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[在全科医疗中如何应对青少年?]

[How to deal with teenagers in general practice?].

作者信息

Binder Philippe

机构信息

Groupe de cliniciens libéraux de la Charente-Maritime associant 17 généralistes.

出版信息

Rev Prat. 2005 May 31;55(10):1073-7.

Abstract

Meeting a teenager as a general practitioner is not straightforward. Such a consultation has its own specific characteristics, and what is at stake goes beyond the apparent reason for the consultation. In order to avoid missing something by adopting a "wait and see" attitude in front of the uninsured teenagers, the author suggests the simplest ways of sticking to the four major objectives: ensuring self-expression, easing the relationship, improving body image and self esteem and increasing the range of possible solutions. A first series aims to expand the contents of all the consultations starting from the alleged reasons, the presence of a third party, the clinical examination and the investigative questions. A second series aims to create the conditions that help to get over a hurdle when a malaise has been diagnosed: confronting points of view, setting an appointment, strengthening the links thanks to relational tools and possibly directing towards the relevant health system.

摘要

作为一名全科医生接待青少年并非易事。这样的会诊有其自身的特点,而且利害关系超出了会诊的表面原因。为了避免在面对未参保青少年时采取“观望”态度而遗漏某些情况,作者提出了坚持四大目标的最简单方法:确保自我表达、缓和关系、改善身体形象和自尊以及增加可能的解决办法范围。第一个系列旨在从所谓的原因、第三方的在场、临床检查和调查性问题出发,扩展所有会诊的内容。第二个系列旨在创造条件,以便在诊断出不适时帮助跨越障碍:正视观点分歧、预约、借助关系工具加强联系并可能引导至相关医疗系统。

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