在常规的门诊接触中,临床医生的议程设定问题的分类学和有效性:混合方法研究研究
Sean Allgood1, Jenny Park2, Kiana Soleiman1
1Johns Hopkins University, Baltimore, MD, USA.
Patient education and counseling
|July 22, 2023
概括
临床医生经常无法引起患者的担忧. 直接问问题,比如"你今天想讨论什么?" 对于患者提出问题最有效,但很少使用.
科学领域:
- 医学沟通 医学沟通
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管接受了沟通培训,临床医生仍然很难识别患者的议程.
- 有效地引起患者关注对于质量护理至关重要.
研究的目的:
- 分析不同临床医生议程的有效性 - - 询问问题.
- 为改善患者日程表识别提供指导.
主要方法:
- 分析了在一个城市的学术医院录制的音频循环体验.
- 临床医生日程要求的问题和患者的答案被编码.
- 混合效应逻辑回归评估了问题类型和患者关注之间的关联.
主要成果:
- 在138次访问中,确定了346个要求议程的问题.
- 患者在回答27%的问题时表示担忧.
- 直接征求 (OR 22.95) 和"还有什么" (OR 4.68) 问题显著增加了患者提出担忧的可能性.
结论:
- 最有效的日程要求问题很少被临床医生使用.
- 临床医生应采用直接询问策略,以引起患者的议程.
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