患者自信和初级保健中的访问结果:一项观察性研究
Liselore Cariot1, Janneke Noordman1, Chantal Leemrijse1
1Nivel (Netherlands institute for health services research), Utrecht, the Netherlands.
Patient education and counseling
|April 20, 2025
概括
在全科医生诊所的患者自信度会影响结果. 更自信的患者更有可能接受治疗或转诊,这表明沟通和护理决策之间存在联系.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者与医疗服务提供者之间的沟通
- 主要护理医学 医疗保健
背景情况:
- 越来越多的人对患者在医疗保健互动中的自信感兴趣.
- 专注于全科医生 (GP) 访问的观察性研究.
研究的目的:
- 检查患者的自信及其与日常GP咨询中访问结果的关联.
- 为评估患者在初级保健机构中的自信提供基础.
主要方法:
- 使用系统编码协议对189次GP视频访问进行分析.
- 量化患者表达的自信行为.
主要成果:
- 患者每次访问平均表现出2种自信行为,大多数是自主发起的.
- 自言自语通常涉及引入新话题;分歧和直接请求不太频繁.
- 与咨询或放心相比,更高的患者自信与涉及治疗或转诊的访问结果相关.
结论:
- 患者的自信似乎影响了GP访问的结果.
- 需要进一步的研究来探索患者的自信是否会导致医疗保健和护理结果的变化.
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