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青少年医学:私人执业中一项有意义的挑战

[Adolescent medicine: a rewarding challenge in private practice].

作者信息

Rutishauser Christoph

机构信息

Adoleszentenmedizin, Universitäts-Kinderspital Zürich.

出版信息

Praxis (Bern 1994). 2013 Sep 4;102(18):1105-9. doi: 10.1024/1661-8157/a001411.

Abstract

Age-appropriate medical care for adolescent patients encompasses a consultation style that is adapted to the developmental stage of the adolescent patient. Core elements of an age-appropriate consultation style include the possibility for the adolescent patient to talk alone with the physician for part of the time, and assurance of conditional confidentiality. This is the basis for a trusted doctor-patient relationship that supports patient adherence, and particularly when considering the adolescent's psychosocial circumstances as well. The adolescent patient and his or her parents should be guided appropriately in the patient's stepwise acquisition of skills in order to take responsibility for his or her self-management.

摘要

为青少年患者提供适合其年龄阶段的医疗护理,需要采用一种适应青少年患者发育阶段的问诊方式。适合其年龄阶段的问诊方式的核心要素包括,青少年患者有机会在部分时间单独与医生交谈,以及保证有条件的保密性。这是建立信任的医患关系的基础,有助于患者坚持治疗,尤其是在考虑到青少年的心理社会状况时。在患者逐步掌握技能以对自我管理负责的过程中,应给予青少年患者及其父母适当的指导。

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