The traditional medical consultation comprises history, examination, and investigations, followed by explanation to the patient of diagnosis and management.
In the course of studying a series of tape-recorded consultations in a specialist medical clinic for chronic fatigue, we have observed a different structure.
In some consultations, those categorised as more'patient-centred'doctors introduced explanation and education into the early history-taking stage.
This strategy is contrasted with the traditional approach, where the doctor only elicits information during the history, and gives an explanation later.
The'early feedback'strategy may result in patients with chronic illnesses achieving greater understanding of their symptoms.
We discuss the implication of these findings for medical training.
Mots-clés Pascal : Royaume Uni, Europe, Epidémiologie, Homme, Santé, Consultation, Personnel sanitaire, Médecin, Pratique professionnelle, Relation médecin malade, Communication, Rétroaction
Mots-clés Pascal anglais : United Kingdom, Europe, Epidemiology, Human, Health, Consultation, Health staff, Physician, Professional practice, Physician patient relation, Communication, Feedback regulation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0424058
Code Inist : 002B30A05. Création : 22/03/2000.