Dieterich Anja
Social Science Research Center Berlin, Reichpietschufer 50, D-10785 Berlin, Germany.
Patient Educ Couns. 2007 Aug;67(3):279-85. doi: 10.1016/j.pec.2007.03.017. Epub 2007 Apr 30.
The study focuses on physicians' ideas of their patients' attributes and examines how the German medical community employs the currently popular idea of the modern patient (mündiger Patient).
The official publication of the German medical community, the weekly journal "Deutsches Arzteblatt", was searched for articles addressing the topic of the modern patient during the 10-year period 1996-2005. A total of 73 articles were analyzed using qualitative research methods and from the perspective of discourse analysis.
Assessments of the modern patient are heterogeneous. There are four definable discursive clusters ('law and ethics', 'knowledge and information', 'structural health care problems' and 'funding issues'). Each position views the modern patient in characteristic ways.
Attributes currently ascribed to patients fit into broader modernization processes of health care systems. This involves new opportunities for patients' empowerment as well as new forms of involvement and the burden of self-reliance.
Reflecting on the complexity of physicians' views of patients 'desirable' attributes within a particular physician-patient interaction, helps to assess the physician's expectations of the patient, e.g. prevailing ideas on autonomy or responsibility and whether they really are in the interest of the individual patient.
本研究聚焦于医生对患者属性的看法，并考察德国医学界如何运用当前流行的现代患者（有自主能力的患者）观念。
在1996年至2005年的10年期间，检索德国医学界的官方出版物《德国医学周报》中涉及现代患者主题的文章。运用定性研究方法并从话语分析的角度，对总共73篇文章进行了分析。
对现代患者的评估是多种多样的。存在四个可定义的话语集群（“法律与伦理”、“知识与信息”、“结构性医疗保健问题”和“资金问题”）。每个立场都以独特的方式看待现代患者。
目前赋予患者的属性符合医疗保健系统更广泛的现代化进程。这涉及患者赋权的新机会以及新的参与形式和自力更生的负担。
在特定的医患互动中思考医生对患者“理想”属性看法的复杂性，有助于评估医生对患者的期望，例如关于自主性或责任的普遍观念，以及这些观念是否真的符合个体患者的利益。
