患者在会诊期间会想些什么？一项定性研究。
What do patients think about during their consultations? A qualitative study.
作者信息
Cromarty I
出版信息
Br J Gen Pract. 1996 Sep;46(410):525-8.
Abstract
BACKGROUND
The consultation has been widely examined, but chiefly from the doctor's standpoint. Comparatively little is known about how patients view the event even though shared understanding is an accepted goal of each consultation.
AIM
The aim of the study was to describe the range and types of thoughts which patients have during their consultations.
METHOD
In semistructured interviews, prompted by video playback and transcript, 18 patients gave detailed accounts of their thoughts and feelings during a recent consultation.
RESULTS
The study confirmed patients' central desire for understanding but also revealed a complex mix of other thoughts. Multiple problems and aims were usual. Patients routinely considered their relationship with the doctor, the doctor's willingness, ability and available time, and altered their behaviour accordingly.
CONCLUSION
Patients and doctors have different models of the consultation-better understanding of how patients consult should lead to better training for doctors and improve shared understanding.
摘要
背景
会诊已得到广泛研究，但主要是从医生的角度。尽管共同理解是每次会诊公认的目标，但对于患者如何看待这一过程却知之甚少。
目的
本研究的目的是描述患者在会诊期间的想法范围和类型。
方法
在半结构化访谈中，通过播放视频和提供文字记录进行引导，18名患者详细讲述了他们在最近一次会诊期间的想法和感受。
结果
该研究证实了患者对理解的核心诉求，但也揭示了其他想法的复杂组合。通常存在多个问题和目标。患者会常规性地考虑他们与医生的关系、医生的意愿、能力和可用时间，并据此改变自己的行为。
结论
患者和医生对会诊有不同的模式——更好地理解患者的会诊方式应能为医生带来更好的培训，并增进共同理解。
相似文献
1
What do patients think about during their consultations? A qualitative study.患者在会诊期间会想些什么？一项定性研究。
Br J Gen Pract. 1996 Sep;46(410):525-8.
2
General practice consultations - how well do doctors predict patient satisfaction?全科医疗咨询——医生对患者满意度的预测能力如何？
Aust Fam Physician. 2007 Mar;36(3):185-6, 192.
3
[Autonomy attitudes in the treatment compliance of a cohort of subjects with continuous psychotropic drug administration].[一组持续接受精神药物治疗的受试者治疗依从性中的自主性态度]
Encephale. 2002 Sep-Oct;28(5 Pt 1):389-96.
4
The importance of empathy in the enablement of patients attending the Glasgow Homoeopathic Hospital.同理心在促使患者前往格拉斯哥顺势疗法医院就医方面的重要性。
Br J Gen Pract. 2002 Nov;52(484):901-5.
5
6
Empowering the cancer patient or controlling the tumor? A qualitative study of how cancer patients experience consultations with complementary and alternative medicine practitioners and physicians, respectively.赋能癌症患者还是控制肿瘤？一项关于癌症患者如何分别体验与补充和替代医学从业者及医生会诊的定性研究。
Integr Cancer Ther. 2005 Jun;4(2):195-200. doi: 10.1177/1534735405276721.
7
Understanding routine antiepileptic drug decisions: a qualitative analysis of patients' accounts of hospital consultations.解读常规抗癫痫药物决策：对患者医院会诊叙述的定性分析
Epilepsy Behav. 2009 Jan;14(1):210-4. doi: 10.1016/j.yebeh.2008.10.010. Epub 2008 Dec 9.
8
Meeting and treating cultural difference in primary care: a qualitative interview study.基层医疗中应对和处理文化差异：一项质性访谈研究。
Fam Pract. 2006 Feb;23(1):111-5. doi: 10.1093/fampra/cmi086. Epub 2005 Oct 24.
9
The impact of matching the patient's vocabulary: a randomized control trial.匹配患者词汇量的影响：一项随机对照试验。
Fam Pract. 2004 Dec;21(6):630-5. doi: 10.1093/fampra/cmh610. Epub 2004 Nov 1.
10
Doctors' consultations with children and their parents: a model of competencies, outcomes and confounding influences.医生与儿童及其家长的会诊：能力、结果及混杂影响的模型
Med Educ. 2005 Aug;39(8):807-19. doi: 10.1111/j.1365-2929.2005.02231.x.
引用本文的文献
1
An Exploration of the help-seeking experiences of patients in an allied professions-led rapid access chest pain pathway: a qualitative study.联合专业人员主导的快速就诊胸痛通道中患者的求医经历探索：一项定性研究。
BMJ Open. 2020 Nov 19;10(11):e040468. doi: 10.1136/bmjopen-2020-040468.
2
Using Health Impact Assessment as an Interdisciplinary Teaching Tool.将健康影响评估用作跨学科教学工具。
Int J Environ Res Public Health. 2017 Jul 8;14(7):744. doi: 10.3390/ijerph14070744.
3
Wasting the doctor's time? A video-elicitation interview study with patients in primary care.浪费医生的时间？初级保健中患者的视频引出访谈研究。
Soc Sci Med. 2017 Mar;176:113-122. doi: 10.1016/j.socscimed.2017.01.025. Epub 2017 Jan 18.
4
Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study.描述影响日本家庭医生会诊中制定共同议程过程的因素：一项定性研究。
Asia Pac Fam Med. 2015 Jun 5;14(1):6. doi: 10.1186/s12930-015-0023-6. eCollection 2015.
5
Using video-based observation research methods in primary care health encounters to evaluate complex interactions.在初级保健健康问诊中运用基于视频的观察研究方法来评估复杂的互动。
Inform Prim Care. 2014;21(4):161-70. doi: 10.14236/jhi.v21i4.72.
6
Getting under the skin of the primary care consultation using video stimulated recall: a systematic review.运用视频刺激回忆深入探究初级保健会诊：一项系统评价
BMC Med Res Methodol. 2014 Aug 30;14:101. doi: 10.1186/1471-2288-14-101.
7
First do no harm: preparing for failure by practising failing safely.首要原则是不造成伤害：通过安全地练习失败来为失败做准备。
Br J Gen Pract. 2013 May;63(610):260. doi: 10.3399/bjgp13X667259.
8
Video elicitation interviews: a qualitative research method for investigating physician-patient interactions.视频启发式访谈：一种用于调查医患互动的定性研究方法。
Ann Fam Med. 2012 Mar-Apr;10(2):118-25. doi: 10.1370/afm.1339.
9
A qualitative study of patients' views on quality of primary care consultations in Hong Kong and comparison with the UK CARE Measure.一项关于香港患者对基层医疗会诊质量看法的定性研究以及与英国CARE量表的比较。
BMC Fam Pract. 2009 Jan 27;10:10. doi: 10.1186/1471-2296-10-10.
10
Patients' experiences of GP consultations for psychological problems: a qualitative study.患者因心理问题进行全科医生会诊的体验：一项定性研究。
Br J Gen Pract. 2006 Jul;56(528):496-503.
本文引用的文献
1
Qualitative research methods in general practice and primary care.全科医疗与初级保健中的定性研究方法
Fam Pract. 1995 Mar;12(1):104-14. doi: 10.1093/fampra/12.1.104.
2
Pathways to the doctor-from person to patient.从人到患者的就医途径。
Soc Sci Med (1967). 1973 Sep;7(9):677-89. doi: 10.1016/0037-7856(73)90002-4.
3
Frames and heuristics in doctor-patient discourse.医患对话中的框架与启发法。
Soc Sci Med. 1986;22(10):1027-34. doi: 10.1016/0277-9536(86)90203-0.
4
Studies of doctor-patient interaction.医患互动研究。
Annu Rev Public Health. 1989;10:163-80. doi: 10.1146/annurev.pu.10.050189.001115.
5
General practitioners' comments on video recorded consultations as an aid to understanding the doctor-patient relationship.全科医生对视频录制会诊作为辅助理解医患关系的评论。
Fam Pract. 1990 Jun;7(2):84-90. doi: 10.1093/fampra/7.2.84.
6
In what way may videotapes be used to get significant information about the patient-physician relationship?录像带可以通过哪些方式用于获取有关医患关系的重要信息？
Med Teach. 1990;12(2):197-208. doi: 10.3109/01421599009006697.
7
Key determinants of consumer satisfaction with general practice.患者对全科医疗满意度的关键决定因素。
Fam Pract. 1991 Sep;8(3):237-42. doi: 10.1093/fampra/8.3.237.
8
Surveys of patients satisfaction: I--Important general considerations.患者满意度调查：I——重要的总体考量
BMJ. 1991 Apr 13;302(6781):887-9. doi: 10.1136/bmj.302.6781.887.
9
Doctor-patient communication: the Toronto consensus statement.医患沟通：多伦多共识声明。
BMJ. 1991 Nov 30;303(6814):1385-7. doi: 10.1136/bmj.303.6814.1385.
10
Illness stories and patient care in the family practice context.家庭医疗环境中的疾病故事与患者护理
Fam Med. 1992 Jan;24(1):45-8.
Zotero 插件