一般医生咨询中的想法,担忧,期望和对生活的影响 (ICEE):使用视频录制的英国咨询的观察性研究
Peter J Edwards1, Grace M Sellers2, Isabel Leach3
1Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK peter.edwards@bristol.ac.uk.
BJGP open
|June 5, 2023
概括
大多数英国GP咨询包括患者的想法,担忧,期望和对生活的影响 (ICEE). 患者发起的IEEE对话与更高的满意度相关,而某些患者和问题因素影响IEEE频率.
科学领域:
- 医学沟通 医学沟通
- 一般的做法一般的做法
- 以患者为中心的护理
背景情况:
- 引起患者的想法,担忧,期望和对生活的影响 (ICEE) 是医疗保健中推的一种沟通技术.
- 在英国普通医生常规咨询中ICEE组件的频率仍未得到充分研究.
研究的目的:
- 确定英国成年患者-GP咨询中ICEE组件的流行率.
- 在这些商中确定与ICEE发生相关的因素.
主要方法:
- 一项观察性研究分析了视频录制的英国GP咨询.
- 用观察编码对92次咨询进行二次分析.
- 使用二项式和有序后勤回归对关联的统计评估.
主要成果:
- 超过90%的咨询包括至少一个IEEE组件,患者的想法是最常见的 (79.3%).
- 患者开始IEEE对话的频率高于全科医生.
- 急性问题和与老年GP的咨询与更多的IEEE相关;晚期咨询问题,老年患者和贫困队伍与较少的IEEE组件相关.
结论:
- 在英国的全科医生咨询中,ICEE组件很普遍,并且与患者满意度和人口因素有关.
- 需要进一步的研究来探索沟通策略对这些协会的影响.
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