EVALUATION OF A PATIENT EDUCATION LEAFLET DESIGNED TO IMPROVE COMMUNICATION IN MEDICAL CONSULTATIONS

被引:42
作者
FREDERIKSON, LG [1 ]
BULL, PE [1 ]
机构
[1] UNIV YORK,DEPT PSYCHOL,YORK YO1 5DD,N YORKSHIRE,ENGLAND
关键词
PATIENT EDUCATION; PAMPHLETS; PHYSICIAN-PATIENT RELATIONS;
D O I
10.1016/0738-3991(94)00696-J
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
It is important for patients to provide relevant information to the doctor in consultation and to make their own information requirements known. This requires patients to actively participate in the process, something they appear to be reluctant to do. Earlier patient intervention studies have successfully manipulated patient involvement and question asking, although, the latter has tended to be accompanied by increased tension and negative impact. The present study uses a patient education leaflet which uses a wide definition of patient activation. It emphasizes the role of the 'good' patient as a provider of information extending beyond the recitation of symptoms to include insights to interpretation and meaning. Results showed that patients responded positively to the leaflet and a comparison of doctor ratings of communication quality showed the experimental group performed better than the controls. The findings are considered in terms of improved information exchange and the impact of making the 'rules' of consultation explicit is also discussed.
引用
收藏
页码:51 / 57
页数:7
相关论文
共 33 条
[11]  
Frederikson L. G., 1993, HEALTH COMMUN, V5, P225
[12]  
Freidson E, 1970, PROFESSIONAL DOMINAN
[13]   EXPANDING PATIENT INVOLVEMENT IN CARE - EFFECTS ON PATIENT OUTCOMES [J].
GREENFIELD, S ;
KAPLAN, S ;
WARE, JE .
ANNALS OF INTERNAL MEDICINE, 1985, 102 (04) :520-528
[14]   PARENT ANXIETY AND SATISFACTION WITH A PEDIATRIC VISIT [J].
HATCHER, JW ;
RICHTSMEIER, AJ .
MEDICAL CARE, 1990, 28 (10) :978-981
[15]  
KRAAN H, 1989, COMMUNICATING MED PA
[16]   THE PATIENT-CENTERED CLINICAL METHOD .1. A MODEL FOR THE DOCTOR-PATIENT INTERACTION IN FAMILY MEDICINE [J].
LEVENSTEIN, JH ;
MCCRACKEN, EC ;
MCWHINNEY, IR ;
STEWART, MA ;
BROWN, JB .
FAMILY PRACTICE, 1986, 3 (01) :24-30
[17]  
MAGUIRE P, 1984, HLHT CARE HUM BEHAV, V13, P153
[18]  
MASON DL, 1991, WHICH, V2, P94
[19]  
Mechanic D, 1974, POLITICS MED SOCIAL
[20]  
MILLER J, 1978, LISTENER 1116, P640