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医疗差错解释的实验研究:道歉、同理心、纠正措施和赔偿会改变意图和态度吗?

An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation Alter Intentions and Attitudes?

作者信息

Nazione Samantha, Pace Kristin

机构信息

a Department of Communication , Berry College , Mount Berry , Georgia , USA.

b Department of Communication , Michigan State University , East Lansing , Michigan , USA.

出版信息

J Health Commun. 2015;20(12):1422-32. doi: 10.1080/10810730.2015.1018646. Epub 2015 Jul 2.

Abstract

Medical malpractice lawsuits are a growing problem in the United States, and there is much controversy regarding how to best address this problem. The medical error disclosure framework suggests that apologizing, expressing empathy, engaging in corrective action, and offering compensation after a medical error may improve the provider-patient relationship and ultimately help reduce the number of medical malpractice lawsuits patients bring to medical providers. This study provides an experimental examination of the medical error disclosure framework and its effect on amount of money requested in a lawsuit, negative intentions, attitudes, and anger toward the provider after a medical error. Results suggest empathy may play a large role in providing positive outcomes after a medical error.

摘要

医疗事故诉讼在美国是一个日益严重的问题,关于如何最好地解决这个问题存在很多争议。医疗差错披露框架表明,在发生医疗差错后道歉、表达同理心、采取纠正措施并提供赔偿,可能会改善医患关系,并最终有助于减少患者对医疗服务提供者提起的医疗事故诉讼数量。本研究对医疗差错披露框架及其对诉讼中索赔金额、负面意图、态度以及医疗差错后对提供者的愤怒情绪的影响进行了实验性检验。结果表明,同理心可能在医疗差错后产生积极结果方面发挥很大作用。

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