Martínez-García Eliseo, Affleck Andrew, Rakvit Pariyawan, Arias-Santiago Salvador, Buendía-Eisman Agustín
Dermatology Department, Virgen de la Victoria University Hospital, Málaga, Spain.
Dermatology Department, Ninewells Hospital, Dundee, Scotland.
J Patient Exp. 2020 Dec;7(6):1197-1202. doi: 10.1177/2374373520912085. Epub 2020 Mar 13.
Effective doctor-patient communication is of great importance in order to optimize medical consultation outcomes. However, it can be difficult to address all patients' concerns and expectations in clinic.
To identify how much patients know about their medical condition, their fears and concerns, and their expectations, as well as evaluate the benefits of using a preconsultation questionnaire routinely.
This study included consecutive patients attending dermatology outpatients from Dundee (Scotland) and Granada (Spain) who completed a simple preconsultation 3-part questionnaire. Answers to this questionnaire were discussed during clinic visits.
Two hundred patients participated in the study. Of all, 111 (55.5%) patients already knew their diagnosis or were able to describe their symptoms and/or feelings quite accurately at their visit to Dermatology. Most patients (85%) had fears regarding their dermatological problem. A majority of patients (97%) came to clinic with specific expectations, and many (41.5%) had multiple expectations. A high proportion of patients (74%) found the questionnaire useful.
Patients attend clinic with different levels of knowledge, fears, and expectations. We recommend using a brief and easy to use preconsultation questionnaire as a cost-effective way of enhancing doctor-patient communication.
有效的医患沟通对于优化医疗咨询结果至关重要。然而，在临床中很难解决所有患者的担忧和期望。
确定患者对自身病情、恐惧和担忧以及期望的了解程度，并评估常规使用咨询前问卷的益处。
本研究纳入了来自邓迪（苏格兰）和格拉纳达（西班牙）皮肤科门诊的连续就诊患者，他们完成了一份简单的包含三个部分的咨询前问卷。在门诊就诊期间讨论了该问卷的答案。
200名患者参与了研究。其中，111名（55.5%）患者在就诊皮肤科时已经知道自己的诊断或能够相当准确地描述自己的症状和/或感受。大多数患者（85%）对自己的皮肤病问题存在恐惧。大多数患者（97%）带着特定期望前来就诊，许多患者（41.5%）有多种期望。高比例患者（74%）认为问卷有用。
患者就诊时具有不同程度的知识、恐惧和期望。我们建议使用一份简短且易于使用的咨询前问卷，作为增强医患沟通的一种经济有效的方式。
