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Updated: Sep 10, 2025

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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臨床 医 に 対する 信頼 と 経験 に 関連 し て いる 要素 は 何 です か
Laura Bashour1, Amin Razi1, Jada Thompson1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Journal of patient experience
|August 22, 2025
まとめ
患者の個人的な要因は,臨床医に対する信頼と経験に影響を与えなかった (TRECS-7). しかし,ヒスパニック/ラテン系民族は医師の共感の低下 (JSPPPE) と関連しており,社会的/精神的な健康状態の悪さは患者の経験の悪化と相関していた.
科学分野:
- 医学社会学
- 医療サービス研究
- 患者体験調査
背景:
- 患者の経験は医療の提供において極めて重要です
- 患者の経験を測るには 個人の要因を理解する必要があります
- 既存の対策は 関連性を検出する上で 限界があるかもしれません
研究 の 目的:
- 筋肉骨のケアにおける患者の経験に関連した患者の個人的な要因を特定する.
- 臨床医との信頼と経験のスケール (TRECS-7) と医師の共感に対する患者の認識のジェファーソンスケール (JSPPPE) との関連性を評価する.
主な方法:
- 筋骨格の専門治療を受けている173人の患者の横断研究.
- TRECS-7とJSPPPEを用いて患者の経験を計測した.
- 回帰分析とポストホック・クラスター分析を行い,混同因子を制御した.
主要な成果:
- TRECS-7スコアと患者個人の要因は関連していない.
- 自己報告されたヒスパニック/ラテン系民族は,低 JSPPPE スコア (回帰係数 = - 2. 8) と関連していました.
- クラスター分析では,社会的および精神的な健康状態が悪い患者は,全体的に患者体験が悪いことを報告しました.
結論:
- このコホートでは,民族や社会/精神的健康以外の患者個人の要因が,特定の患者体験の測定値と限られた関連性を示しています.
- 医者の共感 (JSPPPE) は民族によって影響を受けることがあります.
- ソーシャルとメンタルヘルス評価を統合することで,筋骨格介護における患者の経験の理解を深めることができます.
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