一个对患者与医生的信任关系做出贡献的模型:使用系统的搜索策略进行批判性审查
Seraina Petra Lerch1,2,3, Rahel Hänggi4, Yara Bussmann4
1Faculty of Behavioural and Cultural Studies, Ruprecht Karls-University, Heidelberg, Germany. seraina.lerch@stud.uni-heidelberg.de.
BMC primary care
|June 2, 2024
概括
建立患者医生信任需要解决患者因素,如教育和医生特征,如沟通和能力. 专注于时间,连续性和共享决策可以改善这种重要关系.
科学领域:
- 医疗保健研究 医疗保健研究
- 医学社会学 医学社会学
- 患者与医生的关系研究 患者与医生的关系研究
背景情况:
- 患者与医生的信任至关重要,但往往缺乏,导致负面结果.
- 现有的研究确定了一些信任贡献者,但全面的理解仍然难以捉摸.
- 本综述综合了知识,以模拟影响患者医生信任的因素.
研究的目的:
- 系统地审查和综合可修改的因素,有助于患者和医生的信任.
- 开发一个整合多元贡献者的模型,以建立一种信任的患者与医生关系.
- 确定可行的策略,以加强患者和医生之间的信任.
主要方法:
- 在MEDLINE,Embase,PsycINFO和ERIC数据库中进行系统的文献搜索.
- 搜索了"患者与医生的关系" (和同义词) 与"信任"或"心理安全"相结合.
- 选了625个摘要和45个全文文章,以识别和评估可修改的信任贡献者.
主要成果:
- 患者因素包括心理方面,健康教育/识字能力和社会环境.
- 医生因素包括能力,沟通,兴趣,护理,教育和专业精神.
- 关系动态 (联盟,时间,共同决策) 和外部因素 (机构,支付,服务) 也发挥作用.
结论:
- 开发了一个可修改的患者-医生信任贡献者的模型.
- 增加患者与医生的接触时间,确保护理连续性和促进健康教育是关键的起点.
- 未来的研究应该测试针对多个可修改的信任因素的干预措施.
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