Hewson M G
Department of Medicine, University of Wisconsin, Madison.
J Gen Intern Med. 1993 Jul;8(7):393-8. doi: 10.1007/BF02600081.
It is not enough for clinicians to gather good patient information and then dictate management plans. If patient education is to be successful, attention must be paid to tailoring educational input to the patient's particular needs. If the conceptual change approach is followed, patient differences due to factors such as age and culture will be taken into account. Likewise, the different types of patient education described earlier can be accommodated, since the patient and his or her particular needs are always the focus of all medical conversations. The conceptual change approach for patient education potentially can help clinicians avoid the temptation to ignore patients' perspectives and provide instruction tailored to patient needs, thereby reducing the possibility of educational negligence.
临床医生仅仅收集良好的患者信息然后口述管理计划是不够的。如果患者教育要取得成功，就必须注意根据患者的特定需求来调整教育投入。如果遵循概念转变方法，就会考虑到年龄和文化等因素导致的患者差异。同样，前面描述的不同类型的患者教育也能得到体现，因为患者及其特定需求始终是所有医疗对话的核心。患者教育的概念转变方法有可能帮助临床医生避免忽视患者观点的诱惑，并提供针对患者需求的指导，从而降低教育疏忽的可能性。
