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"他们认为我足够好吗? ":一般医生在治疗医生患者时的经验
Claire J Hutton1, Margaret Kay2, Penny Round3
1Department of General Practice, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3000, Australia. Claire.hutton1@monash.edu.
BMC primary care
|September 16, 2024
概括
一般医生 (GPs) 发现治疗医生-患者是具有挑战性的,因为尊重和同事关系的复杂动态,往往导致多样化的护理. 一般医生需要加强培训,以有效地管理这些独特的患者关系.
科学领域:
- 医学社会学 医学社会学
- 质量健康研究 质量健康研究
- 一般实践一般实践
背景情况:
- 寻求医疗护理的医生可能会面临来自同事的低于最佳治疗.
- 现有的指导方针建议将医生-病人正常治疗,但这在实践中具有挑战性.
- 一般医生 (GPs) 在照顾医生患者时经历了独特的积极和消极方面.
研究的目的:
- 探索一般医生在治疗医生患者时的积极经验和挑战.
- 确定全科医生是否对医生患者的治疗方式不同,以及原因.
- 开发一个模型,解释全科医生与医生患者的经验.
主要方法:
- 对26名全科医生进行了定性深度访谈.
- 使用实用接地理论,分析了被取消身份的转录.
- 开发了一个模型来概念化全科医生与医生患者的经验.
主要成果:
- 尊重和同事关系是一般医生与医生-病人互动的核心,影响护理质量.
- 一般医生可能会在医疗语言,测试,敏感问题和共享决策方面进行不同的治疗.
- 担心错误和审查,以及对团队的渴望,驱动差异化待遇.
结论:
- 专业社会化强调 collegiality 显著影响医生医生治疗关系.
- 目前的指导方针过度简化了医生-病人治疗的复杂性.
- 一般医生需要以证据为基础的培训,以有效地管理医生-病人,并确保优质的护理.
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