Bradley N C
J R Coll Gen Pract. 1981 Jul;31(228):420-5.
All the patients (348) seen in one week in a training practice in Exeter were asked to complete a pair of questionnaires, one before and one after consulting, about the content of that consultation. Seventy-one per cent responded. Ninety-two per cent of respondents expected to be told what was wrong with them, although 72 per cent had a "pretty good idea" of what was wrong beforehand. In the event, 76 per cent felt they had actually been told what was wrong. Sixty-one per cent sought advice or suggestions for self-help. Fifty-four per cent expected to receive, and 57 per cent received a prescription, including 14 per cent who had not expected one. Ninety-three per cent were satisfied with what took place.The nine patients who were dissatisfied had expectations which differed little from those of the rest, but their experience in the consultation differed significantly, particularly in relation to discussion, comprehension and the exchange of information. It is concluded that the need for explanatory information greatly exceeded the need for medication in this sample of people.SOME SPECIAL PROBLEMS AND DIFFERENCES WERE IDENTIFIED AMONG PEOPLE WHO CONSULTED THE TRAINEE: in particular, their consultations were less likely to be relaxed and they expected to be, and were, followed up less often than those who saw a principal.
在埃克塞特的一次培训实习中，要求一周内前来就诊的所有患者（共348名）填写两份问卷，一份在就诊前，一份在就诊后，内容是关于此次就诊情况。71%的患者进行了回复。92%的回复者期望被告知自己的病情，尽管72%的人在就诊前就“大致知道”自己的病情。实际上，76%的人觉得自己确实被告知病情了。61%的人寻求了自助方面的建议或意见。54%的人期望拿到处方，57%的人拿到了处方，其中14%的人之前并未期望拿到处方。93%的人对就诊过程感到满意。9名不满意的患者的期望与其他人相差不大，但他们在就诊时的体验却有显著差异，尤其是在讨论、理解和信息交流方面。得出的结论是，在这个样本群体中，对解释性信息的需求远远超过对药物治疗的需求。
特别是，他们的就诊不太可能轻松，而且他们期望并实际得到的后续跟进比看主治医生的人要少。
