医生与患者就药物进行的沟通。

Physician communication to patients regarding medications.

作者信息

Scherwitz L, Hennrikus D, Yusim S, Lester J, Vallbona C

出版信息

Patient Educ Couns. 1985 Jun;7(2):121-36. doi: 10.1016/0738-3991(85)90003-5.

Abstract

An analysis of 11 physicians' speech content regarding medications was conducted on 267 encounters with hypertensive patients. Scored were categories for questions, instructions, directions to take and justifications for taking medications. The median inter-auditor agreement was 83%. The results indicate that the physicians asked few questions and gave few instructions for patients on stable drug regimens; however, for newly prescribed drugs and changed regimens the provided information doubled: there were instructions for 77%, medication-taking commands for 31% and justification for taking medications for 21% of all medications. Other results indicate that that physicians did not discriminate by age, sex or race in quantity of speech about medication, but they did ask more questions of patients who saw a different physician on the previous visit. The results suggest that the system of scoring speech was reliable and captured the physicians adjustments to their patients' and their own needs for information.

摘要

对11位医生与高血压患者的267次会诊中关于药物治疗的言语内容进行了分析。对问题、用药说明、服药指导和用药理由等类别进行了评分。审核员之间的中位数一致性为83%。结果表明，医生对于稳定药物治疗方案的患者提问较少且给出的用药说明也较少；然而，对于新开具的药物和更改的治疗方案，提供的信息增加了一倍：所有药物中有77%给出了用药说明，31%给出了服药指令，21%给出了用药理由。其他结果表明，医生在关于药物治疗的言语量方面不会因年龄、性别或种族而有所区别，但他们确实会向前来就诊的患者提出更多问题，这些患者在前一次就诊时看的是另一位医生。结果表明，言语评分系统是可靠的，并且能够体现医生根据患者及自身对信息的需求所做出的调整。