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相关概念视频

Primary Healthcare Services01:30

Primary Healthcare Services

1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
574
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

955
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
955
Secondary Healthcare System01:11

Secondary Healthcare System

1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Problem Presentation in Accompanied Medical Consultations: Patterns for Multi-Person Participation.

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Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension
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Author Spotlight: An Effective Traditional Chinese Medicinal Treatment for Chronic Obstructive Pulmonary Disease with Abdominal Distension

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在中国的初级保健中,患者的问题呈现.

Zi Yang1, Xueming Wang2

  • 1School of Foreign Studies, University of Science and Technology Beijing.

Health communication
|January 12, 2024
PubMed
概括

中国患者经常通过提出请求而不是描述问题来启动医疗访问. 这凸显了中国初级保健系统的重要患者代理,转向提供者-消费者模式.

科学领域:

  • 医学社会学 医学社会学
  • 语言学的语言学.
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 了解患者与医生的互动对于有效的医疗保健服务至关重要.
  • 医疗开门的结构,特别是患者问题的呈现,在西方初级保健中得到了很好的研究,但在中国却没有得到充分的研究.

研究的目的:

  • 探索中国初级保健咨询中患者问题呈现的交互特征.
  • 分析患者发起的问题呈现的顺序位置,形式和上下文意外情况.
  • 了解中国初级保健中医疗服务遭遇模型的含义.

主要方法:

  • 在中国大陆进行91次录音初级保健咨询的对话分析.
  • 在咨询的开幕阶段,检查患者的问题呈现.

主要成果:

  • 中国患者经常将他们访问的原因作为请求 (57/91例) 的行为,通常是自主发起的,而不是医生要求的.
  • 在中国,患者的问题呈现与在西方初级保健中看到的典型问题描述模型有所不同.
  • 这种陈述风格模糊了新的和非新的医疗问题之间的区别.

结论:

  • 中国患者在初级保健机构中表现出高度的代理权.

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  • 这些发现表明,在中国的医生与患者互动中,医生与患者的互动模式转向了提供者与消费者模式,而不是专业客户模式.
  • 这项研究提供了对中国初级保健开放中医疗服务遭遇的独特结构的见解.