Charlesworth Jennifer M, McManus Evelyn
Department of Medicine, National University of Ireland-Galway, Co. Galway, Ireland.
Department of General Practice, National University of Ireland-Galway, Co. Galway, Ireland.
BMJ Case Rep. 2017 Jan 9;2017:bcr2016216618. doi: 10.1136/bcr-2016-216618.
Through an examination of the life of an 83-year-old patient diagnosed clinically with secondary progressive multiple sclerosis (MS), general practice specialists, consultants and junior doctors will see the importance of assessing their patient's concept of health and how to use this understanding to target healthcare options within their healthcare system. This article highlights, in a resource limited context of rural family practice, the utility of a strong physician-patient relationship, recalls the definition of patient-centred care, and the role of judicious inaction in certain contexts. These lessons can be extrapolated for use in more resource rich or specialised settings such as academic hospitals throughout Europe.
通过对一名临床诊断为继发进展型多发性硬化症（MS）的83岁患者的生活进行考察，全科医生、会诊医生和初级医生将明白评估患者健康观念的重要性，以及如何利用这种理解在其医疗体系中确定医疗保健选项。本文在农村家庭医疗资源有限的背景下，强调了牢固的医患关系的作用，回顾了以患者为中心的医疗的定义，以及在某些情况下审慎不作为的作用。这些经验教训可推广应用于欧洲各地学术医院等资源更丰富或更专业化的环境中。
