opt Root J M, Maoz B
Department of General Practice, Medical School, Maastricht University, The Netherlands.
Isr J Psychiatry Relat Sci. 1998;35(2):89-96.
In the Netherlands all patient on the list of a GP can present with all health problems in all their stages of development at any time, and more than 80% of all complaints presented to a GP are resolved by him or her. Many of these problems have psychosocial aspects. GPs need a structured consultation model for the doctor-patient encounter and, at the same time, need an open consultation style. The model must be seen as an aid in the doctor-patient communication and in medical education. In this article such a model, based on the SOAP system, a system for medical recording is described. Furthermore, a broader protocol of the SOAP, called the BATHE, is introduced. In addition, a description is given of how students at the medical school of Maastricht University are trained to use this model, especially in the clerkship in general practice.
在荷兰，家庭医生（GP）名单上的所有患者都可以在任何时候提出处于所有发展阶段的各种健康问题，而且向家庭医生提出的所有投诉中，超过80%都由其解决。这些问题中有许多都涉及社会心理方面。家庭医生在医患会面时需要一个结构化的咨询模式，同时也需要一种开放的咨询风格。该模式必须被视为医患沟通和医学教育的一种辅助手段。本文描述了一种基于SOAP系统（一种医疗记录系统）的此类模式。此外，还引入了一个更广泛的SOAP协议，称为BATHE。此外，还介绍了马斯特里赫特大学医学院的学生如何接受培训以使用该模式，特别是在全科实习轮转期间。
