Kee P C, Wong W N
Ghim Moh Clinic & Surgery, Singapore.
Singapore Med J. 1990 Oct;31(5):427-31.
Diagnosis in general practice involves more than the diagnosis of a physical illness. An important objective of a general practice consultation is to understand the hidden feelings and fears of the patients. Seven case reports are presented to demonstrate the need to go beyond the physical diagnosis and to identify the hidden agenda in order to make a comprehensive biopsychosocial diagnosis of the patient's problems. A good bedside manner is more than good manners. It is an essential ingredient of the diagnostic process in general practice.
全科医疗中的诊断不仅仅是对身体疾病的诊断。全科医疗咨询的一个重要目标是了解患者隐藏的感受和恐惧。本文呈现了7个病例报告,以证明有必要超越身体诊断,识别隐藏的议程,以便对患者的问题进行全面的生物心理社会诊断。良好的医患沟通态度不仅仅是礼貌。它是全科医疗诊断过程的一个基本要素。