一般医生对患者参与的看法 - - 采访研究
Birgitte Nørgaard1, Elisa Simonsen1, Nanna Aarup Skotte1
1Department of Public Health, University of Southern Denmark, Odense, Denmark.
Journal of evaluation in clinical practice
|April 7, 2025
概括
一般医生 (GPs) 认为患者参与对于量身定制的治疗,平衡信息和谈判遵守至关重要. 随着错误的信息传递给病人,或者当全科医生面临着糟糕的地位时,就会出现挑战.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
- 定性研究方法 定性研究方法
背景情况:
- 一般医生 (GPs) 在医疗保健提供中起着至关重要的作用.
- 患者参与对于个性化和有效的治疗至关重要.
- 了解一般医生对患者参与的看法至关重要.
研究的目的:
- 探索全科医生对患者参与的看法.
- 确定与患者参与初级保健相关的挑战和机会.
- 了解全科医生如何促进患者参与治疗.
主要方法:
- 定性研究设计. 定性研究设计.
- 与12名全科医生进行半结构面试.
- 采访数据的诱导性主题分析.
主要成果:
- 六个主要主题出现了:关系和知识,谈判,合规,信息/沟通/对话,时间/流程和全科医生的考虑.
- 一般医生利用各种策略来告知患者,并谈判治疗合规的权力.
- 患者参与被认为是合规的工具,但其有效性取决于环境.
结论:
- 一般医生将患者参与等同于提供信息以实现合规,将其视为相互依赖.
- 当患者被误导或GP的地位受到损害时,患者参与对全科医生来说是一个挑战.
- 有效的患者参与需要仔细管理信息,沟通和权力动态.
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