Beckman Howard B, Frankel Richard M
Rochester Individual Practice Association, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Patient Educ Couns. 2003 May;50(1):85-9. doi: 10.1016/s0738-3991(03)00086-7.
The motivation to learn new skills that improve patient care comes from practical experience. Once motivated, trainees and practitioners alike require excellent content and process to modify approaches that improve outcomes. This paper defines content areas the authors believe are needed to improve communication between cancer patients and their practitioners. Perhaps more importantly, the educational process to achieve improved outcomes is discussed and the importance of the context in which that education occurs is stressed. The linkage between administrative behavior and practitioner behavior is described. Synchronicity between the expectations for practitioner practice and the practice environment is needed for practitioners to successfully incorporate the patient-centered practices patients are demanding. Finally, a research agenda is outlined that encourages evaluation of the model proposed.
学习提高患者护理水平的新技能的动力来自实践经验。一旦有了动力，学员和从业者都需要优秀的内容和流程来改进方法以提高治疗效果。本文定义了作者认为改善癌症患者与其从业者之间沟通所需的内容领域。或许更重要的是，本文讨论了实现更好治疗效果的教育过程，并强调了该教育发生的背景的重要性。文中描述了管理行为与从业者行为之间的联系。为了让从业者成功地纳入患者所要求的以患者为中心的做法，从业者实践的期望与实践环境之间需要保持同步。最后，概述了一项研究议程，鼓励对所提出的模式进行评估。
