期刊
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
卷 19, 期 1, 页码 8-13出版社
TAYLOR & FRANCIS AS
DOI: 10.1080/028134301300034521
关键词
patient-centred interview; doctor-patient communication; biopsychosocial approach; postmodernism; consultations; general practice; medical education
The article reports on some ideas and experiences gained from a holistic approach to working with patients and introduces a viewpoint that includes opinions on how postmodernism, the biopsychosocial model and a patient-centred interviewing style can change traditional, biomedical-oriented medicine. During the past 10 years, we have been instructing medical students in the use of this patient-centred interviewing model and have trained experienced general practitioners (GPs) in adopting it in 2-year family-oriented continuing medical education courses. We believe that doctors and other health care providers, particularly in primary care settings, need a comprehensive concept of human health and illness, and that skill in patient-centred interviewing is the product of a deep learning process. In conclusion, we have learned that a successful patient-centred interview helps the GP to better understand the patient and helps to explain the data that the patient presents. Patient-centred orientation and interviewing also change the communication between doctor and patient in a direction which supports the patient's and his/her family members' own resources in the healing process.
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