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医疗生活中的沟通方面。医患沟通:差异化与个性化。

Aspects of communication in medical life. Doctor-patient communication: differentiation and customization.

作者信息

Borţun D, Matei C S

机构信息

National School of Political and Administrative Studies, Bucharest, Romania.

"Titu Maiorescu" University, Bucharest, Romania.

出版信息

J Med Life. 2017 Jan-Mar;10(1):60-65.

PMID:28255380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5304376/
Abstract

One of the weaknesses of the Romanian medical system is the absence of the communicational culture. This absence is felt at all levels of the healthcare system: doctor-patient relationship, doctor-patient's relatives relationship, labor relations within the medical teams and units, the management of the large hospitals and of the medical institutions from the public administration system and last, but not least, the relationships of these units and institutions with the public opinion and, particularly, with the stakeholders. This paper tackled with some of the principles and values that underlie an efficient communication, the default of which was felt in various domains of the Romanian medical life. They were analyzed from the perspective of the Romanian and international literature and the conclusions drawn might inspire proposals for the improvement of the medical education as well as for the professional development of the Romanian doctors.

摘要

罗马尼亚医疗体系的弱点之一是缺乏沟通文化。在医疗体系的各个层面都能感受到这种缺失:医患关系、医患亲属关系、医疗团队和单位内部的劳动关系、大型医院以及公共行政系统中医疗机构的管理,最后但同样重要的是,这些单位和机构与公众舆论,特别是与利益相关者的关系。本文探讨了有效沟通所依据的一些原则和价值观,罗马尼亚医疗生活的各个领域都能感觉到这些原则和价值观的缺失。从罗马尼亚和国际文献的角度对它们进行了分析,所得出的结论可能会为改善医学教育以及罗马尼亚医生的职业发展提供建议。

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本文引用的文献

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Rational versus unreasonable persuasion in doctor-patient communication: a normative account.医患沟通中的理性与非理性劝导:规范性解释。
Patient Educ Couns. 2013 Sep;92(3):296-301. doi: 10.1016/j.pec.2013.06.005. Epub 2013 Jul 2.