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量身定制的沟通对于以患者为中心的结果的价值。

The value of tailored communication for person-centred outcomes.

机构信息

NIVEL (Netherlands Institute for Health Services Research), NIVEL, Nijmegen, The Netherlands.

出版信息

J Eval Clin Pract. 2011 Apr;17(2):381-3. doi: 10.1111/j.1365-2753.2010.01586.x. Epub 2010 Nov 18.

Abstract

RATIONALE

When entering a consulting room a person becomes a patient with double needs, that is, the need to feel known and understood and the need to know and understand, also referred to as affective and instrumental needs, respectively. The fulfilment of these needs highly depends on the communication skills of both doctor and patient, which help to bridge the inherent distance that exists between these two persons. There is ample evidence that this bridge becomes stronger the more the communication is tailored to the person behind the patient. Besides, such tailored communication may also prove to be effective for reaching favourable health outcomes.

METHODS

Descriptive study focusing on the value of tailored communication in promoting person-centred instrumental and affective health outcomes.

RESULTS

Research shows that tailored communication contributes to health outcomes known to be crucial for recovery and quality of life, that is, information recall, medication adherence, reassurance and need fulfilment.

CONCLUSION

There is empirical evidence for the value of tailored communication for person-centred outcomes. Communicating in a purposeful way while at the same time respecting patients' values and feelings should therefore become the standard in health care practice.

摘要

背景

当进入诊室时,患者会同时产生两种需求,即被了解和被理解的需求(情感需求),以及获知和理解的需求(工具性需求)。这两种需求的满足高度依赖于医患双方的沟通技巧,这些技巧有助于弥合医患之间固有的距离。大量证据表明,这种沟通桥梁越契合患者背后的个体,其作用就越强大。此外,这种量身定制的沟通方式可能对实现有利的健康结果也具有积极作用。

方法

本研究聚焦于量身定制的沟通在促进以患者为中心的工具性和情感性健康结果方面的价值。

结果

研究表明,量身定制的沟通有助于实现对康复和生活质量至关重要的健康结果,例如信息回忆、药物依从性、保证和需求满足。

结论

有实证证据表明量身定制的沟通对以患者为中心的结果具有价值。因此,在医疗保健实践中,有针对性地沟通,同时尊重患者的价值观和感受,应成为标准做法。

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