How physicians experience patient consultations at on orthopaedic out-patient clinic: a qualitative study

被引:11
|
作者
Fossum, B [1 ]
Arborelius, E
Theorell, T
机构
[1] Stockholm Ctr Publ Hlth, Med Sociol Unit, Stockholm, Sweden
[2] Karolinska Inst, Karolinska Hosp, Div Social Med, Dept Publ Hlth Sci, SE-17176 Stockholm, Sweden
[3] Red Cross Univ, Coll Nursing, Stockholm, Sweden
[4] Karolinska Inst, Dept Publ Hlth Sci, Sect Stress Res, S-10521 Stockholm, Sweden
[5] Karolinska Inst, Natl Inst Psychosocial Factors & Hlth, S-10521 Stockholm, Sweden
关键词
patient-physician relation; communication; orthopaedist; video-recorded consultation; qualitative study;
D O I
10.1016/S0738-3991(01)00184-7
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The aim of this study is to describe physicians' experiences in their encounters with patients by allowing the physicians to observe and comment on their own video-recorded medical consultations. Eighteen orthopaedic surgeons took part in the study they were informed that we were interested in studying what actually takes place during a consultation, the quality of communication between doctor and patient, and how the physicians themselves experience the consultation. Each time the physician wished to make a comment, the video film was stopped and the comments were taped on audiocassette. The results showed that when the physicians watched the video-recorded consultations they commented spontaneously on issues regarding, among others: (I) how they try to adapt their communication to the patient's situation: (2) the need to explain things to the patient (3) perceptions of working under unfavourable conditions: (4) difficulties in helping certain patients. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:127 / 135
页数:9
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