Department of Internal Medicine, Captain James A. Lovell Federal Health Care Centre, Chicago Medical School at Rosalind Franklin University, North Chicago, IL, USA.
Department of Medical Education School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
Med Teach. 2020 Jan;42(1):114-115. doi: 10.1080/0142159X.2019.1597259. Epub 2019 Apr 21.
The high demands of contemporary medical practice have minimized the patient-physician contact with less or no time for Empathy. Unconsciously, our mind is set to focus on "disease" and often patients are referred as "cases." Where there is a rising concern of physician fatigue and burn out, there is equal concern of losing the component of "being humane" in the busy era of modern medical practices. The inability to connect with the patients has increased physician's susceptibility to burn out and dissatisfaction on the part of patient and physician.We propose Empathy based innovative concept "EASE" that envision patient-centered approach instead of disease-centered approach to ensure healthcare delivery in a humane, meaningful way to foster patient-physician relation. High Empathy is associated with low physician burnout and is a key driver for patient satisfaction. Health is defined as a state of complete physical, mental, and social wellbeing and not merely the absence of disease. EASE based approach is a sequential, comprehensive approach that encompasses all elements of human health to be incorporated in patient's encounter in the order:E Empathy & Emergent careA AilmentS Supportive Care & Social needsE Emotional wellbeing & Patient Education.
当代医学实践的高要求使得医患接触时间减少，甚至没有时间产生同理心。在不知不觉中，我们的思维被设定为专注于“疾病”，而患者往往被称为“病例”。在医生疲劳和倦怠日益受到关注的同时，人们同样担心在现代医学实践的忙碌时代失去“人道”的成分。无法与患者建立联系增加了医生倦怠的易感性，以及患者和医生双方的不满。我们提出了基于同理心的创新概念“EASE”，设想以患者为中心的方法，而不是以疾病为中心的方法，以确保以人道和有意义的方式提供医疗保健，从而促进医患关系。高度的同理心与医生的倦怠程度较低有关，是患者满意度的关键驱动因素。健康被定义为身体、精神和社会福祉的完全状态，而不仅仅是没有疾病。基于 EASE 的方法是一种循序渐进、全面的方法，涵盖了人类健康的所有要素，以便按以下顺序纳入患者的就诊：E 同理心和紧急护理、A 疾病、S 支持性护理和社会需求、E 情感健康和患者教育。
