医疗服务提供者与患者对健康信念和价值观的理解
Healthcare Providers versus Patients' Understanding of Health Beliefs and Values.
作者信息
Kennedy Betty M, Rehman Matloob, Johnson William D, Magee Michelle B, Leonard Robert, Katzmarzyk Peter T
机构信息
The Pennington Biomedical Research Center, Baton Rouge, Louisiana (B.M.K., W.D.J., M.B.M., R.L., P.T.K.); and the LSU Health System Lallie Kemp Medical Center, Independence, Louisiana (M.R.).
出版信息
Patient Exp J. 2017;4(3):29-37.
OBJECTIVE
This study examined how well healthcare providers perceive and understand their patients' health beliefs and values compared to patients' actual beliefs, and to determine if communication relationships maybe improved as a result of healthcare providers' understanding of their patients' illness from their perspective.
METHODS
A total of 61 participants (7 healthcare providers and 54 patients) were enrolled in the study. Healthcare providers and patients individually completed survey instruments and each participated in a structured focus group.
RESULTS
Healthcare provider and patient differences revealed that patients perceived greater meaning of their illness (p = 0.038), and a greater preference for partnership (p = 0.026) compared to providers. The three qualitative themes most important for understanding patients' health beliefs and values as perceived by healthcare providers were education, trust, and culture. Educating patients was perceived as having the greatest impact and also the easiest method to implement to foster providers' understanding, with at least one patient focus group in agreement of same. Likewise, three themes were derived from patients' perspectives as relatively more important in understanding providers' beliefs and values; bidirectional communication, comprehensive treatment, and discipline. Overwhelmingly, bidirectional communication was perceived as a critical factor as having the greatest impact and may also be easiest to implement according to these patients.
CONCLUSION
When patients and healthcare providers listen and communicate with each other, they are likely to develop a shared understanding that may improve future decision making and quality of care patients receive.
目的
本研究考察了医疗服务提供者对患者健康信念和价值观的认知与理解程度，并与患者的实际信念进行比较，以确定医疗服务提供者从患者角度理解其疾病后，沟通关系是否会得到改善。
方法
共有61名参与者（7名医疗服务提供者和54名患者）参与了该研究。医疗服务提供者和患者分别完成调查问卷，并各自参加了一个结构化焦点小组。
结果
医疗服务提供者与患者之间的差异表明，与医疗服务提供者相比，患者认为自己的疾病更有意义（p = 0.038），且更倾向于合作关系（p = 0.026）。医疗服务提供者认为，理解患者健康信念和价值观最重要的三个定性主题是教育、信任和文化。教育患者被认为影响最大，也是促进医疗服务提供者理解的最容易实施的方法，至少有一个患者焦点小组对此表示认同。同样，从患者的角度也得出了三个相对更重要的主题，用于理解医疗服务提供者的信念和价值观；双向沟通、综合治疗和纪律。绝大多数患者认为，双向沟通是一个关键因素，影响最大，而且根据这些患者的说法，可能也是最容易实施的。
结论
当患者和医疗服务提供者相互倾听和沟通时，他们可能会形成一种共同的理解，这可能会改善未来的决策以及患者所接受的护理质量。
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