在临床接触期间通过 (补充和整合性健康) 谈话促进互动性健康公平
Evelyn Y Ho1, Christopher J Koenig2
1Department of Communication Studies, University of San Francisco, San Francisco, USA; Asian American Research Center on Health, San Francisco, USA.
Patient education and counseling
|January 25, 2025
概括
在临床环境中讨论补充和整合性健康 (CIH) 可以改善健康公平. 关于CIH的公开沟通赋予患者权力,培养信任,对福祉产生积极影响.
科学领域:
- 卫生沟通健康沟通
- 医学社会学 医学社会学
- 整合性健康 整合性健康
背景情况:
- 补充和整合性健康 (CIH) 模式越来越多地被用于标准生物医学实践之外.
- 关于CIH的患者-提供者沟通对于整体健康沟通至关重要.
- 现有的框架可能无法充分捕捉CIH在临床接触中讨论的细微差别.
研究的目的:
- 提出一个修订后的概念框架,说明CIH谈话如何影响互动健康公平.
- 分析关于CIH的讨论如何影响患者与医疗服务提供者的关系和健康结果.
- 探索CIH对话的潜力,以增强或减少健康公平.
主要方法:
- 使用了话语分析技术.
- 两次数字记录的生物医学遭遇被重新分析.
- 使用案例研究来说明关键的沟通动态.
主要成果:
- 临床医师的反应可以优先考虑生物医学议程 (医学之声) 或验证患者的观点 (生命世界的声音).
- 谈判CIH谈话直接影响直接的互动结果.
- 如果未能解决CIH和患者的生命世界,可能会加剧现有的健康不平等.
结论:
- 关于CIH的有效沟通可以促进患者参与,促进互动性健康公平.
- 将患者的生命世界融入临床接触是公平护理的关键.
- 解决CIH讨论有可能改善个人,社区和机构层面的健康结果.
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