家庭医生接诊服务中运用剑桥医患沟通模式的效果分析  

Implementation of Calgary-Cambridge consultation guide in family medicine practice

作　　者：裴林夕[1] 郭东锋[2] 钟俊华[2] 赵云鹏[2] 张胜男[3] 向莹君[3] 赖光强 

机构地区：[1]深圳市福田区慢性病防治院金碧社康中心,518048 [2]深圳市福田区慢性病防治院社管中心,518048 [3]深圳市福田区慢性病防治院预防医学管理科,518048 [4]深圳市社区卫生协会

出　　处：《中华全科医师杂志》2013年第12期977-979,共3页Chinese Journal of General Practitioners

基　　金：深圳市福田区卫生公益性科研项目（FTWS201148）

摘　　要：对5名家庭医生进行剑桥医患沟通模式培训,针对培训前后接诊的各50例患者,以及专科医生接诊的50例患者的医患沟通各阶段时间及满意度进行测量、问卷调查,并进行比较.结果显示,培训后家庭医生的接诊时间比培训前延长了213 s（分别为490 s、277 s）,比专科医生（268 s）的延长了222 s,均P＜0.001.培训前家庭医生接诊患者的综合满意率为72％,培训后为88％,提高了16％,前后比较差异有统计学意义（P＜0.05）.提示,对全科医生进行剑桥医患沟通模式的培训,可以提高全科医生的沟通能力.Five general practitioners were trained for application of the enhancing CalgaryCambridge guide in consultation.The consultation time in 50 patients were recorded before and after training and the satisfaction degree of patients was investigated by questionnaire survey.Results showed that the length of consultation time after training was longer than that before training （490 s vs 277 s,P ＜ 0.05） and also longer than that of specialists （490 s vs 268 s,P ＜0.05）.The overall satisfaction rate of patients was increased after training （72％ vs 88％,P ＜0.05）.The results indicate that training of Calgary-Cambridge guide for doctor-patient communication can improve the communication skills of general practitioners.

关 键 词：全科医师 医生病人关系 

分 类 号：R197.3[医药卫生—卫生事业管理]