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听我的故事:患者通过与医生的有效沟通对自身医疗保健所做的贡献。

Listen to my story: Contribution of patients to their healthcare through effective communication with doctors.

作者信息

Singh Harbir, Dey Ajoy Kumar

机构信息

385074BIMTECH, Knowledge Park-II, Noida, India.

出版信息

Health Serv Manage Res. 2021 Aug;34(3):178-192. doi: 10.1177/0951484820952308. Epub 2020 Sep 9.

Abstract

In the era of patient centered healthcare, patients are educated, more aware and demanding than ever. However, there is a significant misalignment between patients and doctors due to improper communication resulting in broken patient-doctor therapeutic relationships and degraded quality of healthcare. This suggests that patients have a greater and mature role to play in their healthcare. The paper aims to fill this gap by studying the contribution of patients in their healthcare through patientdoctor communication in selected Indian multispeciality hospitals. Qualitative multi-case study was steered and in-depth interviews of thirteen patients, twelve doctors were conducted along with the secondary data analysis of more than 600 pages of the documents from the official websites of the sample hospitals. Grounded theory three level coding revealed the themes of contribution of patients in through effective communication. The results indicate that patients contribute to their healthcare through effective communication by demonstrating association with doctors, reflecting reciprocally, resolving communication challenges and supporting their overall treatment process. The paper extends the literature on patient's contribution in their healthcare. It presents clear and succinct implementable implications and distinctive ways in which patients cooperate with the doctors, work mutually, improves communication and strengthen their overall healthcare process.

摘要

在以患者为中心的医疗时代,患者比以往任何时候都受到更多教育、更加了解情况且要求更高。然而,由于沟通不当,患者与医生之间存在严重脱节,导致医患治疗关系破裂,医疗质量下降。这表明患者在自身医疗保健中应发挥更重要且成熟的作用。本文旨在通过研究印度选定的多专科医院中患者与医生的沟通对患者医疗保健的贡献来填补这一空白。开展了定性多案例研究,对13名患者和12名医生进行了深入访谈,并对样本医院官方网站上600多页的文件进行了二次数据分析。扎根理论的三级编码揭示了患者通过有效沟通做出贡献的主题。结果表明,患者通过与医生建立联系、相互反思、解决沟通挑战以及支持整个治疗过程,通过有效沟通为自身医疗保健做出贡献。本文扩展了关于患者在其医疗保健中贡献的文献。它提出了清晰简洁且可实施的建议,以及患者与医生合作、相互协作、改善沟通并加强整个医疗保健过程的独特方式。

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