Newman Penny, McDowell Andrew
Norfolk Community Health and Care NHS Trust, Norwich, UK.
The Performance Coach, London, UK.
Future Hosp J. 2016 Jun;3(2):147-151. doi: 10.7861/futurehosp.3-2-147.
The changing nature of healthcare and the challenge of long-term conditions require a paradigm shift in the mindset and behaviours of professionals. Central to this is the quality of clinician-patient communication, which determines how responsibility is shared. Health coaching training for clinicians provides them with new mindsets, communication skills and behaviour change techniques that transform the clinician--patient relationship and enables patients to become more active participants in their care. This training improves patient experience and health behaviours, provides self-management support and can reduce demand and costs. This article describes the East of England health coaching training programme and provides an overview of the evidence, required competencies and challenges clinicians experience when putting health coaching into practice. It illustrates that health coaching is a mechanism to deliver person-centred care. More must be done to provide clinicians with these much-needed skills especially in the management of long-term conditions.
医疗保健性质的不断变化以及慢性病带来的挑战，要求专业人员在思维模式和行为上进行范式转变。其中的核心是临床医生与患者之间的沟通质量，它决定了责任的分担方式。为临床医生提供的健康指导培训为他们带来了新的思维模式、沟通技巧和行为改变技巧，这些改变了临床医生与患者之间的关系，使患者能够更积极地参与自身护理。这种培训改善了患者体验和健康行为，提供了自我管理支持，并可以减少需求和成本。本文介绍了英格兰东部的健康指导培训计划，并概述了相关证据、所需能力以及临床医生在将健康指导付诸实践时所面临的挑战。它表明健康指导是提供以人为本护理的一种机制。必须采取更多措施，为临床医生提供这些急需的技能，尤其是在慢性病管理方面。
