Wasner C K
Oregon Health Sciences University School of Medicine, Portland.
Postgrad Med. 1987 Oct;82(5):305-8, 310, 312 passim. doi: 10.1080/00325481.1987.11700017.
The traditional medical model (ie, history taking, physical examination, diagnosis, and treatment) is not sufficient in the management of chronic diseases such as arthritis. The complex social interactions that lead patients toward and away from traditional medical treatment must be recognized and addressed. Physicians need to acknowledge the likelihood that their patients may use unproven arthritis remedies and to make an effort to reduce the problem. Clinical research on the use of unproven remedies is needed, especially as it relates to complex physician-patient interactions. A good patient-physician relationship remains the basis of good clinical medicine and increases the likelihood of patient compliance.
传统医学模式(即病史采集、体格检查、诊断和治疗)在诸如关节炎等慢性病的管理中并不充分。必须认识并处理导致患者接受或远离传统医学治疗的复杂社会互动。医生需要承认患者可能使用未经证实的关节炎治疗方法的可能性,并努力减少这一问题。需要对使用未经证实的治疗方法进行临床研究,尤其是涉及复杂的医患互动方面。良好的医患关系仍然是优质临床医学的基础,并且会增加患者遵医嘱的可能性。