以患者为中心的价值观是什么？
What is meant by patient-centredness being value-based?
机构信息
Centre for Family Medicine, Karolinska Institutet , Stockholm , Sweden.
出版信息
Scand J Prim Health Care. 2013 Dec;31(4):188-9. doi: 10.3109/02813432.2013.848543. Epub 2013 Oct 28.
OBJECTIVE
To examine whether it is possible to further specify what is meant when we maintain that patient-centredness as a communication skill is a value-based clinical procedure.
DESIGN AND MAIN OUTCOME MEASURES
Since a core element in patient-centredness is associated with patients feeling respected, a study regarding encounters where patients felt respected was analysed.
RESULTS
Similarities were found between the core elements of patient-centredness in terms of inviting, listening, and summarizing, and patients feeling respected in terms of listening, having their questions answered, and believing in what they tell their GP.
CONCLUSION
Even though what is respected cannot be specified, the authors' analysis indicates that feeling respected is frequently and strongly associated with encounters reflecting core aspects of patient-centredness. In this sense, patient-centredness might be considered value-based. Future research might shed light on what is actually respected: is it the patient's autonomy, integrity, dignity, or honour?
目的
探讨当我们坚持认为以患者为中心作为一种沟通技巧是一种基于价值观的临床操作时，是否有可能进一步明确其含义。
设计和主要结果测量
由于以患者为中心的一个核心要素与患者感到被尊重有关，因此对涉及到患者感到被尊重的情况进行了分析。
结果
在邀请、倾听和总结方面，以患者为中心的核心要素与患者感到被尊重方面存在相似之处，在倾听、回答问题以及相信患者告诉全科医生的内容方面也存在相似之处。
结论
尽管无法具体说明被尊重的内容，但作者的分析表明，感到被尊重通常与反映以患者为中心的核心方面的医患交流密切相关。从这个意义上说，以患者为中心可以被视为基于价值观的。未来的研究可能会揭示实际上被尊重的是什么：是患者的自主权、完整性、尊严还是荣誉？
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