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在健康与人类服务文化中增强同理心的十种方法。

Ten approaches for enhancing empathy in health and human services cultures.

作者信息

Hojat Mohammadreza

机构信息

Thomas Jefferson University, USA.

出版信息

J Health Hum Serv Adm. 2009 Spring;31(4):412-50.

Abstract

Empathy is defined as a predominantly cognitive attribute that involves an understanding of experiences, concerns and perspectives of another person, combined with a capacity to communicate this understanding. Empathy in the context of clinical care can lead to positive patient outcomes including greater patient satisfaction and compliance, lower rates of malpractice litigation, lower cost of medical care, and lower rate of medical errors. Also, health professionals' wellbeing is associated with higher empathy. Enhancing empathic engagement in patient care is one of the important tasks of medical education. In this article, I briefly describe 10 approaches for enhancing empathy in the health care environment: improving interpersonal skills, audio- or video-taping of encounters with patients, exposure to role models, role playing (aging game), shadowing a patient (patient navigator), hospitalization experiences, studying literature and the arts, improving narrative skills, theatrical performances, and the Balint method. I conclude that empathic engagement in the health care and human services is beneficial not only to the patients, but also to physicians, other health care providers, administrators, managers, health care institutions, and the public at large.

摘要

同理心被定义为一种主要的认知属性,它包括对他人经历、关切和观点的理解,以及传达这种理解的能力。临床护理中的同理心可带来积极的患者预后,包括更高的患者满意度和依从性、更低的医疗事故诉讼率、更低的医疗成本以及更低的医疗差错率。此外,卫生专业人员的幸福感与更高的同理心相关。增强在患者护理中的同理心参与是医学教育的重要任务之一。在本文中,我简要描述了在医疗环境中增强同理心的10种方法:提高人际交往能力、对与患者的接触进行音频或视频记录、接触榜样、角色扮演(衰老游戏)、陪伴患者(患者导航员)、住院体验、研究文学和艺术、提高叙事技巧、戏剧表演以及巴林特方法。我得出结论,在医疗保健和人类服务中进行同理心参与不仅对患者有益,而且对医生、其他医疗保健提供者、管理人员、经理、医疗机构以及广大公众也有益。

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