临床医生使用沟通实践来纠正患者在初级保健访问中的误解
Jennifer Gerwing1, Anne E C White2, Stephen G Henry3
1Health Services Research Unit, Akershus University Hospital.
Health communication
|December 19, 2023
概括
临床医生几乎同样使用直接和间接策略来纠正患者的误解,主要是关于药物的误解. 了解这些沟通技术是改善患者教育和坚持治疗的关键.
科学领域:
- 医学沟通 医学沟通
- 临床相互作用分析.
- 患者教育 患者教育
背景情况:
- 患者的误解可能会对健康结果和治疗坚持产生负面影响.
- 治疗患者误解的有效临床医生策略尚未得到充分理解.
- 初级保健环境涉及频繁的患者与临床医生的互动,可能会产生误解.
研究的目的:
- 调查和描述临床医生在初级保健访问期间用来纠正患者误解的方法.
- 在临床相互作用中运行和识别特定的临床医师校正实践.
主要方法:
- 对23次视频记录的初级保健访问进行分析.
- 整合了临床相互作用和对话分析的微分析.
- 根据定义的标准 (临床医生的反驳,患者的确定性,事实上的不准确性) 确定了59例患者误解-临床医生的纠正情节.
主要成果:
- 患者的误解最常涉及药物问题.
- 确定了七种不同的临床医生纠正做法:三种直接 (惊喜,不同意,矛盾) 和四种间接 (正确的命题,解释,权威,证据).
- 直接和间接的纠正实践被使用的频率几乎相等.
结论:
- 临床医生使用平衡的直接和间接沟通策略来纠正患者的误解.
- 这些发现为了解决医疗保健中的患者误解提供了对有效沟通模式的见解.
- 进一步的研究可以探索这些纠正策略对患者理解和行为的差异性影响.
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