解决传统医学的沟通动态,向医生披露使用信息
1Department of Medical Imaging and Radiation Sciences, Faculty of Health Sciences, University of Johannesburg, Johannesburg. lindiweg@uj.ac.za.
African journal of primary health care & family medicine
|February 3, 2026
概括
南非的医生认为,患者对传统医学 (TM) 使用的披露受到信任和文化规范的影响. 开放的沟通和文化谦逊是提高双重医疗保健系统透明度的关键.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 传统医学 (TM) 是南非医疗保健的组成部分,但往往被全方位医学 (AM) 边缘化.
- 像耻辱和信任缺陷这样的沟通障碍妨碍了患者向医生披露TM使用情况.
研究的目的:
- 探索医生对影响TM披露的沟通动态的看法.
- 应用通信隐私管理 (CPM) 理论来理解这些动态.
主要方法:
- 在高省的14名医生参与的定性描述性研究.
- 半结构面试使用诱导编码进行分析,以CPM理论为指导.
主要成果:
- 患者对TM使用的披露受到信任,感知判断和文化规范的监管.
- 非判断性的沟通鼓励开放,而轻蔑的态度则促进了保密.
- 关键主题包括披露实践,促进合作,信息管理和不披露挑战.
结论:
- CPM理论有效地解释了南非双重医疗保健系统中的隐私管理.
- TM披露是一个文化中介的过程,受社会信任和制度因素的影响.
- 诸如文化谦卑培训和专业间合作等策略可以提高透明度和以患者为中心的护理.
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