Can Fam Physician. 1983 Dec;29:2313-6.
The core experience of family practice-the consultation between doctor and patient-is the same for all family physicians, whether they practice in urban, rural or isolated areas. There is not yet a family practice model of this consultation, and the result is wide differences in residency programs' curricula, and residents' perception that their teachers contradict each other. This paper proposes that residents be taught, and practicing family physicians use, a patient-centred method of consultation in which the physician attempts to understand how the patient interprets his illness, as well as to establish the relationship between illness and organic pathology. Two case histories illustrate how this can be done by using open-ended questions and facilitating remarks that encourage the patient to express his feelings.
家庭医生实践的核心经验——医患咨询——对所有家庭医生而言都是相同的，无论他们在城市、农村还是偏远地区行医。目前还没有这种咨询的家庭实践模式，这导致住院医师项目的课程差异很大，而且住院医师认为他们的老师相互矛盾。本文提出，应该教授住院医师，并让执业家庭医生使用以患者为中心的咨询方法，医生试图理解患者如何解释自己的疾病，并确定疾病与器质性病理之间的关系。两个病史案例说明了如何通过使用开放式问题和促进性言论来鼓励患者表达自己的感受来做到这一点。
