The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine.
The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine.
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以患者为中心的临床方法。
作者：
J. Levenstein;E. McCracken;I. Mcwhinney;M. Stewart;J. B. Brown
本文描述了一种适用于家庭医学的以患者为中心的临床方法。该方法旨在了解患者及其疾病。这个双重任务是根据两个议程来描述的：医生的和患者的。了解患者议程的关键是医生对患者提供的线索的接受程度，以及鼓励患者表达期望、感受和恐惧的行为。医生的议程是根据疾病分类来解释患者的疾病。在以患者为中心的临床方法中，这两个议程均由医生解决，并且它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鲜明对比，在该方法中，仅解决医生的议程。进一步的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.