患者对影响医疗互动积极参与的因素的看法:一种定性研究
Natali Cvetanovska1, Rebecca L Jessup1, Anna Wong Shee2
1Monash Rural Health, Monash University, Warragul, Australia; Staying Well Program, Northern Health, Epping, Australia.
Patient education and counseling
|June 1, 2023
概括
了解患者参与医疗保健需要解决诸如沟通技巧,临床医生与患者关系和患者赋权等因素. 可修改的因素表明,通过有针对性的策略可以克服沟通障碍.
科学领域:
- 卫生沟通健康沟通
- 患者的参与度 患者的参与度
- 在医疗保健中的行为科学.
背景情况:
- 有效的患者参与对于最佳的医疗保健结果至关重要.
- 阻碍患者积极参与医疗互动的障碍会阻碍沟通.
- 了解患者的观点是识别这些障碍的关键.
研究的目的:
- 探索患者对影响他们积极参与医疗互动的因素的看法.
- 确定可改变的因素,可以提高患者在临床环境中的参与度.
主要方法:
- 使用面试和焦点小组数据的二次分析进行定性描述方法.
- 采用COM-B (能力,机会,动机,行为) 模型来分析影响因素.
- 包括39名参与者 (25次采访,14个焦点小组).
主要成果:
- 在COM-B领域出现了9个影响参与的因素:能力 (个人特征,语言,情感),机会 (时间,支持,关系) 和动机 (准备,权力动态).
- 鉴定的因素突出显示了患者特征与医疗环境之间的相互作用.
- 患者的语言和文化,情绪状态和感知到的权力失衡显著影响参与.
结论:
- 影响患者积极参与的许多因素是可修改的,这表明沟通障碍并非不可克服.
- 改善沟通需要临床医生和患者之间的协作努力.
- 诸如议程制定,文化能力培训和回教方法等策略是有效的.
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