Onguti Sharon, Mathew Sherine, Todd Christine
Department of Internal Medicine, SIU Medicine, Southern Illinois University, School of Medicine, 801 North Rutledge, PO Box 19628, Springfield, IL 62794-9628, USA.
Department of Internal Medicine, SIU Medicine, Southern Illinois University, School of Medicine, 801 North Rutledge, PO Box 19628, Springfield, IL 62794-9628, USA.
Med Clin North Am. 2018 May;102(3):485-493. doi: 10.1016/j.mcna.2017.12.010.
At the heart of every effective patient-physician interaction is a relationship that is built on trust. Cultivating sound communication skills coupled with the awareness and application of ethical principles is integral to this process. One of the foremost challenges in competent practice is negotiating situations that arise at the bedside when such issues as patient autonomy, differing world views, honesty, and cost stewardship come into conflict. It is essential for health care providers to consider how to detect and prioritize these issues as they advocate for high-quality and patient-centered care.
每一次有效的医患互动的核心都是建立在信任基础上的关系。培养良好的沟通技巧，以及对伦理原则的认识和应用，是这一过程不可或缺的一部分。在胜任本职工作方面，最主要的挑战之一是处理床边出现的各种情况，比如患者自主权、不同的世界观、诚实以及成本管理等问题发生冲突时的情况。对于医疗服务提供者来说，在倡导高质量和以患者为中心的护理时，考虑如何发现这些问题并确定其优先顺序至关重要。
