Zanini Claudia, Sarzi-Puttini Piercarlo, Atzeni Fabiola, Di Franco Manuela, Rubinelli Sara
Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Frohburgstrasse 3, 6002 Lucerne, Switzerland ; Swiss Paraplegic Research, Guido Zäch Institute, Guido Zäch Strasse 4, 6207 Nottwil, Switzerland.
Rheumatology Unit, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
Biomed Res Int. 2014;2014:514230. doi: 10.1155/2014/514230. Epub 2014 May 18.
To strengthen the conceptualization of the patient perspective by identifying aspects that, from doctors' point of view, are important to address during a consultation to build a partnership with patients.
Semistructured interviews were conducted with 17 doctors who are experts in the field of chronic pain in Italy. The recordings of the interviews were transcribed verbatim and interpreted using thematic analysis.
The participants agreed about the importance of doctors addressing aspects of the patient perspective that can lead to a difference of opinion with patients, namely, patients' views about their health condition (i.e., what they think they have and why and the perceived impact of the health condition on their life) and about treatments (i.e., what they have tried or have heard about and their expectations).
Identifying patients' standpoints on their health condition and treatments offers an opportunity for critical discussion of differences of opinions and promotes communication exchange and agreement about the appropriate course of action.
通过确定从医生角度来看，在会诊期间为与患者建立伙伴关系而需要重视的方面，来强化对患者观点的概念化理解。
对意大利17位慢性疼痛领域的专家医生进行了半结构化访谈。访谈录音逐字转录，并采用主题分析法进行解读。
参与者一致认为，医生关注患者观点中可能导致与患者意见分歧的方面很重要，即患者对自身健康状况的看法（即他们认为自己患了什么病、原因以及健康状况对其生活的感知影响）和对治疗的看法（即他们尝试过或听说过的治疗方法以及他们的期望）。
确定患者对自身健康状况和治疗的立场，为批判性讨论意见分歧提供了机会，并促进了关于适当行动方案的沟通交流与共识达成。
