加拿大慢性病患者感知到的临床同情心:一种定性焦点小组研究
Shira Gertsman1, Ioana Cezara Ene2, Sasha Palmert2
1Michael G. DeGroote School of Medicine (Gertsman, Ene, Palmert, Liu, Makkar, Shao), McMaster University, Hamilton, Ont.; Department of Family Medicine (Shapiro), UC Irvine School of Medicine, University of California Irvine, Irvine, Calif.; Department of Pediatrics (Williams), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Dalla Lana School of Public Health (Williams), University of Toronto, Toronto, Ont. shira.gertsman@medportal.ca.
医生同情心显著影响患者的健康结果和医疗保健效率. 了解患者的经验对于开发有效的以同情心为中心的医学教育计划至关重要.
科学领域:
- 医学教育 医学教育
- 患者体验 患者体验
- 临床同理心 临床同理心
背景情况:
- 医学学生在培训期间经常经历临床同情心的下降.
- 临床同理心为患者和医生提供了显著的好处.
- 同理心的下降可能会对患者的护理和结果产生负面影响.
研究的目的:
- 根据加拿大慢性病患者的经验,开发一种临床同情心模型.
- 为加拿大发展以同理心为重点的医学课程提供信息.
- 了解患者对医生同情心的看法.
主要方法:
- 定性焦点小组研究利用一种构造主义基于理论的方法.
- 招募了患有慢性疾病的成年人,他们最近在加拿大看过医生.
- 进行了六个半结构化的虚拟焦点小组,并使用常量比较方法分析了成绩单.
主要成果:
- 感知到的医生同情心导致了积极的患者处理,改善了医疗保健效率和更好的心理健康.
- 缺乏同情心导致护理质量降低,医疗资源利用率增加,健康结果负面.
- 患者对加拿大医疗保健系统的满意度平均为5.4/10.
结论:
- 临床同情心对患者的生活有深远的影响,可以减少医疗保健资源的使用.
- 加强临床同情心的干预措施必须纳入患者对其生活经验的观点.
- 以同情心为基础的医学教育对于改善患者护理和治疗结果至关重要.
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