Applegate W B
Arch Intern Med. 1986 Nov;146(11):2249-52.
The incidence of iatrogenic complications of medical or surgical care is increasing. Such adverse events may severely strain the patient/physician relationship. The nature of the underlying patient/physician relationship in terms of the style of interaction and the handling of uncertainty and decision making may influence the impact of adverse events on the relationship. Physicians may manage these situations poorly because of perceived threats to their self-image or sense of control, or because of fear of malpractice suits. Patients may consciously or subconsciously blame the physician, fall to express their concerns, or exaggerate their complaints. If possible, continuity of the patient/physician relationship should be maintained through full disclosure of all medical facts, frank and open communication, and a renewed commitment to the therapeutic relationship.
医疗或手术护理中医源性并发症的发生率正在上升。此类不良事件可能会严重损害患者与医生之间的关系。就互动方式以及不确定性和决策的处理而言，潜在的患者与医生关系的性质可能会影响不良事件对这种关系的影响。由于医生认为自身形象或控制感受到威胁，或者由于担心医疗事故诉讼，他们可能无法妥善处理这些情况。患者可能会有意识或下意识地责怪医生，不愿表达自己的担忧，或者夸大自己的投诉。如果可能的话，应通过全面披露所有医疗事实、坦诚开放的沟通以及对治疗关系的重新承诺来维持患者与医生关系的连续性。
