ASSESSING THE EFFECTS OF PHYSICIAN-PATIENT INTERACTIONS ON THE OUTCOMES OF CHRONIC DISEASE
ASSESSING THE EFFECTS OF PHYSICIAN-PATIENT INTERACTIONS ON THE OUTCOMES OF CHRONIC DISEASE
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DOI：
10.1097/00005650-198903001-00010
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发表时间：
1989-03-01
期刊：
影响因子：
3
通讯作者：
WARE, JE
中科院分区：
文献类型：
--
作者：
KAPLAN, SH;GREENFIELD, S;WARE, JE
对医患关系的日益关注使人们关注影响患者健康结果的医患关系的具体因素。数据呈现为四个临床试验中进行的不同的实践设置中的慢性病患者明显不同的社会人口学特征。这些试验表明，从生理学（血压或血糖）、行为学（功能状态）或更主观的角度（对整体健康状况的评估）衡量的“更好的健康”始终与医患沟通的特定方面相关。我们的结论是，医患关系可能是对患者的健康结果的重要影响，必须考虑到目前的变化，在医疗保健提供系统，可能会把这种关系处于危险之中。
Growing interest in the doctor-patient relationship focuses attention on the specific elements of that relationship that affect patients' health outcomes. Data are presented for four clinical trials conducted in varied practice settings among chronically ill patients differing markedly in sociodemographic characteristics. These trials demonstrated that “better health” measured physiologically (blood pressure or blood sugar), behaviorally (functional status), or more subjectively (evaluations of overall health status) was consistently related to specific aspects of physician-patient communication. We conclude that the physician-patient relationship may be an important influence on patients' health outcomes and must be taken into account in light of current changes in the health care delivery system that may place this relationship at risk.