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