Institute for General Practice, Hannover Medical School, 30519 Hannover, Germany.
Eur J Gen Pract. 2010 Mar;16(1):51-4. doi: 10.3109/13814780903580307.
Setting health and treatment priorities is necessary when caring for multiple and complex patient issues. This is already done in the doctor-patient consultation-yet implicitly rather than explicitly. The aim of this European General Practice Network workshop was to advance a consultation approach that deals with shared priority setting. The workshop was divided into three parts: (1) how to gain a comprehensive health overview for patients with multiple problems as a basis for priority setting; (2) how to establish priorities considering patient and doctor perspectives; and (3) how to practice a communication style that achieves shared priority setting. The workshop participants preferred to gain information on patients' health status using documentations from patient records rather than conducting systematic assessments. The group emphasized that medical as well as everyday life problems need to be considered when determining priorities, a procedure that requires time and resources not readily available in daily practice. Existing skills for person-centred communication with patients should be applied in order to agree on priorities. Overall it became apparent how challenging it is to arrange and prioritize an array of health problems in a consultation with patients. Existing concepts augmented by innovative systematic methods may be the way forward.
在照顾多个复杂的患者问题时，确定健康和治疗重点是必要的。这在医患咨询中已经完成——但只是隐含的，而不是明确的。本次欧洲普通实践网络研讨会的目的是推进一种处理共同优先事项设定的咨询方法。研讨会分为三个部分：（1）如何为有多种问题的患者获得全面的健康概述，作为优先事项设定的基础；（2）如何考虑患者和医生的观点来确定优先级；（3）如何练习实现共同优先事项设定的沟通方式。研讨会参与者更愿意使用患者记录中的文件来获取患者健康状况的信息，而不是进行系统评估。该小组强调，在确定优先级时需要考虑医疗和日常生活问题，这需要时间和资源，而这些在日常实践中并不容易获得。为了就优先级达成一致，应该应用现有的人本主义与患者沟通的技能。总的来说，在与患者的咨询中安排和确定一系列健康问题的优先级是具有挑战性的。通过创新的系统方法来增强现有概念可能是前进的方向。
