Spence S J
Gordon Hospital, London.
J R Soc Med. 1992 Nov;85(11):669-73. doi: 10.1177/014107689208501106.
A descriptive study was performed to discover what problems patients felt it appropriate to discuss with their general practitioner, their use of alternative therapies, and any questions they wished their doctor had asked them in the past. Demographic data was recorded including Church attendance. Data was collected using an original questionnaire distributed to two groups of patients; 150 consecutive patients attending the surgery (surgery group) and 220 randomly selected from the adult age-sex register (home group). Chi-squared analysis was performed. A broad range of subjects appropriate to a general practice consultation was found (from influenza to spiritual problems). Prior use of homeopathy and hypnosis was widespread. Multiple attenders were more likely to be church attenders. Men in the surgery group were most likely to discuss marital, relationship and spiritual problems. Qualitative data from open questions demonstrated patients' concerns with consultation time and the exploration of feelings.
开展了一项描述性研究，以了解患者认为适合与全科医生讨论哪些问题、他们对替代疗法的使用情况，以及他们希望医生过去曾询问过他们的任何问题。记录了包括去教堂做礼拜情况在内的人口统计学数据。使用一份原始问卷收集数据，该问卷分发给两组患者；一组是连续150名前来就诊的患者（就诊组），另一组是从成人年龄性别登记册中随机抽取的220名患者（家庭组）。进行了卡方分析。发现了一系列适合全科医疗咨询的主题（从流感到精神问题）。顺势疗法和催眠疗法的既往使用情况很普遍。多次就诊者更有可能是去教堂做礼拜的人。就诊组中的男性最有可能讨论婚姻、人际关系和精神问题。开放性问题的定性数据表明患者对咨询时间和情感探索存在担忧。
