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重新想象患有肥胖症的人的初级保健访问:联合设计和验证研究
Kristal Lyn Brown1, Gwyn Cready2, Katie Schmiedicker2
1Creative Arts Therapies Department, Drexel University, Philadelphia, USA.
Patient education and counseling
|June 5, 2025
概括
患有肥胖症的患者希望初级保健访问的重点是尊重治疗和专注的倾听. 结合这些元素可以改善肥胖患者的医疗保健体验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 肥胖医学 肥胖医学
背景情况:
- 患有肥胖症的患者通常会因为负面经历而避免接受初级保健.
- 这种人群的最佳初级保健体验仍然没有定义.
研究的目的:
- 与患有肥胖症的人共同设计理想的初级保健访问场景.
- 为了在肥胖的成年人样本中验证这个理想场景.
主要方法:
- 一个共同设计过程被用来创建一个理想的初级保健访问场景.
- 一项对250名美国肥胖成人 (BMI ≥36.3 kg/m2) 的横截面调查验证了这种情况.
- 参与者评价了理想访问的质量和特定元素的重要性.
主要成果:
- 理想的初级保健访问场景获得了明显更高的质量评分 (9.4/10),而不是参与者的最后一次实际访问 (8.0/10) (p < 0.01).
- 理想访问的关键要素包括医生对待的尊重 (96%) 和医生真正倾听 (95%).
- 向专家转诊,这些专家也会以关心和尊重的态度对待病人 (92%).
结论:
- 患有肥胖症的人在初级保健访问期间优先考虑尊重互动和积极倾听.
- 初级保健实践应整合这些以患者为中心的元素,以提高护理.
- 临床医生对体重耻辱和促进包容性环境的教育至关重要.
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