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双语跨专业初级保健教学诊所中的以患者为中心和同理心:一项试点研究。

Patient-centeredness and empathy in a bilingual interprofessional primary care teaching clinic: a pilot study.

作者信息

Mayer Sallie D, Peterfy Erika, Crossman Steven H, Phipps Lisa Burroughs, Vanderbilt Allison A

机构信息

Bon Secours Virginia Health System, Bon Secours Medical Group, Midlothian, VA.

School of Pharmacy, Virginia Commonwealth University, Charlotte, NC.

出版信息

J Multidiscip Healthc. 2016 Aug 23;9:395-400. doi: 10.2147/JMDH.S107851. eCollection 2016.

Abstract

Utilizing the Consultation and Relational Empathy survey, this project examined the perceptions of care team empathy and patient-centeredness between English- and Spanish-speaking patients. From fall through spring semesters, patient surveys from a primary care, interprofessional student-led teaching clinic were collected and analyzed. Overall, mean scores for both English- and Spanish-speaking patients were above the reported normative average for general practitioners. While, overall, patients expressed satisfaction with the student-led teaching clinic in terms of empathy and patient-centeredness, English-speaking patients had higher median scores than Spanish-speaking patients. Analyzed individually, questions related to communication and provider attitudes were scored lower by Spanish-speaking patients. These results demonstrate that student-led clinics can deliver patient-centered care and highlight the continuing need to investigate and address disparities between English- and Spanish-speaking patients with regard to feelings of empathy and patient-centeredness.

摘要

本项目利用咨询与关系同理心调查,研究了讲英语和讲西班牙语的患者对护理团队同理心和以患者为中心的看法。从秋季到春季学期,收集并分析了一家由跨专业学生主导的初级保健教学诊所的患者调查。总体而言,讲英语和讲西班牙语的患者的平均得分均高于报告的全科医生规范平均分。虽然总体上患者对讲西班牙语的学生主导教学诊所在同理心和以患者为中心方面表示满意,但讲英语的患者的中位数得分高于讲西班牙语的患者。单独分析发现,讲西班牙语的患者在与沟通和提供者态度相关问题上的得分较低。这些结果表明,学生主导的诊所可以提供以患者为中心的护理,并突出了持续调查和解决讲英语和讲西班牙语的患者在同理心和以患者为中心方面差异的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31eb/5003591/1ff832a157cc/jmdh-9-395Fig1.jpg

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