences in patient evaluations of general practice", BMC Health Serv Res, 7, pp.46~ (2007)
  5. Park JS, "Communication and interview, In Textbook of family medicine", pp.45~58 (2007), Hankook Book
  6. Leiblum SR, "To BATHE or not to BATHE: patient satisfaction with visits to their family physician", Fam Med, 40, pp.407~411 (2008)
  7. Silverman J, "Skills for communicating with patients. 2nd ed" (2005), Radcliffe Publisher

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