Marcinowicz Ludmila, Pawlikowska Teresa, Konstantynowicz Jerzy, Chlabicz Slawomir
Department of Family Medicine and Community Nursing, Medical University of Bialystok, Mieszka I 4 B, 15 054, Białystok, Poland,
Patient. 2014;7(3):313-8. doi: 10.1007/s40271-014-0056-1.
The complexity of the doctor-patient relationship requires in-depth research to enable a better understanding of the nature of the doctor's appointment.
To explore how patients can facilitate their medical appointments, and how they can be responsible for their relationship with their doctors.
A synthesis of our previous three qualitative studies of doctor-patient relationships focussed on the consultations. The analysis involved three qualitative studies based on in-depth interviews with 94 patients of family doctors in Poland.
A detailed analysis of these data allowed us to distinguish several different ways in which patients participate in medical consultation, namely: 1. facilitating the visit; 2. having an impact on both patient and doctor perception of satisfaction with the visit; and 3. showing concern for the doctor, understanding the doctor's situation and having empathy.
This study concerning patient-doctor interactions shows that each participant can explicitly provide emotional support for the other, despite the evident asymmetry in the roles of doctor and patient. Patients can substantially contribute to the personalisation of their relationship with the doctor, which is often facilitated by the repetition and regularity of the interaction.
医患关系的复杂性需要深入研究，以便更好地理解诊疗的本质。
探讨患者如何促进其医疗预约，以及他们如何对与医生的关系负责。
综合我们之前三项关于医患关系的定性研究，重点关注诊疗过程。分析涉及三项基于对波兰94名家庭医生患者进行深度访谈的定性研究。
对这些数据的详细分析使我们能够区分患者参与医疗诊疗的几种不同方式，即：1. 便利就诊；2. 影响患者和医生对就诊满意度的认知；3. 关心医生、理解医生的处境并产生同理心。
这项关于医患互动的研究表明，尽管医患角色存在明显不对称，但每位参与者都可以明确地为对方提供情感支持。患者可以极大地促进其与医生关系的个性化，而这种个性化通常通过互动的重复性和规律性得以实现。
