Katon W, Kleinman A
West J Med. 1980 Jul;133(1):9-14.
There is increasing necessity for including an evaluation of psychosocial as well as biomedical factors when assessing the need for surgical intervention and its possible outcomes. Potential problems between patient and surgeon can arise when these factors are not taken into account. Recent behavioral science literature supports the use of a conceptual framework and concise clinical method for evaluating psychosocial factors and negotiating treatment with a patient. Such a method may be useful in reducing patient-surgeon conflicts and the negative outcomes (such as patient noncompliance, dissatisfaction, medical-legal suits and poor patient care) that can result when such an assessment is not mutually discussed.
在评估手术干预的必要性及其可能结果时，纳入对心理社会因素以及生物医学因素的评估变得越来越必要。如果不考虑这些因素，患者和外科医生之间可能会出现潜在问题。最近的行为科学文献支持使用一个概念框架和简洁的临床方法来评估心理社会因素，并与患者协商治疗方案。这样一种方法可能有助于减少患者与外科医生之间的冲突以及当这种评估未得到共同讨论时可能产生的负面结果（如患者不依从、不满、医疗法律诉讼和患者护理不佳）。
