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医生应该披露自己的健康问题吗?慢性疼痛患者的观点。

Should Physicians Disclose Their Own Health Challenges? Perspectives of Patients With Chronic Pain.

作者信息

Chang Howard A, Iuliano Kayla, Tackett Sean, Treisman Glenn J, Erdek Michael A, Chisolm Margaret S

机构信息

Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Patient Exp. 2022 Sep 21;9:23743735221128675. doi: 10.1177/23743735221128675. eCollection 2022.

Abstract

This study explores how patients with chronic pain view the impact of physician self-disclosure on the patient-physician relationship. We conducted mixed-methods analyses of a cross-sectional survey eliciting experiences and attitudes regarding physician self-disclosure among 934 adults with self-reported chronic pain. Patients with chronic pain commonly recalled experiences of physician self-disclosure, most often "small talk" or physicians' disclosure of their own chronic pain. Patients generally rated these experiences to be beneficial. Patients frequently said they would benefit from seeing a physician who has had chronic pain, or that they would want their physician to self-disclose their own chronic pain. Those who had never experienced self-disclosure were more likely to want their physician to self-disclose their own chronic pain. Nonetheless, patients held varying perspectives toward the advantages and disadvantages of physician self-disclosure, believing that self-disclosure could either positively or negatively impact the patient-physician relationship and care and communication.

摘要

本研究探讨慢性疼痛患者如何看待医生自我表露对医患关系的影响。我们对一项横断面调查进行了混合方法分析,该调查收集了934名自我报告患有慢性疼痛的成年人关于医生自我表露的经历和态度。慢性疼痛患者普遍回忆起医生自我表露的经历,最常见的是“闲聊”或医生透露自己的慢性疼痛。患者总体上认为这些经历是有益的。患者经常表示,他们会从看一位有慢性疼痛经历的医生中受益,或者他们希望自己的医生能自我表露其自身的慢性疼痛。那些从未经历过自我表露的患者更希望医生能自我表露其自身的慢性疼痛。尽管如此,患者对医生自我表露的利弊持有不同观点,认为自我表露可能对医患关系、医疗及沟通产生积极或消极的影响。

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本文引用的文献

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Doctor self-disclosure in the consultation.
J Prim Health Care. 2018 Jun;10(2):106-109. doi: 10.1071/HC17010.
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