Guidelines for Writing Letters to Patients

Patient letters provide a permanent record of the genetic counseling that was provided and are unique in medical care; rarely do other health care providers send summaries written specifically to their patients and families. We surveyed genetic counseling training program directors and found that while the acquisition of patient letter-writing skills was considered important, there were no specific guidelines made available to students. To develop letter-writing guidelines, we evaluated patient letters, reviewed references on professional correspondence, surveyed the medical literature, and worked with a writing consultant. The guidelines we subsequently developed and present here include a format for writing patient letters, suggestions on presenting medical information in understandable terms, and wording considerations. These patient letter-writing guidelines are intended to serve as a guide for teaching students this important skill and as a resource for practicing health care professionals.     

心理距离视角下的行为决策

决策是指决策者对将产生不同结果的多个备择方案的评估与选择。无论决策结果涉及的是金钱、健康、环境或是其他事物,它们都同时具有多重属性,如发生的概率,发生的时间,发生的地点,发生在谁身上等,这些属性会和结果量一起影响人们对结果效用的评价和对备择方案的选择。以往有关风险决策、跨期决策和社会决策的理论分别探究结果的概率属性、时间属性和人际属性如何与结果量一起共同决定人们的效用评估与选择,并提出了各自不同的决策模型。然而,心理距离理论则认为,决策结果的概率、时间、空间、人际等属性本质上都可被表征为结果在决策者心中的心理距离。这意味着风险、跨期和社会决策模型有可能经由心理距离而得以统一。近几年来,众多研究围绕这一思想开展了一系列实验研究,分析了各种心理距离的同质性,探索了基于心理距离的心理折扣现象及其规律,探讨了时间、概率、人际、空间距离对个体决策的影响。在此基础上,未来研究还应更加重视对多特征决策的研究,探索心理距离之间的替换率和通币问题,探究心理距离的本质及其整合方式,以期形成统一的决策理论模型。