困难患者遭遇的流行率和特征:系统性审查和元分析
Jeffrey L Jackson1, Akira Kuriyama2, Jeff Whittle1
1Clement J. Zablocki Veterans' Administration Medical Center and Medical College of Wisconsin, Milwaukee, Wisconsin (J.L.J., J.W., A.D.-M., M.T., M.G.M., S.G., K.B., C.G., K.E.F.).
Annals of internal medicine
|January 12, 2026
概括
医疗保健提供者认为17%的成年患者是困难的,特别是那些有心理健康状况或慢性疼痛的人. 经验较少的提供者更频繁地发现困难的遭遇,影响患者的满意度和期望.
科学领域:
- 医疗实践和患者护理
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 患者与提供者之间的互动可能具有挑战性,一些患者被医疗保健专业人员认为是困难的.
- 了解患病率和导致患者遇到困难的因素对于改善医疗保健服务至关重要.
研究的目的:
- 为了估计在非精神病学环境中困难患者遭遇的患病率.
- 识别与这些接触相关的患者和提供者特征.
- 评估对患者结果的影响,如满意度和未满足的期望.
主要方法:
- 对多个数据库 (MEDLINE,科学网络,Scopus等) 的系统审查. 是进行的.
- 数据提取和研究选择由两个审稿人独立进行.
- 分析了患病率,患者特征 (心理健康,慢性疼痛,人格障碍),提供者特征 (经验,倦怠) 和遭遇结果.
主要成果:
- 困难遭遇的发生率估计为17%.
- 与困难相关的患者因素包括人格障碍,抑郁,焦虑和慢性疼痛.
- 经验较少的提供者报告了更困难的遭遇,这与未满足的患者期望和较低的满意度有关.
结论:
- 在非精神病医疗机构中,很大一部分成年患者被提供者认为是困难的.
- 具体的患者状况和提供者缺乏经验是关键因素.
- 解决这些困难的遭遇对于提高患者体验和医疗保健质量至关重要.
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