Green L W
West J Med. 1987 Sep;147(3):346-9.
A protocol for the stepped education and support of patients is derived from the cumulative experience of more than 200 clinical trials of patient education and behavioral change interventions. The recommended procedure entails assessing a patient's educational needs by asking a sequence of "diagnostic" questions to assure patient motivation, skill and resources and to reinforce adherence to the prescribed medical regimen or life-style modifications. The sequence of questions and interventions is also designed to minimize a physician's time commitment and to maximize the medical benefit to the patient.
一套针对患者的逐步教育与支持方案源自200多项患者教育及行为改变干预临床试验的累积经验。推荐程序包括通过询问一系列“诊断性”问题来评估患者的教育需求,以确保患者的积极性、技能和资源,并强化对规定医疗方案或生活方式改变的依从性。问题和干预措施的顺序还旨在尽量减少医生的时间投入,并使患者获得最大的医疗益处。