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Cómo el lenguaje basado en el fracaso falla a nuestros pacientes

Alexandra Balshi1, Samantha A Lee2

  • 1Harvard Medical School, Boston, Massachusetts, USA alexandra_balshi@hms.harvard.edu.

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La jerga médica como "tratamiento fallido" puede dañar a los pacientes al implicar culpa personal. El cambio al lenguaje centrado en el paciente es crucial para mejorar las relaciones terapéuticas y los resultados de salud.

Palabras clave:
El médico .Educación para el cuidado de la salud

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Área de la Ciencia:

  • Comunicación médica
  • Atención centrada en el paciente
  • Psicología de la salud

Sus antecedentes:

  • La terminología médica a menudo usa "tratamiento fallido" o "terapia fallida" para describir intervenciones con resultados subóptimos.
  • Este lenguaje puede tener un impacto negativo en los pacientes al sugerir responsabilidad personal por los resultados influenciados por factores biológicos y sociales complejos.
  • Tal terminología puede dañar la relación terapéutica y afectar negativamente a la salud mental y física del paciente.

Objetivo del estudio:

  • Analizar los efectos perjudiciales del lenguaje basado en el fracaso en el discurso médico.
  • Abogar por la eliminación de términos como "tratamiento fallido" del léxico médico.
  • Promover la adopción de frases alternativas centradas en el paciente en la comunicación clínica.

Principales métodos:

  • Análisis cualitativo del discurso médico.
  • Revisión de la literatura existente sobre la comunicación entre el paciente y el proveedor.
  • Desarrollo de una terminología alternativa y recomendaciones políticas.

Principales resultados:

  • El lenguaje basado en el fracaso en la medicina puede llevar a la auto-culpabilidad del paciente y a una menor adherencia al tratamiento.
  • El uso de tales términos socava la confianza y la colaboración esenciales para una atención sanitaria eficaz.
  • Las frases alternativas pueden fomentar una experiencia de apoyo y empoderamiento para el paciente.

Conclusiones:

  • Eliminar el lenguaje de "tratamiento fallido" es esencial para la práctica médica ética.
  • La adopción de estrategias de comunicación centradas en el paciente mejora las relaciones terapéuticas y el bienestar del paciente.
  • Se recomiendan cambios en las políticas que apoyen la terminología médica revisada para mejorar la comunicación de la atención médica.