Henbest R J, Stewart M
Department of Family Medicine, Medical University of Southern Africa.
Fam Pract. 1990 Mar;7(1):28-33. doi: 10.1093/fampra/7.1.28.
The major purpose of this study was to test the hypothesis that patient-centredness in the consultation was associated with improved patient outcomes. Patient-centred care was defined as care in which the doctor responded to the patient in such a way as to allow the patient to express all of his or her reasons for coming, including: symptoms, thoughts, feelings and expectations. The study took place in the offices of six family doctors. All consultations were audiotaped and the patients completed a questionnaire and two structured interviews with the investigator: one immediately following the consultation and the other two weeks later. Patient-centredness was found to be associated with the doctor having ascertained the patient's reasons for coming and with resolution of the patient's concerns. It was also associated with the patient feeling understood and resolution of the patient's symptoms until confounding variables were controlled. The results of the multivariate analysis suggested that the impact of a patient-centred approach may be part of a package of care, consisting of a doctor whose overall practice allows for the development of personal relationships with patients over time through continuity of care.
会诊中的以患者为中心与改善患者预后相关。以患者为中心的护理被定义为医生以允许患者表达其前来就诊的所有原因的方式回应患者，这些原因包括：症状、想法、感受和期望。该研究在六位家庭医生的办公室进行。所有会诊均进行了录音，患者完成了一份问卷，并与研究者进行了两次结构化访谈：一次在会诊后立即进行，另一次在两周后进行。研究发现，以患者为中心与医生确定患者前来就诊的原因以及解决患者的担忧相关。在控制混杂变量之前，它还与患者感到被理解以及患者症状的缓解相关。多变量分析结果表明，以患者为中心的方法的影响可能是一整套护理措施的一部分，这套护理措施包括一位通过持续护理随着时间推移与患者建立个人关系的医生。
