快乐来自哪里:深入的GP-患者关系的定性探索
Hayley Thomas1, Johanna Lynch2, Emily Burch3
1General Practice Clinical Unit, Faculty of Medicine, The University of Queensland, Level 8, UQ Health Sciences Building (Building 16/901), Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia. h.thomas@uq.edu.au.
BMC primary care
|December 13, 2023
概括
深厚的全科医生 (GP) - 患者关系在患者困难期间提供了安全和支持. 培养这些联系需要患者,全科医生和实践团队的努力,尽管目前的医疗保健挑战.
科学领域:
- 一般实践一般实践
- 主要护理是指初级护理.
- 患者与医生的关系
背景情况:
- 基于关系的护理对于高质量的全科医生来说至关重要.
- 深度全科医生 (GP) - 患者关系与更好的患者结果有关.
- 附着理论提供了对治疗关系的洞察力,但在一般实践中未得到充分探索.
研究的目的:
- 从患者和GP的角度探索深度GP-患者关系的性质和经验.
- 了解患者如何识别和体验这些深层关系.
- 检查促进培养这些关系的因素.
主要方法:
- 与13名患者和5名全科医生进行了半结构面试,他们报告了深层关系.
- 经过验证的调查以评估关系深度,依恋风格和以患者为中心.
- 对面试成绩单进行主题分析,以确定关键主题.
主要成果:
- 出现了四个核心主题:专业性,人际联系,信任和"超越"的护理.
- 通过患者,全科医生和实践团队的共同努力来培养深厚的关系.
- 这些关系提供了安全感,关怀和支持,特别是在病人脆弱的时候.
结论:
- 为深层次的GP-患者关系制定了一个修订后的概念框架.
- 这些关系在患者困难期间至关重要,提供了重要的支持.
- 医疗保健环境对培养这些关系构成挑战,但它们为全科医生提供了职业满意度.
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