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门诊护理环境中患者的治疗偏好。

Patients' therapeutic preferences in an ambulatory care setting.

作者信息

Povar G J, Mantell M, Morris L A

出版信息

Am J Public Health. 1984 Dec;74(12):1395-7. doi: 10.2105/ajph.74.12.1395.

DOI:10.2105/ajph.74.12.1395
PMID:6507693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1652698/
Abstract

One thousand two hundred-fifteen adult outpatients of an urban health maintenance organization completed questionnaires containing four hypothetical clinical situations. Of these patients, 72 per cent preferred a non-drug "home remedy" when given a choice among that and two different drug options. Risk aversion and willingness to accept current discomfort were stronger than demographic variables in predicting this preference. We conclude that patients informed about the risks and benefits of drug and non-drug therapies will prefer the latter if that option is offered.

摘要

一家城市健康维护组织的1215名成年门诊患者完成了包含四种假设临床情况的问卷调查。在这些患者中,当在一种非药物“家庭疗法”和两种不同药物选择之间进行选择时,72%的患者更喜欢非药物“家庭疗法”。在预测这种偏好方面,风险规避和接受当前不适的意愿比人口统计学变量更强。我们得出结论,如果提供了药物和非药物疗法的风险和益处信息,患者会更喜欢后者。

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引用本文的文献

1
Inappropriate prescribing: how much are patients at fault?不适当的处方:患者有多大过错?
Can Fam Physician. 1996 Oct;42:1903-4.

本文引用的文献

1
Value foundations for drug use.药物使用的价值基础。
J Drug Issues. 1977 Summer;7(3):253-62. doi: 10.1177/002204267700700305.
2
Do prescriptions adversely affect doctor-patient interactions?处方会对医患互动产生不利影响吗?
Am J Public Health. 1981 Dec;71(12):1358-61. doi: 10.2105/ajph.71.12.1358.
3
Strategic aspects of prescription writing.处方书写的策略要点。
Postgrad Med. 1981 Jul;70(1):30-4, 37. doi: 10.1080/00325481.1981.11715797.
4
On the elicitation of preferences for alternative therapies.关于替代疗法偏好的引出。
N Engl J Med. 1982 May 27;306(21):1259-62. doi: 10.1056/NEJM198205273062103.
5
Assessment of patients' preferences for therapeutic outcomes.
Med Decis Making. 1981;1(1):29-39. doi: 10.1177/0272989X8100100105.
6
Sociology of prescribing.处方社会学
Br Med Bull. 1974 Sep;30(3):214-7. doi: 10.1093/oxfordjournals.bmb.a071203.
7
A data bank for patient care, curriculum, and research in family practice: 526,196 patient problems.
J Fam Pract. 1976 Feb;3(1):25-8.
8
A year's study of drug prescribing in general practice using computer-assisted records.利用计算机辅助记录对全科医疗中的药物处方进行为期一年的研究。
J R Coll Gen Pract. 1975 Jan;25(150):41-8.
9
Drugs and prescribing: what the patient thinks.药物与处方:患者的看法
J R Coll Gen Pract. 1979 Jul;29(204):417-9.