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国外医患沟通模式对我国全科医生沟通技能培训的启示
引用本文:邓黎黎,廖晓阳,伍佳,熊梅. 国外医患沟通模式对我国全科医生沟通技能培训的启示[J]. 中国全科医学, 2021, 24(13): 1684-1689. DOI: 10.12114/j.issn.1007-9572.2021.00.185
作者姓名:邓黎黎  廖晓阳  伍佳  熊梅
作者单位:610041四川省成都市,四川大学华西医院特需医疗中心/全科医学病房
*通信作者:廖晓阳,教授,硕士生导师;E-mail:625880796@qq.com 伍佳,主治医师;E-mail:wujia@wchscu.cn
基金项目:中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018B-N03018);成都市武侯区医院管理服务中心重点研究资助课题(成武医管【2019】A03)
摘    要:沟通能力是全科医生必备的核心能力之一,是提高医疗服务质量的保障。国外在积累大量研究经验基础上,制定了系统、简单、实操性强的医患沟通模式,在医学教育中被广泛应用,被证明对提高医生沟通技能有着至关重要的作用。而我国由于受生物医学传统模式的影响,对医学生医患沟通能力的培养存在认识不足,缺乏适应不同阶段、专业方向的医患沟通教育教材,缺乏相关理论研究等问题,制约了沟通技能培训的质量,导致全科医生沟通能力相对薄弱。拥有系统、简单、实操性强的沟通培训模式是保证全科医生医患沟通能力培养质量的关键环节。本文重点分析国外推荐使用的主要医患沟通模式(以患者为中心的沟通模式、卡尔加里-剑桥指南、SEGUE框架、“四习惯”、卡拉马祖共识声明基本元素沟通清单),以期为制定符合我国全科医生医患沟通技能培训内容提供参考和借鉴。

关 键 词:全科医生  医患沟通  沟通技能  培训  模式  

Enlightenment of Foreign Doctor-patient Communication Models to Relevant Trainings for General Practitioners in China
DENG Lili,LIAO Xiaoyang,WU Jia,XIONG Mei. Enlightenment of Foreign Doctor-patient Communication Models to Relevant Trainings for General Practitioners in China[J]. Chinese General Practice, 2021, 24(13): 1684-1689. DOI: 10.12114/j.issn.1007-9572.2021.00.185
Authors:DENG Lili  LIAO Xiaoyang  WU Jia  XIONG Mei
Affiliation:International Medical Center/General Practice Unit,West China Hospital,Sichuan university,Chengdu 610041,China
*Corresponding authors:LIAO Xiaoyang,Professor,Master supervisor;E-mail:625880796@qq.com
WU Jia,Attending physician;E-mail:wujia@wchscu.cn
Abstract:Skills for communicating with patients are one kind of core ability that general practitioners(GPs) must possess,ensuring the improvement of services quality provided by GPs. The systematic,simple and practical doctor-patient communication models developed by foreign countries based on a large amount of research experience have been widely used in medical education,and proved to be crucial for improving doctors' skills for communicating with patients.In contrast,in China,GPs show relatively poor abilities in communicating with patients,which may be caused by insufficient awareness of training this ability in medical students influenced by the traditional biomedical model,and unsatisfied quality of such trainings due to lack of relevant teaching materials for medical students with different majors at different learning stages,and lack of relevant theoretical studies. As systematic,simple,and practical curriculum is the key to ensure the quality of training GPs' skills for communicating with patients,we detailedly analyzed the recommended major doctor-patient communication models in foreign countries(patient-centered communication,Calgary-Cambridge Guide,SEGUE Framework,Four Habits Model,Kalamazoo Essential Elements communication Checklist-Adapted),aiming at providing a reference for developing course contents of doctor-patient communication skills for GPs in China.
Keywords:General practitioners  Doctor-patient communication  Communication skills  Training  Model  
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