Southgate L J, Bass M J
J Fam Pract. 1983 Feb;16(2):339-44.
One of the cornerstones of family practice is the development of the physician-patient relationship within the context of the consultation. Each consultation is modified both by the prior expectations of the participants and by illness-related worries held by the patient. This paper describes the development of an instrument to record the worries and expectations of patients visiting their family physicians and changes occurring as a result of the consultation. The instrument comprises a card sort composed of 26 cards, on each of which is typed a statement relating to a worry or expectation that a patient might hold. One hundred patients were asked to sort these cards before and after the consultation. The major worries of the group were about discomfort, the effects of illness on the family, the prospect of a physical examination, and about explaining the problem to the physician. Prominent expectations were for an explanation of diagnosis and treatment and a friendly and understanding manner from the physician.
家庭医疗的基石之一是在诊疗过程中建立医患关系。每次诊疗都会因参与者之前的期望以及患者与疾病相关的担忧而有所不同。本文描述了一种工具的开发，用于记录就诊于家庭医生的患者的担忧和期望，以及诊疗后发生的变化。该工具包括一个由26张卡片组成的卡片分类，每张卡片上打印着一条与患者可能持有的担忧或期望相关的陈述。100名患者被要求在诊疗前后对这些卡片进行分类。该组患者的主要担忧包括不适、疾病对家庭的影响、体格检查的前景以及向医生解释问题。突出的期望是得到诊断和治疗的解释以及医生友好和理解的态度。
