Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
Patient. 2012;5(3):141-5. doi: 10.2165/11599530-000000000-00000.
Patient-centered care, which is dependent on knowing each patient as an individual, has been identified as a critical aspect of healthcare. The most effective and efficient methods to get to know patients as individuals have not been defined. Our aim was to identify questions and phrases that can be used by physicians to get to know their patients.
We surveyed 15 physicians who have been formally recognized for their clinical excellence to determine what questions or phrases they use when interviewing patients to get to know them as individuals.
A total of 28 questions or phrases were received from 13 physicians and were qualitatively analyzed and grouped into six major themes: (i) appreciation of the patient's concerns; (ii) personal relationships; (iii) hobbies and pleasurable activities; (iv) open-ended questions to learn about the patient; (v) work; and (vi) the patient's perspective on the patient-physician relationship.
This work identifies questions and phrases used by clinically excellent physicians to get to know their patients as people. Future work should focus on obtaining the perspectives of patients, and on examining whether using the identified questions and phrases results in an improved patient experience as demonstrated by improved satisfaction ratings, ratings on the quality of physician-patient interaction, or patient outcomes.
以患者为中心的护理依赖于了解每个患者的个体情况，这已被确定为医疗保健的一个关键方面。尚未确定了解患者个体情况的最有效和最有效的方法。我们的目的是确定医生可以用来了解患者的问题和短语。
我们调查了 15 名因临床卓越而获得正式认可的医生，以确定他们在与患者面谈时使用哪些问题或短语来了解他们的个人情况。
从 13 名医生那里共收到 28 个问题或短语，并进行了定性分析，分为六个主要主题：（i）对患者关注的赞赏；（ii）人际关系；（iii）爱好和娱乐活动；（iv）开放式问题以了解患者；（v）工作；和（vi）患者对医患关系的看法。
这项工作确定了临床优秀医生用来了解患者个人情况的问题和短语。未来的工作应侧重于获取患者的观点，并研究使用确定的问题和短语是否会通过提高满意度评分、医生-患者互动质量评分或患者结果来改善患者体验。
