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Updated: Jul 26, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
医療記録を修正する. 年代記を物語に変換する
1Medical Service, Veterans Administration Hospital, Hines, IL 60141.
JAMA
|August 12, 1988
まとめ
医学的記述は,しばしば患者の感情や理解を無視する. 患者の視点を医療記録に組み込むことは,ケアを改善し,医師と患者の関係を強化します.
科学分野:
- 医学ヒューマニティスは,医学ヒューマニティスです.
- 患者中心のケア
- ネラティブ・メディシンは,物語医学です.
背景:
- 医学的病院における現在の医療記録と症例プレゼンテーションは,主観的な患者の経験をしばしば無視し,代わりに客観的な出来事に焦点を当てています.
- この不均衡は,病気の不完全な理解につながり,患者の効果的なケアと共感を阻害する可能性があります.
研究 の 目的:
- 客観的な医学的年代記から,患者の主観的な経験を含む叙事的な"物語"への移行を提唱する.
- 患者の視点を統合することで,人間の病気のよりバランスのとれた,共感的な説明がどのように作られるかを実証するためです.
主な方法:
- 医者に,患者の健康状態に対する理解と感情を尋ねることを奨励する.
- 患者の反応を記録し,自身の言葉で,医療記録の現在の病歴のセクションに記載する.
主要な成果:
- このアプローチは,重要な患者の情報を保存し,医療従事者間の共感を促進します.
- それは,医師が患者に対して,単に症例ではなく,個体としての真の関心を示していることを示している.
結論:
- 患者の声を現在の病歴に含めると,医療記録の欠陥を修正できます.
- この統合は,医師と患者の関係を大幅に改善し,より良いコミュニケーションと信頼を促進します.
キーワード:
プロフェッショナル 患者との関係 患者との関係関連する概念動画
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