Stanford University, Stanford, California.
Johns Hopkins University, Baltimore, Maryland.
Ann Fam Med. 2020 May;18(3):272-277. doi: 10.1370/afm.2538.
In light of concerns over the potential detrimental effects of declining care continuity, and the need for connection between patients and health care providers, our multidisciplinary group considered the possible ways that relationships might be developed in different kinds of health care encounters.We were surprised to discover many avenues to invest in relationships, even in non-continuity consultations, and how meaningful human connections might be developed even in telehealth visits. Opportunities range from the quality of attention or the structure of the time during the visit, to supporting relationship development in how care is organized at the local or system level and in the use of digital encounters. These ways of investing in relationships can exhibit different manifestations and emphases during different kinds of visits, but most are available during all kinds of encounters.Recognizing and supporting the many ways of investing in relationships has great potential to create a positive sea change in a health care system that currently feels fragmented and depersonalized to both patients and health care clinicians.The current COVID-19 pandemic is full of opportunity to use remote communication to develop healing human relationships. What we need in a pandemic is not social distancing, but physical distancing with social connectedness.
鉴于人们对护理连续性下降可能带来的不利影响以及患者与医疗保健提供者之间建立联系的必要性表示担忧，我们的多学科小组考虑了在不同类型的医疗保健接触中可能发展关系的方式。我们惊讶地发现，即使在非连续性咨询中，也有许多途径可以投资于人际关系，即使在远程医疗访问中，也可以发展有意义的人际联系。机会范围从访问期间的关注质量或时间结构，到如何在本地或系统层面组织护理以及使用数字访问来支持关系发展。这些投资关系的方式在不同类型的访问中可能表现出不同的表现和重点，但在所有类型的访问中都可以使用。认识到并支持投资关系的多种方式，有可能在当前让患者和医疗保健临床医生感到支离破碎和缺乏人性化的医疗体系中带来积极的重大变化。当前的 COVID-19 大流行充满了利用远程通信来发展治疗性人际关系的机会。在大流行期间，我们需要的不是社交距离，而是身体上的距离和社交上的联系。
