医患关于新药物的沟通会影响患者用药依从性。关于新药物讨论的具体内容，或医生和患者在讨论新药物时如何措辞，人们知之甚少。然而，沟通中的细微差别可能会影响患者的理解并影响行为。需要一个全面的编码框架来描绘医患讨论的复杂性，以更好地理解关于新处方的沟通范围。本研究运用分析归纳法，分析了185次门诊就诊的录音，在这些就诊中，家庭医生、内科医生和心脏病专家在两个医疗机构开具了243种新药物。开发了76个编码，以展示医生就新处方信息（如药物名称、用途、用法、副作用、获取和监测）进行咨询的范围。对话内容还涉及患者通过提供有关新处方信息来启动特定主题，或相反，通过要求或询问新处方相关信息来启动主题的方式。最后，文章还描述了患者对新处方的部分抵抗或完全抵制的互动方式。这项研究首次对医患在讨论新处方时的沟通范围进行了详细的分类分析。研究结果表明，医生对新药物的沟通存在很大差异。这些发现对于改善医患沟通、提高患者用药依从性和健康结果具有重要意义。
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