Cormack M A, Howells E
Department of Psychology, University of Exeter, Washington Singer Laboratories.
Fam Pract. 1992 Dec;9(4):466-71. doi: 10.1093/fampra/9.4.466.
Principals and trainees in general practice attending training events were asked to give information about their prescribing of drugs, with a focus on the prescribing of benzodiazepines for psychological problems. High prescribers of benzodiazepines believed that a prescription saved consultation time, tended to be influenced by drug company information and believed that patients expected a prescription. Low prescribers of benzodiazepines did not prescribe for bereavement, wished to have more psychological expertise and offered treatments other than drugs. Doctors classified as empathic from their statements at interview found difficulty in ending consultations and thought that social problems should be part of the general practitioner's work, although there were no differences between empathic and unsympathetic doctors in overall prescribing rates of benzodiazepines. The data suggest that doctors who are emphatic towards their patients would prescribe less if they had training in psychological skills.
参加培训活动的全科医疗负责人和实习生被要求提供他们开药情况的信息，重点是用于心理问题的苯二氮䓬类药物的处方。苯二氮䓬类药物的高处方者认为开处方节省了诊疗时间，往往受制药公司信息的影响，并且认为患者期望得到处方。苯二氮䓬类药物的低处方者不给丧亲者开此类药物，希望拥有更多心理专业知识，并提供药物以外的治疗方法。在访谈中因其陈述被归类为有同理心的医生在结束诊疗方面存在困难，并且认为社会问题应是全科医生工作的一部分，尽管在苯二氮䓬类药物的总体处方率方面，有同理心的医生和缺乏同理心的医生之间没有差异。数据表明，对患者有同理心的医生如果接受心理技能培训，开药会更少。
