Kemp Evelyn C, Floyd Michael R, McCord-Duncan Elizabeth, Lang Forrest
Department of Family Medicine, East Tennessee State University, Johnson City, TN 37614-0621, USA.
J Am Board Fam Med. 2008 Jan-Feb;21(1):24-30. doi: 10.3122/jabfm.2008.01.070093.
The goal of this study was to determine which approach to assessing understanding of medical information patients most prefer and perceive to be most effective.
Two videos were shown to participants: (1) a physician explaining a medical condition and its treatment and (2) a physician inquiring about patient understanding of the medical information the patient had been given using 3 different types of inquiry: Yes-No, Tell Back-Collaborative, and Tell Back-Directive.
The Tell Back-Collaborative inquiry was significantly preferred over the other 2 approaches.
Patients strongly prefer the Tell Back-Collaborative inquiry when assessing their understanding. We recommend that physicians ask patients to restate what they understand using their own words and that they use a patient-centered approach.
本研究的目的是确定患者最喜欢哪种评估对医学信息理解的方法，以及认为哪种方法最有效。
向参与者展示两段视频：（1）一名医生解释一种疾病及其治疗方法；（2）一名医生使用三种不同类型的询问方式询问患者对所提供医学信息的理解：是/否、复述-协作式和复述-指令式。
与其他两种方法相比，复述-协作式询问明显更受青睐。
在评估患者的理解时，患者强烈倾向于复述-协作式询问。我们建议医生要求患者用自己的话重述他们的理解，并采用以患者为中心的方法。
