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全科医生对有癌症病史的慢性疾病患者就诊时的担忧的反应。

General practitioner responses to concerns in chronic care consultations for patients with a history of cancer.

机构信息

University of Copenhagen, Denmark.

出版信息

J Health Psychol. 2022 Sep;27(10):2261-2275. doi: 10.1177/13591053211025593. Epub 2021 Jul 5.

Abstract

We investigated general practitioners' (GPs') responses to patients' concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: and the patient's concerns. Most GPs the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were , and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients' voiced concerns in consultations with a fixed agenda.

摘要

我们调查了全科医生(GP)在慢性护理咨询中对患者关注的反应。通过会话分析对 14 次咨询的视频记录进行了分析。我们发现了两种回应类别:直接回应和转移回应。大多数 GP 通过打断患者、承认患者的担忧但随后又回到咨询进展上来、或者认同患者的担忧但不加以探究来直接回应。只有少数患者的担忧得到了充分回应,而且通常是躯体方面而非情绪方面的担忧。研究结果表明,在有固定议程的咨询中,存在忽视患者表达出的担忧的风险。

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