University of California, Davis, Sacramento, CA 95817, USA.
Qual Health Res. 2011 Nov;21(11):1469-83. doi: 10.1177/1049732311412788. Epub 2011 Jun 17.
The symbolic framework guiding primary care physicians' (PCPs) practice is crucial in shaping the quality of care for those with degenerative dementia. Examining the relationship between the cure and care models in primary care offers a unique opportunity for exploring change toward a more holistic approach to health care. The aims of this study were to (a) explore how PCPs approach the care of patients with Alzheimer's disease (AD), and (b) describe how this care unfolds from the physicians' perspectives. This was a cross-sectional study of 40 PCPs who completed semistructured interviews as part of a dementia caregiving study. Findings show that PCPs recognize the limits of the cure paradigm and articulate a caring, more holistic model that addresses the psychosocial needs of dementia patients. However, caring is difficult to uphold because of time constraints, emotional burden, and jurisdictional issues. Thus, the care model remains secondary and temporary.
指导初级保健医生（PCP）实践的象征性框架对于塑造那些患有退行性痴呆症患者的护理质量至关重要。研究初级保健中治疗和护理模式之间的关系为探索向更全面的医疗保健方法转变提供了独特的机会。本研究的目的是：(a) 探讨 PCP 如何为患有阿尔茨海默病（AD）的患者提供护理；(b) 从医生的角度描述这种护理是如何展开的。这是一项针对 40 名 PCP 的横断面研究，他们完成了作为痴呆症护理研究一部分的半结构化访谈。研究结果表明，PCP 认识到治疗范式的局限性，并表达了一种关怀的、更全面的模式，满足痴呆症患者的心理社会需求。然而，由于时间限制、情感负担和管辖权问题，关怀很难维持。因此，护理模式仍然是次要的和暂时的。
