会诊中的书面清单：全科医生对清单及携带清单的患者的态度。
Written lists in the consultation: attitudes of general practitioners to lists and the patients who bring them.
作者信息
Middleton J
机构信息
Leicester University.
出版信息
Br J Gen Pract. 1994 Jul;44(384):309-10.
BACKGROUND
Written lists of patients' concerns could help to improve doctor-patient communication in primary care consultations.
AIM
This study set out to explore the attitudes of doctors to written lists, and to the patients who bring them.
METHOD
A piloted questionnaire was sent to all 58 trainers in the Leicester sub-region--49 (84%) responded.
RESULTS
There was evidence of ambiguity in doctors' attitudes to lists--71% thought that they were an aid to clarifying problems, but 67% felt that they would be time consuming, and 45% thought that more patients should bring lists. Doctors also appeared to have a negative stereotype of the patients who bring lists, with 90% endorsing the description obsessional, and over 50% the descriptions heartsink and neurotic. Also, over 75% thought such patients were middle aged and female.
CONCLUSION
If patients were to be encouraged to bring lists to consultations, in order to improve communication, it might be necessary to overcome some negative perceptions of doctors, which are perhaps engendered by a small number of patients.
背景
患者所关注问题的书面清单有助于改善基层医疗会诊中的医患沟通。
目的
本研究旨在探究医生对书面清单以及携带清单前来就诊的患者的态度。
方法
向莱斯特地区的所有58名培训医师发放了一份经过预试验的调查问卷，49人（84%）做出了回应。
结果
有证据表明医生对清单的态度存在模糊性——71%的人认为清单有助于明确问题，但67%的人觉得这会耗费时间，45%的人认为应该有更多患者携带清单。医生似乎对携带清单的患者也有负面刻板印象，90%的人认可“强迫性”这一描述，超过50%的人认可“令人沮丧”和“神经质”的描述。此外，超过75%的人认为这类患者是中年女性。
结论
如果要鼓励患者在会诊时携带清单以改善沟通，或许有必要消除医生的一些负面看法，这些看法可能是由少数患者造成的。
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