University of Arizona College of Veterinary Medicine, Oro Valley, AZ, USA.
J Feline Med Surg. 2023 Dec;25(12):1098612X231215639. doi: 10.1177/1098612X231215639.
This is the second part of a two-part series on spectrum of care that encourages practitioners to tailor case management to the patient along a continuum of acceptable options. Part I defined the spectrum of care and broadened its approach beyond initial cost-of-care considerations. This second article introduces strategies for initiating conversations with clients about their needs, wants and expectations specific to healthcare options and case management decisions. It will explore how open inquiry, reflective listening, transparency and unconditional positive regard facilitate dialogue between providers and their clients as they collaborate on decision-making along a spectrum of care.
Contextual case management prioritizes interventions that are appropriate for both the patient and the client. To identify and explore which healthcare options represent the best fit for those impacted most by medical decisions, veterinarians need to make space for clients to feel comfortable sharing their perspectives. Clients are more likely to be engaged in decision-making when their insight is actively solicited. They have much to share with us as experts about their cat's overall health and wellness needs. Inviting clients to contribute to the consultation and being receptive to hearing what motivates their choices helps us to structure conversations around healthcare options. The ability to communicate healthcare options is as vital as the provision of healthcare, if not more so.
这是关于照护范围的两部分系列的第二部分，旨在鼓励从业者根据可接受的一系列选择为患者量身定制个案管理。第 I 部分定义了照护范围，并在初始成本考量之外拓宽了其方法。这第二篇文章介绍了与客户就其对医疗保健选择和个案管理决策的具体需求、期望展开对话的策略。它将探讨开放式查询、反思性倾听、透明度和无条件积极关注如何在照护范围内为提供者及其客户之间的对话提供便利。
情境个案管理优先考虑对患者和客户都合适的干预措施。为了确定并探讨哪些医疗保健选择最适合受医疗决策影响最大的患者，兽医需要为客户提供舒适的空间，分享他们的观点。当客户的意见被积极征求时，他们更有可能参与决策。他们在了解他们的猫的整体健康和幸福需求方面有很多可以与我们分享。邀请客户参与咨询并愿意听取他们选择的动机有助于我们围绕医疗保健选择组织对话。传达医疗保健选择的能力与提供医疗保健一样重要，如果不是更重要的话。
