Relationship, communication, and efficiency in the medical encounter - Creating a clinical model from a literature review
Relationship, communication, and efficiency in the medical encounter - Creating a clinical model from a literature review
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DOI：
10.1001/archinte.168.13.1387
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发表时间：
2008-07-14
影响因子：
--
通讯作者：
Epstein, Ronald
中科院分区：
文献类型：
--
作者：
Mauksch, Larry B.;Dugdale, David C.;Epstein, Ronald
背景资料：虽然人们对沟通技巧的价值达成了共识，但许多医生抱怨没有足够的时间来使用这些技能。关于如何将联合收割机有效的关系发展和沟通技巧与时间管理结合起来以最大限度地提高效率，人们知之甚少。我们的目标是研究什么医患关系和沟通技巧，提高efficiency.Data Sources：我们进行了检索PubMed，EMBASE，和PsychINFO的日期范围为1973年1月至2006年10月。我们回顾了参考文献列表中确定的出版物和专家的参考书目在医患沟通的其他publications.Study选择：从我们最初的一组引文（n = 1146），我们只包括用英语写的研究报告的原始数据使用的沟通或关系技能和他们的影响时间使用或访问长度。研究入选由2位作者（L.B.M. D. C. D.）。数据提取：2名评价者独立阅读并分类了9篇出版物，并按研究类型、结果和局限性对其进行了编目。差异得到解决的consensus.Results：出现了三个领域，可能会提高沟通效率：融洽的建设，预先议程设置，并承认社会或情感的cluses.Conclusions：在这些研究结果的基础上，我们提供了一个模型融合的质量提高和时间管理功能的选择沟通和关系技能。有必要对提高质量和效率的沟通技能进行更多的研究。
Background: While there is consensus about the value of communication skills, many physicians complain that there is not enough time to use these skills. Little is known about how to combine effective relationship development and communication skills with time management to maximize efficiency. Our objective was to examine what physician-patient relationship and communication skills enhance efficiency.Data Sources: We conducted searches of PubMed, EMBASE, and PsychINFO for the date range January 1973 to October 2006. We reviewed the reference lists of identified publications and the bibliographies of experts in physician-patient communication for additional publications.Study Selection: From our initial group of citations (n = 1146), we included only studies written in English that reported original data on the use of communication or relationship skills and their effect on time use or visit length. Study inclusion was determined by independent review by 2 authors (L.B.M. and D.C.D.). This yielded 9 publications for our analysis.Data Extraction: The 2 reviewers independently read and classified the 9 publications and cataloged them by type of study, results, and limitations. Differences were resolved by consensus.Results: Three domains emerged that may enhance communication efficiency: rapport building, up-front agenda setting, and acknowledging social or emotional clues.Conclusions: Building on these findings, we offer a model blending the quality-enhancing and time management features of selected communication and relationship skills. There is a need for additional research about communication skills that enhance quality and efficiency.