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全科医疗咨询过程中的干扰——患者的观点。

Interruptions during general practice consultations--the patients' view.

作者信息

Dearden A, Smithers M, Thapar A

机构信息

Department of General Practice, University of Wales College of Medicine, Cardiff, UK.

出版信息

Fam Pract. 1996 Apr;13(2):166-9. doi: 10.1093/fampra/13.2.166.

Abstract

BACKGROUND

Although most aspects of the consultation have been extensively reported there is very little information on the effects of interruptions on the consultation.

OBJECTIVE

We wished to discover the patients' view of interruptions.

METHODS

In this pilot study the sources and frequency of interruptions to the consultations of a single general practitioner were measured. The effects of interruptions on 102 patients whose consultations were interrupted were then ascertained using a simple questionnaire.

RESULTS

The overall interruption rate was found to be 10.2%. The telephone was the commonest source of interruption, accounting for 50% of interruptions. Although most patients did not perceive the interruption as having an important effect on the consultation, 20% of patients did feel that the interruption had a bad effect on the consultation and 40% of patients felt it would have been better not to have been interrupted. A majority of patients (52%) did not feel that the reason for the interruption was important. Although most patients did not feel affected by the interruption, a significant minority (18%) of patients had a strongly negative emotional response to the interruption.

CONCLUSIONS

In view of these findings the need for further work has been highlighted.

摘要

背景

尽管会诊的大多数方面已有广泛报道,但关于打断对话对会诊的影响却知之甚少。

目的

我们希望了解患者对打断对话的看法。

方法

在这项初步研究中,对一位全科医生会诊时打断对话的来源和频率进行了测量。然后使用一份简单问卷确定打断对话对102位会诊被打断的患者产生的影响。

结果

发现总体打断率为10.2%。电话是最常见的打断来源,占打断情况的50%。尽管大多数患者并不认为打断对话对会诊有重要影响,但20%的患者确实觉得打断对话对会诊有不良影响,40%的患者认为不被打断会更好。大多数患者(52%)不觉得打断对话的原因很重要。尽管大多数患者觉得未受打断影响,但有相当少数(18%)的患者对打断对话有强烈的负面情绪反应。

结论

鉴于这些发现,进一步研究的必要性已得到凸显。

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