数字时代,面对面的关系依然重要:呼吁在初级保健的核心原则中加入第 5 个 C。

IF 4.4 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Annals of Family Medicine Pub Date : 2024-09-01 DOI:10.1370/afm.3144
Jennifer Y C Edgoose, Yohualli B Anaya, David Rakel
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引用次数: 0

摘要

我们初级保健临床医生、学者和领导者都非常重视芭芭拉-斯塔菲尔德(Barbara Starfield)提出的初级保健核心原则--4C:首次接触、全面性、协调性和连续性。在当今技术飞速发展、资源日益减少的时代,患者与医生之间面对面的互动关系会产生怎样的影响?我们建议增加第 5 个 C:"毗连性"。毗连性--即身体上的接近和存在--是一个关键维度,它不仅能实现体检中必要的技术层面,还能验证关系中最人性化的方面,特别是当我们身体上处于弱势并对面前的另一方负责时。反过来,这也是我们与患者消除差异、培养信任的最佳方式。我们会衡量我们所珍视的东西,因此,将 "毗连性 "命名为核心宗旨可以确保我们不会忽视患者与私人医生关系中的这一关键因素。
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Face-to-Face Relationships Still Matter in a Digital Age: A Call for a 5th C in the Core Tenets of Primary Care.

We primary care clinicians, scholars, and leaders ascribe value to Barbara Starfield's core tenets of primary care-the 4 Cs: first contact, comprehensiveness, coordination, and continuity. In today's era of rapid technological advancements and dwindling resources, what are the implications for face-to-face interactions of patient-clinician relationships? We propose adding a 5th C: "Contiguity." Contiguity-or physical proximity and presence-is a key dimension that not only enables the necessary technical aspects of a physical exam but also authenticates the most human aspects of a relationship and occurs specifically when we are physically vulnerable and responsible for the other before us. This, in turn, may best enable us to bridge difference and nurture trust with our patients. We measure what we value and, thus, naming Contiguity as a core tenet assures that we will not lose sight of this keystone in a patient's relationship with their personal physician.

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来源期刊
Annals of Family Medicine
Annals of Family Medicine 医学-医学:内科
CiteScore
3.70
自引率
4.50%
发文量
142
审稿时长
6-12 weeks
期刊介绍: The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.
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