Jenkins Linda, Britten Nicky, Stevenson Fiona, Barber Nick, Bradley Colin
Department of General Practice and Primary Care, Guy's King's and St. Thomas' School of Medicine, London, UK.
Patient Educ Couns. 2003 Jul;50(3):273-8. doi: 10.1016/s0738-3991(03)00049-1.
Previous qualitative work has identified communication problems between doctors and patients in general practice consultations, particularly in relation to prescribing. This study aimed to develop quantitative measures to extend the research and provide instruments for both researchers and practitioners to use in monitoring communication and prescribing. Questionnaires were developed from existing instruments. When used with patients and doctors in a variety of general practices, the instruments appeared to be acceptable and had high response rates. While many consultations were satisfactory in terms of patients' expectations and their experiences with medicines, only 38% did not have any poor outcome. The results using quantitative instruments were similar to but less striking compared to our previous qualitative work. The research was developmental and findings suggest that unnecessary prescribing and problems in communication are more likely to lead to poor outcomes in terms of non-adherence and patients having barriers to using their medication.
以往的定性研究已经确定了全科医疗咨询中医患之间的沟通问题，尤其是在开药方面。本研究旨在制定定量措施，以扩展该研究，并为研究人员和从业者提供用于监测沟通和开药情况的工具。问卷是根据现有工具编制的。当在各种全科医疗中与患者和医生一起使用时，这些工具似乎是可以接受的，并且回复率很高。虽然就患者的期望及其用药体验而言，许多咨询是令人满意的，但只有38%没有任何不良结果。使用定量工具得出的结果与我们之前的定性研究相似，但不那么显著。该研究尚处于发展阶段，研究结果表明，不必要的开药和沟通问题更有可能导致患者不依从以及用药存在障碍等不良后果。
