Clark Karen, Weir Christine
WELLWVU Student Health, West Virginia University, Morgantown, WV 26506-9247, USA.
W V Med J. 2013 Jul-Aug;109(4):8-11.
As the disparities in rural healthcare have become better understood, the need to adjust and compensate for these unique challenges becomes a priority. This manuscript suggests three constructs that can be readily integrated into rural care providers' daily work to improve treatment outcomes. Autonomy support, relational support, and competence support are among the motivational constructs discussed with a special consideration for the unique cultural and environmental influences of rural West Virginia residents. The overall objective of this review is to renew the basic tenants of shared decision making as they related to successful behavioral change in primary care.
随着农村医疗保健方面的差距得到更好的理解,调整和应对这些独特挑战的需求成为当务之急。本文提出了三种可以轻松融入农村医疗服务提供者日常工作以改善治疗效果的理念。自主支持、关系支持和能力支持是所讨论的动机理念,特别考虑了西弗吉尼亚州农村居民独特的文化和环境影响。本综述的总体目标是更新共同决策的基本原则,因为它们与初级保健中成功的行为改变相关。