患者对他们的全科医生有何期望？
WHAT DO PATIENT's EXPECT OF THEIR GENERAL PRACTITIONERS?
作者信息
Abdulrahman Khalid A Bin
机构信息
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
出版信息
J Family Community Med. 2003 Jan;10(1):39-45.
OBJECTIVE
To explore patient's expectations before consulting their general practitioners (GPs) and determine the factors that influence them.
METHODS
A cross sectional survey was carried out in five primary care centers representing different areas of Riyadh city, Saudi Arabia using a self-administered questionnaire distributed to patients before consulting general practitioners. A sample of 944 Saudi patients was randomly selected.
RESULTS
74.6% preferred Saudi doctors, and 92.6% would like to have more laboratory tests for the diagnosis of their illnesses. More than two third of the patients (78.0%) felt entirely comfortable when talking with GPs about the personal aspects of their problems. About half thought that the role of GP was mainly to refer patients to specialists, while 55.2% believed that the GP cannot deal with the psychosocial aspect of organic diseases. The commonest reason for consulting GPs was for a general check up.
CONCLUSION
The GP has to explore patients' expectations so that they can either be met or their impracticality explained. GPs should search for patient's motives and reconcile this with their own practice. GP should be trained to play the standard role of Primary Care Physician.
目的
探讨患者在咨询全科医生（GP）之前的期望，并确定影响这些期望的因素。
方法
在沙特阿拉伯利雅得市代表不同区域的五个初级保健中心进行了一项横断面调查，使用在患者咨询全科医生之前分发的自填式问卷。随机抽取了944名沙特患者作为样本。
结果
74.6%的患者更喜欢沙特医生，92.6%的患者希望进行更多实验室检查以诊断疾病。超过三分之二的患者（78.0%）在与全科医生谈论其问题的个人方面时感到完全自在。约一半患者认为全科医生的主要作用是将患者转诊给专科医生，而55.2%的患者认为全科医生无法处理器质性疾病的社会心理方面问题。咨询全科医生最常见的原因是进行全面体检。
结论
全科医生必须探究患者的期望，以便要么满足这些期望，要么解释其不切实际之处。全科医生应探寻患者的动机，并将其与自身的医疗实践相协调。全科医生应接受培训以发挥初级保健医生的标准作用。
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