Rise Marit By, Steinsbekk Aslak
Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Patient Educ Couns. 2009 Jan;74(1):91-6. doi: 10.1016/j.pec.2008.07.039.
How do parents of child patients experience and compare consultations with homeopaths and physicians, and how do they describe an ideal consultation.
A qualitative study with interviews of parents to 16 children who had consulted both a homeopaths and a physicians.
Comparing consultations with physicians and homeopaths, the parents experienced the homeopathic consultations to a greater extent to have a whole person approach, also described as a core factor in an ideal consultation. This approach included exhaustive questioning, longer consultations, more interaction with the child and looking for the underlying cause.
The parents in this study perceived that the homeopathic consultation had a whole person approach while consultations with most physicians focused on the symptoms. The homeopathic consultation was said to be more in line with what the parents perceived to be an ideal consultation for their children than consultation with physicians.
Treatment philosophy and the aim of the consultation are likely to play a larger part than the technical aspects in determining the form and content of a consultation. Training in communication could benefit from including discussions on how the practitioner's treatment philosophy influences the consultation behavior.
儿童患者的家长如何体验和比较顺势疗法医生与普通医生的诊疗过程,以及他们如何描述理想的诊疗过程?
一项定性研究,对16名曾咨询过顺势疗法医生和普通医生的儿童的家长进行访谈。
将顺势疗法医生与普通医生的诊疗过程相比较,家长们在更大程度上体验到顺势疗法诊疗采用的是整体疗法,这也被描述为理想诊疗的核心要素。这种方法包括详尽的询问、更长时间的诊疗、与孩子更多的互动以及寻找潜在病因。
本研究中的家长认为,顺势疗法诊疗采用整体疗法,而大多数普通医生的诊疗则侧重于症状。与普通医生的诊疗相比,顺势疗法诊疗被认为更符合家长们对其孩子理想诊疗的认知。
在决定诊疗的形式和内容方面,治疗理念和诊疗目的可能比技术方面发挥更大的作用。关于从业者的治疗理念如何影响诊疗行为的讨论,可能会有益于沟通方面的培训。