Modelling the process of encounter between general practitioner and patient as a method for the detection of psychosocial problems.
In the Netherlands all patient on the list of a GP can present with all health problems in all their stages of development at any time, and more than 80% of all complaints presented to a GP are resolved by him or her. Many of these problems have psychosocial aspects. GPs need a structured consultation model for the doctor-patient encounter and, at the same time, need an open consultation style. The model must be seen as an aid in the doctor-patient communication and in medical education. In this article such a model, based on the SOAP system, a system for medical recording is described. Furthermore, a broader protocol of the SOAP, called the BATHE, is introduced. In addition, a description is given of how students at the medical school of Maastricht University are trained to use this model, especially in the clerkship in general practice.
Department of General Practice, Medical School, Maastricht University, The Netherlands.
J M
JM
opt Root
B
B
Maoz
D002982:Clinical Clerkship; D003479:Curriculum; D005194:Family Practice / Q000193:education; D006801:Humans; D007406:Interview, Psychological; D009426:Netherlands; D010348:Patient Care Team; D010817:Physician-Patient Relations; D011570:Psychiatry / Q000193:education; D011613:Psychotherapy / Q000193:education; D012017:Referral and Consultation; D012803:Sick Role; D012917:Social Adjustment