有效地与患者沟通有关癌症转诊的信息
Georgia Black1, Jessica Russell2
1Queen Marys University London.
概括
一般医生经常向患者保证癌症风险低,但有时避免直接提到癌症. 关于紧急癌症转诊的明确沟通对于患者的理解和及时诊断至关重要.
科学领域:
- 在瘤学瘤学.
- 主要护理医学 医疗保健
- 卫生沟通健康沟通
背景情况:
- 国家指导方针建议全科医生告知患者有关紧急疑似癌症 (USC) 途径.
- 对于USC转诊后的患者经验和信息需求的了解有限.
- 在癌症转诊沟通期间,一般医生在平衡紧急性和保证性方面面临挑战.
研究的目的:
- 探索有关癌症诊断和USC转诊的全科医生 (GP) 沟通策略.
- 在USC推过程中识别沟通缺口和患者信息需求.
主要方法:
- 二次分析23个录音的GP-患者咨询,重点是癌症讨论.
- 咨询是2017-2018年间在萨里和伦敦进行的一项更大研究的一部分.
主要成果:
- 大多数全科医生披露了潜在的癌症,并使用个性化的风险陈述来放心.
- 一些全科医生选择了以症状为主导的语言,避免直接提到癌症.
- 沟通主要集中在实际推细节上,对患者支持需求的讨论有限.
结论:
- 关于癌症转诊的明确沟通对于共享决策和患者出勤至关重要.
- 需要加强沟通策略,以改善患者的理解和体验.
- 优化初级保健沟通可以改善患者的治疗结果和诊断途径.
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