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患者对家庭医生提供心理社会干预的期望与愿望比较。

Patients' Desires as Compared to Expectations for Psychosocial Intervention by their Family Physician.

出版信息

Can Fam Physician. 1986 Jun;32:1265-70.

PMID:21267166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2327782/
Abstract

The purpose of this study was to challenge previous studies on defining a behavioural science curriculum for family physicians. Schwenk's original questionnaire was reworded to ask patients what they desire ideally from their family physician as compared to what they have come to expect that their physician would do to manage 45 psychosocial problems. We found equivalence between the expectations and preferences in two family practice units with diverse patient populations. Patients wanted significantly more involvement than they expected in problems of overweight; lack of exercise; difficulty sleeping; adjustment to a family move; hospitalization of a family member; long-term physical illness; and abortion. The majority of problems fell in the some help/concern category (level 3). Expert help (level 4) was wanted in the areas of childhood illness, long-term physical illness, and pregnancy. A suggested behavioural science curriculum is outlined.

摘要

本研究旨在挑战先前关于为家庭医生定义行为科学课程的研究。Schwenk 的原始问卷被重新表述为询问患者,与他们期望医生处理 45 个心理社会问题相比,他们理想中希望家庭医生做些什么。我们发现,在两个具有不同患者群体的家庭实践单位中,期望和偏好之间具有等效性。患者希望在超重问题、缺乏锻炼、睡眠困难、家庭搬迁适应、家庭成员住院、长期身体疾病和堕胎方面得到比他们预期更多的参与。大多数问题属于某种帮助/关注类别(第 3 级)。在儿童疾病、长期身体疾病和怀孕等领域需要专家帮助(第 4 级)。概述了一个建议的行为科学课程。

相似文献

1
Patients' Desires as Compared to Expectations for Psychosocial Intervention by their Family Physician.患者对家庭医生提供心理社会干预的期望与愿望比较。
Can Fam Physician. 1986 Jun;32:1265-70.
2
What do patients really want? Redefining a behavioral science curriculum for family physicians.
J Fam Pract. 1986 Aug;23(2):141-6.
3
Patients' perspectives of behavioral science care by family practice physicians.患者对家庭医生提供的行为科学护理的看法。
J Med Educ. 1983 Dec;58(12):954-61. doi: 10.1097/00001888-198312000-00006.
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Defining a behavioral science curriculum for family physicians: What do patients think?
J Fam Pract. 1982 Aug;15(2):339-45.
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Treat or refer: patients' interest in family physician involvement in their psychosocial problems.
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Psychosocial problems: what help do rural and urban patients want from their family physicians?心理社会问题:农村和城市患者希望从家庭医生那里得到哪些帮助?
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Fam Med. 1992 Jan;24(1):28-35.
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Promoting and supporting self-management for adults living in the community with physical chronic illness: A systematic review of the effectiveness and meaningfulness of the patient-practitioner encounter.促进和支持社区中患有慢性身体疾病的成年人进行自我管理:对医患互动的有效性和意义的系统评价。
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本文引用的文献

1
A prospective study of 60 consecutive psychiatric consultations in a family medicine clinic.
J Fam Pract. 1981 Jul;13(1):47-56.
2
Defining a behavioral science curriculum for family physicians: What do patients think?
J Fam Pract. 1982 Aug;15(2):339-45.
3
Determination of worries and expectations of family practice patients.家庭医疗患者担忧与期望的测定
J Fam Pract. 1983 Feb;16(2):339-44.
4
Patients' perspectives of behavioral science care by family practice physicians.患者对家庭医生提供的行为科学护理的看法。
J Med Educ. 1983 Dec;58(12):954-61. doi: 10.1097/00001888-198312000-00006.
5
Integrating mental health services into primary medical care.
Med Care. 1976 Aug;14(8):654-61. doi: 10.1097/00005650-197608000-00002.