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肌骨实践中的以患者为中心的护理:支持临床医生关注患者的关键要素。

Patient-centered care in musculoskeletal practice: Key elements to support clinicians to focus on the person.

机构信息

Department of Occupation and Health, School of Organisation and Development, HAN University of Applied Sciences, Nijmegen, the Netherlands.

School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia.

出版信息

Musculoskelet Sci Pract. 2022 Feb;57:102434. doi: 10.1016/j.msksp.2021.102434. Epub 2021 Aug 5.

DOI:10.1016/j.msksp.2021.102434
PMID:34376367
Abstract

Musculoskeletal rehabilitation, including physiotherapy, needs to move towards a broader biopsychosocial understanding of musculoskeletal conditions and the delivery of high-value care for people with persistent pain conditions, in which a patient-centered approach is a key feature. However, it has been reported that clinicians experience difficulties with integrating patient-centered care principles into their clinical practice. Based on a focused symposium about patient-centered care for patients with musculoskeletal conditions, held during the online 2021 World Physiotherapy Congress, the purpose of this article is to share key elements of the content of this symposium with a wider audience, aimed at enabling clinicians to enhance patient-centeredness in their current practice. These key elements include establishing meaningful connections, deciding together and self-management support. Moreover, challenges on patient-centered care in low/middle income countries will be discussed and recommendations to implement patient-centered care in clinical practice will be provided.

摘要

肌肉骨骼康复,包括物理治疗,需要朝着更广泛的生物心理社会理解肌肉骨骼状况以及为持续性疼痛患者提供高价值护理的方向发展,其中以患者为中心的方法是一个关键特征。然而,据报道,临床医生在将以患者为中心的护理原则融入临床实践方面存在困难。基于在 2021 年世界物理治疗大会的在线会议期间举行的一次关于肌肉骨骼疾病患者以患者为中心护理的专题研讨会,本文的目的是与更广泛的受众分享该研讨会的主要内容,旨在使临床医生能够在当前实践中增强以患者为中心的服务。这些关键要素包括建立有意义的联系、共同决策和自我管理支持。此外,还将讨论在中低收入国家实施以患者为中心护理的挑战,并提供在临床实践中实施以患者为中心护理的建议。

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