Wartman S A, Morlock L L, Malitz F E, Palm E
Public Health Rep. 1983 Mar-Apr;98(2):141-5.
Physicians' estimates of patients' anxiety, discomfort or pain, and activity limitation were compared with reports by their patients on the same dimensions. The data were collected as part of a series of quality assessment studies at a prepaid group practice serving 19,000 people in a Mid-Atlantic metropolitan area. Analysis of the data showed that physicians underestimated the three dimensions 35 percent of the time and that activity limitation was the dimension most often underestimated. Patients whose physicians correctly estimated their discomfort or pain were more likely to receive prescriptions than patients whose physicians underestimated their discomfort or pain. Patients whose physicians underestimated their activity limitation were most likely to report dissatisfaction with the treatment given. The results are consistent with a growing body of evidence suggesting that physicians who show concern about their patients and a desire to understand their problems establish better therapeutic relationships.
将医生对患者焦虑、不适或疼痛以及活动受限情况的评估与患者在相同维度上的报告进行了比较。这些数据是在大西洋中部大都市地区为19000人提供服务的预付费团体医疗实践中进行的一系列质量评估研究的一部分。数据分析表明，医生在35%的情况下低估了这三个维度，其中活动受限是最常被低估的维度。医生正确评估其不适或疼痛的患者比医生低估其不适或疼痛的患者更有可能收到处方。医生低估其活动受限的患者最有可能报告对所接受治疗的不满。这些结果与越来越多的证据一致，表明关心患者并渴望理解其问题的医生能建立更好的治疗关系。
