Martin A R
Arch Intern Med. 1983 Sep;143(9):1773-5. doi: 10.1001/archinte.143.9.1773.
Most physicians are skilled at collecting medical information important for clinical diagnosis. However, they obtain less information about the attitudes and beliefs patients have about their illnesses. Patients' beliefs determine their responses to an illness and the strategies they use for coping with it. Without knowing those beliefs, physicians may find themselves and their patients frustrated by misunderstandings and differing agenda. Beliefs can be explored fairly simply by careful listening and a few directed questions. Once recognized, they can be modified or incorporated into joint approaches to treatment. Learning patients' beliefs is an important early step in developing the physician-patient relationship.
大多数医生都擅长收集对临床诊断至关重要的医学信息。然而,他们获取的关于患者对自身疾病的态度和信念的信息较少。患者的信念决定了他们对疾病的反应以及应对疾病所采用的策略。如果不了解这些信念,医生可能会发现自己和患者因误解和不同的议程而感到沮丧。通过仔细倾听和提出一些针对性的问题,信念可以相当简单地被探究出来。一旦被识别,它们可以被修改或纳入共同的治疗方法中。了解患者的信念是建立医患关系的重要早期步骤。