THE PATIENT-CENTERED CLINICAL METHOD .1. A MODEL FOR THE DOCTOR-PATIENT INTERACTION IN FAMILY MEDICINE
THE PATIENT-CENTERED CLINICAL METHOD .1. A MODEL FOR THE DOCTOR-PATIENT INTERACTION IN FAMILY MEDICINE
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DOI：
10.1093/fampra/3.1.24
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发表时间：
1986-03-01
期刊：
影响因子：
2.2
通讯作者：
BROWN, JB
中科院分区：
文献类型：
--
作者：
LEVENSTEIN, JH;MCCRACKEN, EC;BROWN, JB
本文介绍了一种适合家庭医学的以病人为中心的临床方法。设计这种方法是为了了解病人和他的疾病。这个双重任务是根据两个议程来描述的：医生和病人的议程。了解患者日程的关键是医生对患者提供的线索的接受能力，以及鼓励他表达自己的期望、感受和恐惧的行为。医生的日程是根据疾病的分类来解释病人的疾病。在以患者为中心的临床方法中，这两个议程都由医生处理，他们之间的任何冲突都通过协商处理。这与以疾病为中心的方法形成对比，后者只处理医生的议程。后续文章将从操作角度描述以患者为中心的方法。
This article describes a patient-centred clinical method appropriate for family medicine. The method is designed to attain an understanding of the patient as well as his disease. This two-fold task is described in terms of two agendas: the physician's and the patient's. The key to an understanding of the patient's agenda is the physician's receptivity to cues offered by the patient, and behaviour which encourages him to express his expectations, feelings and fears. The physician's agenda is the explanation of the patient's illness in terms of a taxonomy of disease. In the patient-centred clinical method, both agendas are addressed by the physician and any conflict between them dealt with by negotiation. This is contrasted with the disease-centred method in which only the doctor's agenda is addressed. Further articles will describe the patient-centred method in operational terms.