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整形手术中的患者权益倡导:一种未得到充分利用的工具。

Patient Advocacy in Plastic Surgery: An Underutilized Tool.

作者信息

Mullens Cody L, Nathan Shelby L, Kozak Geoffrey M, Fischer John P, Greco Gregory A, Ueno Cristiane M

机构信息

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsyl.

West Virginia University School of Medicine, Morgantown, W.V.

出版信息

Plast Reconstr Surg Glob Open. 2019 May 3;7(5):e2207. doi: 10.1097/GOX.0000000000002207. eCollection 2019 May.

DOI:10.1097/GOX.0000000000002207
PMID:31333940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6571322/
Abstract

Healthcare advocacy is an important tool in the plastic surgeon's arsenal that stands the potential to improve both patient care and the profession. However, many physicians underestimate the importance and influence that healthcare advocacy has on the profession and feel that they lack the leverage and knowledge to advocate on behalf of themselves, their practices, their patients, and their profession, all of which are untrue. Plastic surgeons are uniquely positioned to advocate based on their clinical acumen, personal experiences with patient care, and their position in the healthcare ecosystem value chain. This article aims to equip plastic surgeons with a general framework of knowledge regarding policy and advocacy. Additionally, the article outlines and discusses recent advocacy efforts related to plastic surgery, and efforts that are on the horizon to provide some context to the relevance of advocacy related to plastic surgery. Finally, we aim to empower plastic surgeons to step into the policy advocacy arena for the betterment of our patients and the professional practice of plastic surgery.

摘要

医疗倡导是整形外科医生武器库中的一项重要工具,具有改善患者护理和该行业状况的潜力。然而,许多医生低估了医疗倡导对该行业的重要性和影响力,觉得自己缺乏为自己、自己的业务、患者以及整个行业进行倡导的影响力和知识,而这些看法都是不正确的。整形外科医生凭借其临床敏锐度、患者护理的个人经验以及在医疗生态系统价值链中的地位,处于独特的倡导位置。本文旨在为整形外科医生提供一个有关政策和倡导的总体知识框架。此外,本文概述并讨论了与整形外科相关的近期倡导努力,以及即将开展的一些努力,以便为与整形外科相关的倡导工作的相关性提供一些背景信息。最后,我们旨在促使整形外科医生踏入政策倡导领域,以改善我们的患者状况和整形外科的专业实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cb/6571322/e81efdb5e6fd/gox-7-e2207-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cb/6571322/da9606115d0f/gox-7-e2207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cb/6571322/e81efdb5e6fd/gox-7-e2207-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cb/6571322/da9606115d0f/gox-7-e2207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cb/6571322/e81efdb5e6fd/gox-7-e2207-g002.jpg

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本文引用的文献

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Disparities in Postmastectomy Breast Reconstruction: A Systematic Review of the Literature and Modified Framework for Advancing Research Toward Intervention.乳房切除术后乳房重建的差异:文献系统综述及推进干预研究的改进框架
Ann Plast Surg. 2018 Oct;81(4):495-502. doi: 10.1097/SAP.0000000000001503.
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Moral Choices for Today's Physician.当今医生面临的道德抉择。
JAMA. 2017 Dec 5;318(21):2081-2082. doi: 10.1001/jama.2017.16254.
3
State of the Plastic Surgery Workforce and the Impact of Graduate Medical Education Reform on Training of Plastic Surgeons.
加拿大国家乳腺癌手术护理标准的实施:差距、障碍、促进因素和机会。
Curr Oncol. 2021 Jan 19;28(1):565-573. doi: 10.3390/curroncol28010056.
4
Closing the Breast Cancer Loop: Barriers and Perceptions of Breast Reconstruction among Rural Women.闭合乳腺癌循环:农村女性乳房重建的障碍与认知
Plast Reconstr Surg Glob Open. 2020 Feb 20;8(2):e2638. doi: 10.1097/GOX.0000000000002638. eCollection 2020 Feb.
整形外科学劳动力状况及毕业后医学教育改革对整形外科医生培训的影响。
Plast Reconstr Surg. 2017 Aug;140(2):412-420. doi: 10.1097/PRS.0000000000003512.
4
The Impact of Travel Distance on Breast Reconstruction in the United States.旅行距离对美国乳房重建的影响。
Plast Reconstr Surg. 2016 Jan;137(1):12-18. doi: 10.1097/PRS.0000000000001847.
5
Perspective: Physician advocacy: what is it and how do we do it?观点:医师倡导:是什么以及我们如何做?
Acad Med. 2010 Jan;85(1):63-7. doi: 10.1097/ACM.0b013e3181c40d40.