远程医疗和以患者为中心的护理:初级保健医生的视角。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Pub Date : 2024-10-14 DOI:10.1177/13634593241290190
Yael Keshet, Ariela Popper-Giveon, Tamar Adar
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引用次数: 0

摘要

以病人为中心的医疗保健(PCC)的优势已得到认可,并已成为全球医疗保健系统的核心目标。远程医疗技术(TT)的使用越来越多,这引起了人们对减少人际接触的担忧,尤其是在初级保健领域,同时也对实施以患者为中心的护理的适当方式提出了质疑。本文旨在探讨初级保健医生(PCP)在使用远程医疗技术时的 PCC 经验。在 2023 年期间,对 20 名以色列初级保健医生(家庭医生和儿科医生)进行了深入访谈。根据初级保健医生的描述,他们在与患者沟通时使用 TT 的经验包括 PCC 的某些特征,但不包括其他特征。他们将 TT 作为与患者建立关系和进行沟通的一种手段,强调 TT 以个人为中心,并将其描述为协调护理的一种方式。在描述如何在与患者的沟通中使用 TT 时,他们几乎不涉及对患者的同情和尊重、自己参与治疗、共同决策或对患者的整体关注。医生在 TT 经验中缺乏人际素质和软技能交流,这似乎损害了他们的个人幸福感和职业满意度,甚至可能导致职业倦怠。因此,我们建议指导初级保健医生在与患者的 TT 沟通中更好地融入 PCC,因为它有助于提高医疗质量,对患者和医生的福祉都意义重大。
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Telemedicine and patient-centered care: The perspective of primary-care physicians.

Patient-centered care (PCC) has become a central aim for healthcare systems worldwide due to recognition of its advantages. The growing use of telemedicine technologies (TT) raises concerns of diminishing interpersonal contact, especially in primary care, and questions the appropriate way of implementing PCC. This article aims to explore primary-care physicians' (PCP) experiences of PCC when using TT. During 2023 in-depth interviews were conducted with 20 Israeli PCP: family physicians and pediatricians. The PCP described their experiences of using TT in their communication with patients as including some characteristics of PCC but not others. They related to TT as a means of forming relationships and communicating with patients, highlighting its individualistic focus and describing it as a way of coordinating care. When describing the use of TT in their communication with patients, they barely related to empathy and respect for the patient, to their own involvement in the treatment, to shared decision-making, or to a holistic focus on the patient. The absence of interpersonal qualities and soft skills communication from the physicians' TT experience seems to erode their personal well-being and professional satisfaction and may even lead to burnout. We therefore recommend instructing PCP to better integrate PCC into their TT communication with patients since it contributes to the quality of healthcare and is significant for the well-being of both patients and physicians.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
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0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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