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How patients want their doctor to communicate. A literature review on primary care patients' perspective

机译：病人希望他们的医生如何沟通。关于基层医疗患者观点的文献综述

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Objective: To review the literature on the communicative behaviours primary care patients want from a "good" physician. Methods: An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative and quantitative articles meeting the selection criteria were analysed separately, comparing methods, definitions, measures and outcomes. The physician behaviours desirable from a patient perspective were grouped by linking them to the communicative functions of an effective medical encounter as defined from a professional perspective. Results: Twenty-seven studies were included. Critical issues were the heterogeneity of definitions and measures and the lack of integration between quantitative and qualitative findings. Most of the expectations in qualitative studies were related to the function "Fostering the relationship" Similar expectations arose less often in quantitative studies. Conclusions: Patients do have concrete expectations regarding each of the functions to be met in the medical encounters. The research approach tends to bias the results. Practice implications: The collected expectations suggest how physicians may perform each of their tasks according to the patient perspective. Future research on patients' communicative expectations needs to overcome the gap between qualitative and quantitative findings.
机译：目的：回顾有关“好”医师希望初级保健患者进行交流行为的文献。方法：电子搜索使用关键词“医患关系”，“患者的期望”或“患者的期望”或“患者的偏好”（从现在开始称为期望）。分别对符合选择标准的定性和定量文章进行分析，比较方法，定义，度量和结果。通过将患者的行为与从专业角度定义的有效医疗交流的沟通功能相关联，将患者的行为归为一组。结果：包括二十七项研究。关键问题是定义和措施的异质性以及定量和定性研究结果之间缺乏整合。定性研究中的大多数期望与“促进关系”功能有关。在定量研究中，相似的期望很少出现。结论：患者对医疗过程中要实现的每个功能确实抱有具体期望。研究方法倾向于使结果产生偏差。实践意义：收集到的期望值表明了医生如何根据患者的观点执行他们的每项任务。未来关于患者交流期望的研究需要克服定性和定量结果之间的差距。

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