Campbell J D, Neikirk H J, Hosokawa M C
Department of Family and Community Medicine, University of Missouri, Columbia 65212.
J Fam Pract. 1990 Mar;30(3):321-6.
The delivery of primary health care involves a complex interactive process between the provider and patient. One important feature of this interaction is provider concern for psychosocial issues. A study was undertaken to examine provider's actions with the patient and to describe the factors influencing the provider's concern with psychosocial issues. A total of 412 provider-patient clinic visits, including 276 with physicians and 136 with nurse practitioners, were videotaped and analyzed using a provider psychosocial concern index developed specifically for this study. Data from exit and follow-up interviews with patients plus a provider questionnaire were analyzed to identify factors associated with a provider's psychosocial concern. The results show that an interactional analysis focusing on clinician activities can be useful in describing important process-outcome relationships such as psychosocial concern. Factors such as type of visit, visit history, type of provider, and sex of patient and provider were associated with the amount of psychosocial concern displayed by providers and perceived by patients.
初级卫生保健的提供涉及提供者与患者之间复杂的互动过程。这种互动的一个重要特征是提供者对社会心理问题的关注。开展了一项研究，以检查提供者与患者的互动行为，并描述影响提供者对社会心理问题关注的因素。总共对412次提供者-患者门诊进行了录像，其中包括276次医生门诊和136次执业护士门诊，并使用专门为该研究制定的提供者社会心理关注指数进行分析。对患者的出院和随访访谈数据以及提供者问卷进行分析，以确定与提供者社会心理关注相关的因素。结果表明，专注于临床医生活动的互动分析有助于描述重要的过程-结果关系，如社会心理关注。就诊类型、就诊史、提供者类型以及患者和提供者的性别等因素与提供者表现出的以及患者感受到的社会心理关注程度相关。
