Bird A, Cobb J, Walji M T
J R Coll Gen Pract. 1988 May;38(310):212-14.
An inner city practice in Birmingham has developed a new style of extended consultation to increase patient participation in primary care, based on previous initiatives in the practice, in particular allowing patients access to medical records, adopting an open reception style, and including consultations with a nurse practitioner. In a three stage consultation lasting approximately 30 minutes patients were offered a session with a receptionist for assisted access to medical records, a session of 15-20 minutes with a doctor or nurse and a self help session with a receptionist. This extended consultation was welcomed by patients, who showed a marked degree of participation, and it also increased the satisfaction and cooperation of project staff. This type of consultation provides a model for increasing patient participation in general practice.
伯明翰市的一家市中心诊所，基于该诊所先前的举措，特别是允许患者查阅病历、采用开放式接待方式以及安排与执业护士的会诊，开发了一种新型的延长会诊模式，以提高患者在初级医疗保健中的参与度。在一个持续约30分钟的三阶段会诊中，患者会与一名接待员进行一次协助查阅病历的环节，与一名医生或护士进行15至20分钟的会诊，以及与一名接待员进行一次自助环节。这种延长会诊受到了患者的欢迎，他们表现出了显著的参与度，同时也提高了项目工作人员的满意度与合作度。这种会诊类型为提高患者在全科医疗中的参与度提供了一个范例。
