Vegni E, Fognini G, Lunardelli M, Martinoli M, Odorici M, Moja E A
Cattedra di Psicologia Medica, Ospedale L. Sacco, Università, Milano.
Recenti Prog Med. 1999 Jan;90(1):9-12.
The communication and relationship between doctors and patients has been given increased attention in recent years. There are many different methods by which to collect data on doctor-patient communication and relationship: of these, videorecording seems to have the most advantages. The objective of this article is to describe the method we used to make videorecorded consultations in General Medical Practice in Italy. In particular, the article addresses: 1) the technical feasibility of videorecording consultations; 2) a possible answer to the problem of informed consent both from doctors and from patients. At present, the archives collect 258 videotaped consultations of 14 General Practitioners: about three patients in four (75.9%) did consent to have their consultation recorded; a high range of videorecorded consultations (94.2%) does not present technical problems. In line with published surveys, these recording consultations are an increasingly important method of studying communication and doctor-patient relationship, and of teaching/learning these aspects of medical practice.
近年来，医患之间的沟通与关系受到了越来越多的关注。有许多不同的方法可用于收集医患沟通与关系的数据：其中，录像似乎具有最大的优势。本文的目的是描述我们在意大利普通医疗实践中进行录像咨询所使用的方法。特别是，本文探讨了：1）录像咨询的技术可行性；2）针对医生和患者知情同意问题的一种可能解决方案。目前，档案库收集了14位全科医生的258次录像咨询：约四分之三（75.9%）的患者同意对其咨询进行录像；大量的录像咨询（94.2%）不存在技术问题。与已发表的调查一致，这些录像咨询是研究沟通与医患关系以及教授/学习医疗实践这些方面的一种越来越重要的方法。
