"这是我的生活,现在或永远" - - 移植接受者从服务主导逻辑角度获得权力
Wim S Sipma1, Margriet F C de Jong2, Kees C T B Ahaus1
1Department of Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
概括
器官移植接受者积极共同创造他们的健康和福祉. 医疗保健提供者应该支持患者实现超越医疗需求的有意义的生活,以获得成功的长期结果.
科学领域:
- 移植医学 移植医学
- 健康心理学 心理健康心理学
- 服务科学科学 服务科学
背景情况:
- 患者的福祉和移植的存活率是器官移植后的关键结果.
- 健康的自我管理,包括治疗的坚持和活动,显著影响长期的移植存活.
- 器官移植接受者越来越多地被视为自己健康结果的积极参与者.
研究的目的:
- 倡导采取更广泛的方法来治疗移植后患者的健康状况,不仅仅是医疗管理.
- 鼓励器官移植接受者积极参与创造自己的福祉.
- 利用服务主导逻辑框架来理解患者是他们健康的价值创造者.
主要方法:
- 使用服务主导逻辑视角的概念分析.
- 审查现有的关于患者自我管理和移植后结果的文献.
- 支持关于医疗保健提供者和患者角色的双重断言的理论论证.
主要成果:
- 有效的自我管理对于长期的移植存活和患者福祉至关重要.
- 仅仅是医疗支持对移植后有意义的生活来说是不够的.
- 患者是他们自己的健康和福祉的首要价值创造者.
结论:
- 医疗保健提供者应提供超越医疗保健的支持,以促进整体的患者福祉.
- 器官移植接收者应该被赋予权力,使他们能够把自己视为移植后生活和福祉的积极创造者.
- 为了优化移植结果,转向将患者视为健康价值的共同生产者这一模式转变至关重要.
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