Careum Center for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland.
Careum School of Health, Kalaidos University of Applied Sciences, 8006 Zurich, Switzerland.
Int J Environ Res Public Health. 2023 Jul 20;20(14):6414. doi: 10.3390/ijerph20146414.
During doctor's visits, fundamental decisions regarding a patient's diagnosis and therapy are taken. However, consultations often take place within a limited time frame and are characterized by an asymmetric interaction. Therefore, patients' questions can remain unanswered and concerns unspoken. A "Patients' Guide for Doctor's Visit" (DocVISITguide) was developed to prepare patients for their visits, supporting them to take an active role in the communication and leave the consultation well-informed. This paper describes the development of the DocVISITguide and its first small-scale evaluation based on a sequential explanatory mixed methods design from the patients' perspective. For this purpose, a small sample of patients completed a pre- and post-questionnaire, and two in-depth interviews were conducted. Most participants found the DocVISITguide easy to understand. The guide helped them to take a closer look at their own health situation and be better prepared for the visit. More than three-quarters (82%) of the participants would probably use the guide again, and all (100%) would recommend it to family and friends. However, some patients felt unsure about using the guide within the consultation and showing it to their physician. To counteract this uncertainty, physicians should be actively involved in the use of such guides in the future.
在医生就诊期间，会做出关于患者诊断和治疗的基本决策。然而，咨询往往在有限的时间内进行，并且具有不对称的交互作用。因此，患者的问题可能得不到回答，他们的担忧也可能无法表达。为了让患者做好就诊准备，帮助他们在交流中积极参与并让他们在咨询后充分了解情况，我们开发了一款名为“患者就诊指南”（DocVISITguide）的工具。本研究采用从患者角度出发的顺序解释性混合方法设计，描述了 DocVISITguide 的开发过程及其首次小规模评估结果。为此，我们选取了一小部分患者完成了一份预调查问卷和一份后调查问卷，并进行了两次深入访谈。大多数参与者认为 DocVISITguide 易于理解。该指南帮助他们更仔细地审视自己的健康状况，并为就诊做好更充分的准备。超过四分之三（82%）的参与者可能会再次使用该指南，并且所有人（100%）都会向家人和朋友推荐该指南。然而，一些患者在就诊期间使用该指南并向医生展示该指南时感到不确定。为了消除这种不确定性，未来医生应该积极参与此类指南的使用。
