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  • 标题:The shared consultation: a necessity in primary care clinics?
  • 本地全文:下载
  • 作者:ID Couper BA ; MBBCh ; MFamMed
  • 期刊名称:South African Family Practice
  • 印刷版ISSN:2078-6190
  • 电子版ISSN:2078-6204
  • 出版年度:2010
  • 卷号:52
  • 期号:3
  • 页码:223-226
  • DOI:10.1080/20786204.2010.10873978
  • 出版社:Taylor and Francis Ltd
  • 摘要:

    The shared consultation is a concept that differs from shared decision making and shared care. It involves two or more health professionals in the consultation of a patient during the same illness episode. Commonly, the health professionals are a primary-care doctor and a clinical nurse practitioner. On the basis of clinical experience, a number of models of the relationship in such situations are described, viz the consultant, the master-servant, the teacher-pupil and the teamwork models. Issues of communication within the consultation, the patient as a person, continuity of care, and clarification of roles and responsibilities are highlighted. More investigation is required to explore this further.

  • 关键词:consultation ; primary health care ; patient-centred care ; doctor-nurse relations ; nurse practitioners
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