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Clinical Interviewing: An Essential but Neglected Method of Medicine

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收录情况: ◇ SCIE ◇ SSCI

机构: [1]Department of Psychiatry, University at Buffalo, State University of New York, Buffalo, NY, USA [2]Departmentof Statistical Sciences, University of Padova, Padova, Italy [3]Case Western Reserve University, Cleveland, OH, USA [4]Departments of Psychiatry and Behavioral Sciences and Anesthesiology, Wayne State University, Detroit, MI,USA [5]Department of Surgical, Medical and Molecular Pathology, and Critical Care Medicine, University of Pisa,Pisa, Italy [6]Changzhou First People’s Hospital and Psychosomatic Gastroenterology Institute, Soochow University,Changzhou, China [7]Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, MD,USA [8]Department of Medicine, Yale University School of Medicine, New Haven, CT, USA [9]Department of FamilyMedicine, Semmelweis University, Budapest, Hungary [10]Lewis Katz School of Medicine, Temple University,Philadelphia, PA, USA [11]Department of Psychology “Renzo Canestrari”, University of Bologna, Bologna, Italy [12]University of Zurich, Zurich, Switzerland [13]Division of Neuropsychiatry and Psychosomatics, Department ofNeurology, Xuanwu Hospital, Capital Medical University, Beijing, China [14]Beijing Psychosomatic DiseaseConsultation Center, Xuanwu Hospital, Capital Medical University, Beijing, China [15]Department of Psychiatry, InovaHealth Systems, Falls Church, VA, USA [16]Department of Psychiatry, Johns Hopkins University School of Medicine,Baltimore, MD, USA [17]Department of Psychiatry and Behavioral Sciences, George Washington University School ofMedicine, Washington, DC, USA [18]Department of Psychiatry and Behavioral Sciences, University of LouisvilleSchool of Medicine, Louisville, KY, USA [19]Department of Psychosomatic Medicine and Psychotherapy, UniversityMedical Hospital Tubingen, Tubingen, Germany [20]German Centre of Mental Health, Tubingen, Germany
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关键词: Clinical interviewing Medical history Diagnosis Health attitudes Assessment

摘要:
Clinical interviewing is the basic method to understand how a person feels and what are the presenting complaints, obtain medical history, evaluate personal attitudes and behavior related to health and disease, give the patient information about diagnosis, prognosis, and treatment, and establish a bond between patient and physician that is crucial for shared decision making and self-management. However, the value of this basic skill is threatened by time pressures and emphasis on technology. Current health care trends privilege expensive tests and procedures and tag the time devoted to interaction with the patient as lacking cost-effectiveness. Instead, the time spent to inquire about problems and life setting may actually help to avoid further testing, procedures, and referrals. Moreover, the dialogue between patient and physician is an essential instrument to increase patient's motivation to engage in healthy behavior. The aim of this paper was to provide an overview of clinical interviewing and its optimal use in relation to style, flow and hypothesis testing, clinical domains, modifications according to settings and goals, and teaching. This review points to the primacy of interviewing in the clinical process. The quality of interviewing determines the quality of data that are collected and, eventually, of assessment and treatment. Thus, interviewing deserves more attention in educational training and more space in clinical encounters than it is currently receiving.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学 1 区 心理学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学 1 区 心理学
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出版当年[2022]版:
Q1 PSYCHIATRY Q1 PSYCHOLOGY
最新[2023]版:
Q1 PSYCHIATRY Q1 PSYCHOLOGY

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第一作者机构: [1]Department of Psychiatry, University at Buffalo, State University of New York, Buffalo, NY, USA
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