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拓宽视野:病理学家对医患互动态度的定性研究。

Broadening the Scope: A Qualitative Study of Pathologists' Attitudes Toward Patient-Pathologist Interactions.

机构信息

Departments of Pathology, Ann Arbor, MI, USA.

Family Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.

出版信息

Am J Clin Pathol. 2021 Nov 8;156(6):969-979. doi: 10.1093/ajcp/aqab044.

Abstract

OBJECTIVES

This study qualitatively explored and described pathologists' attitudes toward patient interaction.

METHODS

In a survey to pathologists, we asked, "How interested would you be in meeting with patients to discuss their pathology report and show them microscopic images of their tissue?" Then, we asked "Why," followed by a free-text box. We asked pathologists to assume that their time would be adequately compensated and that patients' treating clinicians had already told them their diagnosis. Physician age, gender, rank, and type of practice were also collected.

RESULTS

We surveyed 197 pathologists, 86% of whom were either definitely interested or interested in meeting with patients. Interest level did not differ by age, gender, or rank but was higher in academic practices than in community practices. Thematic analysis showed that pathologists believed that meeting with patients could impact (1) patients, through cognitive and emotional pathways; (2) pathologists, through patient contact and job satisfaction; and (3) the field of pathology, through quality of care and a redefined image of the specialty.

CONCLUSIONS

Pathologists' interest level in meeting with patients was high. Potential impacts on patients, pathologists, and the field of pathology were identified.

摘要

目的

本研究定性探讨并描述了病理学家对与患者互动的态度。

方法

在一项对病理学家的调查中,我们询问:“您对与患者会面讨论其病理报告并向他们展示组织的显微镜图像有多大兴趣?” 然后,我们询问“为什么”,并附有一个自由文本框。我们假设病理学家的时间将得到充分补偿,并且患者的治疗临床医生已经告诉他们诊断结果。还收集了医师的年龄、性别、职级和执业类型。

结果

我们调查了 197 名病理学家,其中 86%的人对与患者会面非常感兴趣或感兴趣。兴趣水平与年龄、性别或职级无关,但在学术实践中比在社区实践中更高。主题分析表明,病理学家认为与患者会面可能会通过认知和情感途径影响(1)患者;(2)病理学家,通过与患者接触和工作满意度;以及(3)病理学领域,通过提高护理质量和重新定义专业形象。

结论

病理学家对与患者会面的兴趣水平很高。确定了对患者、病理学家和病理学领域的潜在影响。

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