Martin F J, Bass M J
University of Manitoba, Department of Family Medicine, Winnipeg, Canada.
Fam Pract. 1989 Dec;6(4):254-8. doi: 10.1093/fampra/6.4.254.
To determine the impact of discussion of non-medical problems with the physician, patients with at least one chronic illness who were taking medication were interviewed in their family doctor's office. Of 149 patients interviewed, 90.6% reported at least one non-medical problem. Half (51%) of those patients with a problem had discussed it with their doctor. More than half (55%) of those patients discussing a problem reported that the discussion was helpful. Patient compliance and satisfaction were positively associated with 'helpful' discussion, but not with discussion per se. In particular, the two aspects of doctor-patient communication which were significantly associated with feeling helped were: 'Doctor tells me all I want to know about my illness' and 'Doctor gives me a chance to say what is really on my mind'. Both factors reflect care which is oriented to patient concerns. The study results provide support for a patient-centred approach to care.
为了确定与医生讨论非医疗问题的影响，研究人员在家庭医生办公室对至少患有一种慢性病且正在服药的患者进行了访谈。在接受访谈的149名患者中，90.6%报告至少有一个非医疗问题。有问题的患者中有一半（51%）与医生讨论过该问题。讨论问题的患者中超过一半（55%）表示讨论是有帮助的。患者的依从性和满意度与“有帮助的”讨论呈正相关，但与讨论本身无关。特别是，与感觉得到帮助显著相关的医患沟通的两个方面是：“医生告诉我关于我的疾病我想知道的一切”和“医生给我机会说出我真正的想法”。这两个因素都反映了以患者为中心的护理。研究结果为以患者为中心的护理方法提供了支持。
