Ory Marcia, Yuma Paula J, Wade Angie, Kaunas Christine, Bramson Rachel
Department of Social and Behavioral Health, School of Rural Public Health, The Texas A&M University System Health Science Center, College Station, TX 77843-1266, USA.
South Med J. 2008 Jul;101(7):718-24. doi: 10.1097/SMJ.0b013e31817a8b6a.
Involvement in social activities is linked to positive health outcomes. This study focused on the prevalence of social activity discussions during the primary care medical encounter, and examined how patient, physician, and contextual factors were associated with discussions between physicians and older patients.
The research was a secondary analysis of 434 videotapes recorded during primary care medical visits between 1998 and 2000 in outpatient clinics. Recordings were coded to identify a number of variables related to patient, physician, and companion characteristics, physician discussion on various topics, and quality of the physician's interaction with the patient.
Physicians discussed social activity in only 31% of medical encounters. Variables significantly associated with social activity discussions included patient and physician race/ethnicity, physician age group, physician supportiveness, and the geographical site of the visit.
Results support the inclusion of discussion and counseling about social activities in medical encounters with older patients. Family physicians will likely experience improved patient satisfaction, and geriatric patients can potentially reap health benefits that improve both quality of life and medical outcomes. Additional research is needed to understand more fully the correlates and benefits of social activity discussion during the medical encounter.
参与社会活动与积极的健康结果相关。本研究聚焦于初级保健医疗问诊期间社会活动讨论的发生率，并考察了患者、医生及环境因素与医生和老年患者之间讨论的关联。
该研究是对1998年至2000年门诊初级保健医疗就诊期间录制的434份录像带进行的二次分析。对录像进行编码，以识别与患者、医生和陪同人员特征、医生对各种话题的讨论以及医生与患者互动质量相关的若干变量。
医生仅在31%的医疗问诊中讨论了社会活动。与社会活动讨论显著相关的变量包括患者和医生的种族/民族、医生年龄组、医生的支持度以及就诊的地理位置。
研究结果支持在与老年患者的医疗问诊中纳入关于社会活动的讨论和咨询。家庭医生可能会提高患者满意度，老年患者则有可能获得改善生活质量和医疗结果的健康益处。需要进行更多研究以更全面地了解医疗问诊期间社会活动讨论的相关因素和益处。
