Grol R, de Maeseneer J, Whitfield M, Mokkink H
Department of General Practice, University of Nijmegen, The Netherlands.
Fam Pract. 1990 Jun;7(2):100-3. doi: 10.1093/fampra/7.2.100.
The attitudes of general practitioners in Belgium, Britain and the Netherlands have been sought to determine if they are patient-centred or disease-centred (that is, doctor-centred). The results indicated that many of the doctors held disease-centred attitudes, which in previous studies in the Netherlands and Belgium had correlated with increased prescribing of symptomatic medication, shorter consultation time, inadequate patient records and poorer standards of care within the consultation. Doctors in Belgium had the highest level of disease-centred attitudes, Dutch doctors the lowest. Possible explanations for these differences include differences in the doctor-patient relationship that exist between these countries. Although the results must be interpreted with some care, they should form a basis for discussions about doctor-patient relations and medical education in each country.
对比利时、英国和荷兰的全科医生的态度进行了调查，以确定他们是以患者为中心还是以疾病为中心（即以医生为中心）。结果表明，许多医生持有以疾病为中心的态度，在荷兰和比利时之前的研究中，这种态度与对症药物处方增加、咨询时间缩短、患者记录不充分以及咨询期间护理标准较低相关。比利时的医生以疾病为中心的态度最为严重，荷兰医生的态度最为轻微。这些差异的可能解释包括这些国家医患关系的不同。尽管对结果的解读必须谨慎，但它们应该成为各国关于医患关系和医学教育讨论的基础。
