The three second consultation
The three second consultation
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三秒咨询
DOI：
--
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发表时间：
2009
影响因子：
5.1
通讯作者：
J. Launer
中科院分区：
文献类型：
--
作者：
J. Launer
有许多不同的医疗咨询模式。现在的大多数医生在医学院或后来的专业培训中都会学到其中的一个或多个。这些模式在很大程度上取决于这样一种想法，即每次咨询都有或应该有一个涉及某些标准部分的常规模式，每个标准部分持续几分钟。他们一般建议协商采用一种可称之为"交响乐"的结构。他们认为医生和病人之间的对话是需要某种预先确定的形式的会议。他们认为医生即使不是交响乐的唯一作曲家，也是交响乐的指挥。
例如，一个非常有影响力的模式建议，每次协商应包括五个部分：开始会议，收集信息，检查，解释和计划，并结束会议。1另一位流行的咨询权威建议，医生一般应遵循"连接，总结，移交，安全网和内务管理"。2其他主要的教师为咨询的不同部分提供了各种各样的名称，有些模型比其他模型更华丽，但概括地说，他们都有两个假设：咨询需要有一个标准的结构，医生需要控制它。
在某些方面，所有这些咨询...
There are many different models of the medical consultation. Most doctors nowadays will have learned one or more of these at medical school, or later on in their speciality training. The models largely depend on the idea that every consultation has, or should have, a regular pattern involving certain standard sections, each of these lasting several minutes. They generally propose what one might call a “symphonic” structure to the consultation. They see conversations between doctors and patients as meetings that need some kind of pre-determined shape. They regard the doctor as the conductor of the symphony, if not the sole composer.
Thus, for example, one very influential model proposes that every consultation should consist of five parts: initiating the session, gathering information, examination, explanation and planning, and closing the session.1 Another popular authority on the consultation suggests that doctors should generally follow a routine of “connecting, summarising, handing over, safety netting and housekeeping”.2 Other leading teachers offer a variety of names for different parts of the consultation and some models are more ornate than others, but broadly speaking they all share two assumptions: the consultation needs to have a standard structure, and the doctor needs to be in control of it.
In some ways, all these consultation …