A comparison of initial and established patient encounters using the Davis Observation Code.
A comparison of initial and established patient encounters using the Davis Observation Code.
复制标题
使用戴维斯观察代码对初始患者接触情况和既定患者接触情况进行比较。
作者：
K. Bertakis;E. Callahan
背景
以前的研究已经评估了医疗访问期间的沟通如何影响患者的结果，如依从性，回忆和满意度。这些既往研究通常不控制新患者访视与已确定患者访视。本研究的目的是探讨新的和建立的病人接触之间的差异。
方法
本研究以一所大学的家庭医疗诊所为基础，研究了62名新病人和58名已建立的病人。戴维斯观察代码被用来编码和评估的遭遇。
结果
建立患者接触时间较短，涉及更多的聊天，咨询，治疗效果的讨论，依从性检查，并要求特定的患者行为改变有关健康促进。另一方面，建立病人的遭遇涉及较少的结构与病人的互动，较少的历史，以及较少的讨论有关的家庭信息，吸烟和药物滥用。
结论
结果表明，在医疗采访中发生的事情是高度依赖于医生和病人的熟悉程度。未来关于医患互动的研究应该考虑这种互动是否代表新的或已建立的访问。
BACKGROUND
Previous research has evaluated how communication during medical visits affects patient outcomes such as compliance, recall, and satisfaction. These prior studies generally did not control for new versus established patient visits. The objective of the present research was to explore differences between new and established patient encounters.
METHODS
This research studied 62 new patient and 58 established patient encounters to a university-based family practice clinic. The Davis Observation Code was used to code and evaluate the encounters.
RESULTS
Established patient encounters were shorter and involved more chatting, counseling, discussions of treatment effects, compliance checking, and requests for specific patient behavior changes regarding health promotion. On the other hand, established patient encounters involved less structuring of the interaction with the patient, less history taking, and fewer discussions regarding family information, smoking, and substance abuse.
CONCLUSIONS
The results indicate that what takes place during the medical interview is highly dependent on physician-patient familiarity. Future research on physician-patient interactions should consider whether the interactions represent new or established visits.