Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Ueberwimmer, M.
Individualization of the doctor-patient consultation
Humanmedizin; [ Diplomarbeit ] Medizinische Universität Graz; 2023. pp. 90
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Fischerauer Stefan Franz
- Reinbacher Patrick
- Altmetrics:
- Abstract:
- The acronym VUCA describes a changing and turbulent environment. The VUCA concept with its VUCA factors volatility, uncertainty, complexity, and ambiguity is utilized in wide ranges of expertise, inter alia medicine. But VUCA not only offers the possibility to describe uncertain situations, but also equips trained individuals with the correlating solutions of vision, understanding, clarity and adaptability. Since the concept finds increasingly more entrance into healthcare, especially crisis leadership, it is time to evaluate whether patients experience healthcare surroundings as VUCA environments. The subject of this survey is to examine this hypothesis and to confirm whether the application of the VUCA solutions leads to increasing levels of patient satisfaction with the doctor-patient-consultation. 200 orthopedic patients from two different outpatient departments, primary care patients and the orthopedic patients with elective appointments, were questioned before and after the doctor-patient-consultation. The focus was laid on evaluating the VUCA factors using psychosocial questionnaires, the postinterventional fulfillment of VUCA solutions and patient satisfaction with the consultation. It was found that orthopedic patients do live in a VUCA world, struggling especially with uncertainty and ambiguity. Patients with elective appointments experience higher rates of physical impairment. Volatility, uncertainty, and complexity levels are on average higher, while the intolerance of ambiguity level is more prominent with primary care patients. The VUCA factors show a linear correlation, mostly positive, which implies that an increased focus on the VUCA solutions leads to an increase in patients’ satisfaction. The more VUCA solutions are addressed during the doctor-patient consultation, the higher patient satisfaction will be. Higher satisfaction levels can be obtained at the primary care unit. Orthopedic patients with elective appointments especially need clarity for a satisfactory doctor-patient-consultation. 68 % of the satisfaction can be explained accordingly. In contrast primary care patients need understanding and clarity for a satisfying doctor-patient-consultation. With this model, 74 % of the satisfaction at the primary care unit can be explained. Patients profit from the utilization of the VUCA solutions during the doctor-patient- consultation as cognitive closure and increased satisfaction are offered.