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处于中间状态:跨专业协作沟通对患者期望的影响

Stuck in the middle: the impact of collaborative interprofessional communication on patient expectations.

作者信息

Stewart Michael Adrian

机构信息

University of Brighton Faculty of Health and Social Sciences, Eastbourne, UK.

出版信息

Shoulder Elbow. 2018 Jan;10(1):66-72. doi: 10.1177/1758573217735325. Epub 2017 Oct 25.

Abstract

A central aim of modern day healthcare is to deliver a high quality, patient-centred service that addresses the expectations of its service users. However, mounting research evidence highlights a lack of patient satisfaction across a range of healthcare settings, with an overwhelming proportion of complaints relating to interprofessional communication. The link between interprofessional miscommunication and poor patient outcomes has been well documented. All too often, patients are left feeling stuck in the middle between opposing opinions, differing diagnoses and conflicting clinical outlooks. This article aims to highlight the issues surrounding interprofessional communication in healthcare, at the same time as addressing the potential facilitators and barriers for developing improved collaborative links between healthcare providers. Several key questions will be considered: (i) what are the underlying causes of interprofessional miscommunication; (ii) what do patients expect from healthcare professionals; and (iii) how might we reduce the risk of miscommunication and develop interprofessional collaboration?

摘要

现代医疗保健的一个核心目标是提供高质量、以患者为中心的服务,满足服务使用者的期望。然而,越来越多的研究证据表明,在一系列医疗环境中患者满意度较低,绝大多数投诉都与跨专业沟通有关。跨专业沟通不畅与患者不良预后之间的联系已有充分记录。患者常常感觉自己被困在相互对立的观点、不同的诊断结果和相互冲突的临床观点之间。本文旨在突出医疗保健中跨专业沟通所涉及的问题,同时探讨促进医疗服务提供者之间建立更好协作关系的潜在推动因素和障碍。我们将考虑几个关键问题:(i)跨专业沟通不畅的根本原因是什么;(ii)患者对医疗专业人员有何期望;(iii)我们如何降低沟通不畅的风险并发展跨专业协作?

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