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针对精神科住院患者病历请求的应对策略。

Response strategies for chart requests from psychiatric inpatients.

作者信息

Bernstein R A, Andrews E M

出版信息

Hosp Community Psychiatry. 1982 Oct;33(10):841-3. doi: 10.1176/ps.33.10.841.

DOI:10.1176/ps.33.10.841
PMID:7129373
Abstract

Of 452 patients seen during one year on a medical-school-affiliated general hospital psychiatric unit, 26 requested to see their charts. These patients tended to be younger, more likely to have character disorders, and less likely to have an affective disorder than patients who did not make chart requests. The apparent increase in the number of patients who ask to see their records may be linked to increasing medical consumerism. Rather than causing therapists to become defensive, record requests should provide an opportunity for education and treatment. The authors outline methods of interpreting and responding to chart requests.

摘要

在一所医学院附属医院的综合医院精神科病房一年中诊治的452名患者里,有26名要求查看自己的病历。与未提出查看病历要求的患者相比,这些患者往往更年轻,更有可能患有性格障碍,而患情感障碍的可能性较小。要求查看病历的患者数量明显增加,这可能与日益增长的医疗消费主义有关。病历查看要求不应使治疗师产生防御心理,而应提供教育和治疗的机会。作者概述了解读和回应病历查看要求的方法。

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