HOW DO PHYSICIANS TALK WITH THEIR PATIENTS ABOUT RISKS

被引：46

作者：

KALET, A

ROBERTS, JC

FLETCHER, R

机构：

[1] Department of Medicine, Division of Primary Care, Gouverneur Diagnostic and Treatment Center, New York University Medical Center, New York

[2] Johns Hopkins School of Medicine, Francis Scott Key Medical Center, Division of General Internal Medicine, Baltimore, Maryland

[3] Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Community Health Plan, Boston, Masschusetts

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1994年 / 9卷 / 07期

关键词：

PHYSICIAN-PATIENT INTERACTION; RISK; PREVENTION; COMMUNICATION;

D O I：

10.1007/BF02629523

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

To describe the communication about risk between community-based physicians and their patients, the authors audiotaped 160 physician-patient encounters in the private practices of 19 physicians. Coding was done using a structured scheme to identify the presence of talk about risk of future illness, and to describe its characteristics. Patient understanding and satisfaction were assessed through an interview. Risk discussion occurred in 26% (95% CI 19% - 33% ) of the visits, quantitatively in two cases and specifically with respect to outcome in 48% (95% CI 40% - 56% ) of the visits. The patients initiated only 16% of this discussion but were, in general, satisfied with their care and the information they had received, but they had poor recall of the specifics of the discussion.

引用

页码：402 / 404

页数：3

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