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重新审视病史采集:简单的技巧可促进患者协作、提高数据获取量,并与患者建立信任关系。

History-taking revisited: Simple techniques to foster patient collaboration, improve data attainment, and establish trust with the patient.

机构信息

Lady Davis Carmel Medical Center, Department of Cardiovascular Medicine, Haifa, Israel.

Technion, Israel Institute of Technology, Rappaport Faculty of Medicine, Haifa, Israel.

出版信息

GMS J Med Educ. 2021 Sep 15;38(6):Doc109. doi: 10.3205/zma001505. eCollection 2021.

Abstract

The relevance and importance of the medical interview has been challenged with improved imaging technologies, web-based medicine, and use of artificial intelligence. The medical interview has three goals: Acquiring accurate medical data about the patient and the etiology of symptoms and signs, learning about the patient's personality, culture, and beliefs, and creating and building trust with the patient. Reduced human resources in the medical system and increased crowding in the interview setting, such as the emergency room and outpatient clinics, have strengthened the need for high quality and efficient interviews that fulfils the three goals of the interview. This manuscript proposes a structured six methods that contribute to the quality and efficiency of the medical interview with special focus on learning about the patients' life and creating trust with him.

摘要

随着影像学技术的进步、网络医学的应用和人工智能的使用,医学访谈的相关性和重要性受到了挑战。医学访谈有三个目标:获取关于患者和症状体征病因的准确医学数据,了解患者的个性、文化和信仰,与患者建立并建立信任。医疗系统人力资源减少,急诊室和门诊等访谈环境拥挤,这加强了对高质量和高效访谈的需求,以实现访谈的三个目标。本文提出了一种结构化的六种方法,有助于提高医学访谈的质量和效率,特别关注了解患者的生活并与他建立信任。

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