提升提前出院的公平性:利用结构性能力框架对医疗建议进行重新定义
Sydney Katz1,2, Amanda K Ramsdell3
1Division of General Internal Medicine, Weill Cornell Medical College, New York, NY, USA. sek9028@med.cornell.edu.
Journal of general internal medicine
|June 25, 2025
概括
违背医疗建议 (AMA) 的出院往往是污名化的,原因是患者提供者冲突和社会因素. 结构性能力可以重塑AMA的出院情况,促进以患者为中心的护理,减少责怪.
科学领域:
- 医学社会学 医学社会学
- 健康 公平 卫生 公平
- 患者与医疗服务提供者之间的沟通
背景情况:
- 违背医疗建议 (AMA) 的出院是一个复杂的临床挑战,通常由患者和医疗保健提供者之间的权力不平衡,责怪和冲突的优先事项所标志.
- 离开AMA的患者面临着严重的耻辱,包括工作人员的负面互动,不充分的症状管理,歧视性文档和不符合标准的出院护理.
- 医学医学院的出院经常被视为个体患者的选择,忽视了更广泛的社会因素,先前的经验和相互竞争的患者优先事项的影响.
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