Robinson E J, Whitfield M J
Soc Sci Med. 1985;21(8):915-9. doi: 10.1016/0277-9536(85)90148-0.
The aim of the investigations reported was to examine the effects of helping patients to check their understanding of instructions and advice given during their consultations with general practitioners. Three groups of patients were both tape recorded during their consultation and interviewed immediately afterwards. The groups differed in the written information they were given prior to their consultations. The 'Normal' group were informed only that the researcher was interested in how well doctors and patients understand each other. The 'Permission' group was explicitly invited to raise queries with the doctor during their consultation. The 'Guidance' group was asked to use two specified strategies to check their understanding of instructions and advice given by the doctor. We coded the frequency of questions and comments about treatment which patients produced during their consultations, and the accuracy and completeness of their subsequent accounts of the recommended treatment. The Normal and Permission groups did not differ in either respect. The Guidance group produced significantly more questions and comments than the Normal group and gave more complete and accurate accounts of the recommended treatment. A partial replication in a different practice produced consistent results.
所报告的调查旨在研究帮助患者检查其对在与全科医生会诊期间所给予的指示和建议的理解情况的效果。三组患者在会诊期间均进行了录音，并在会诊后立即接受了访谈。这三组患者在会诊前收到的书面信息有所不同。“普通”组仅被告知研究人员对医生和患者相互理解的程度感兴趣。“许可”组被明确邀请在会诊期间向医生提出疑问。“指导”组被要求使用两种特定策略来检查其对医生给出的指示和建议的理解。我们对患者在会诊期间提出的关于治疗的问题和评论的频率，以及他们随后对推荐治疗的描述的准确性和完整性进行了编码。普通组和许可组在这两个方面均无差异。指导组提出的问题和评论明显多于普通组，并且对推荐治疗的描述更加完整和准确。在另一家诊所进行的部分重复研究产生了一致的结果。
