Department of Medicine, Yale School of Medicine, New Haven, USA; Human Understanding Institute, NRC Health, Lincoln, USA.
UCL Medical School, University College London, London, UK; EACH: International Association for Communication in Healthcare, Salisbury, UK.
Patient Educ Couns. 2024 May;122:108158. doi: 10.1016/j.pec.2024.108158. Epub 2024 Jan 17.
Contemporary healthcare is characterized by multidisciplinary teamwork across a vast array of primary, secondary and tertiary services, augmented by progressively more technology and data. While these developments aim to improve care, they have also created obstacles and new challenges for both patients and health professionals. Indeed, the increasingly fragmented and transactional nature of clinical encounters can dehumanize the care experience across disciplines and specialties. Effective communication plays a pivotal role in reinforcing the humanity of healthcare through the delivery of person-centered care - compassionate, collaborative care that focuses on the needs of each patient as a whole person. After convening at the International Conference on Communication in Healthcare (Glasgow, 2022), an interdisciplinary group of researchers, educators and health professionals worked together to develop a framework for effective communication that both acknowledges critical challenges in contemporary health services and reinforces the humanity of healthcare. The Glasgow Consensus Statement is intended to function as a useful international touchstone for the training and practice of health professionals, fully recognizing and respecting that different countries are at different stages when it comes to teaching, assessment and policy. It also provides a vocabulary for monitoring the impact of system-level challenges. While effective communication may not change the structure of healthcare, it can improve the process if health professionals are supported in infusing the system with their own innate humanity and applying the framework offered within this consensus statement to reinforce the humanity in everyday practice.
当代医疗保健的特点是在广泛的初级、二级和三级服务中进行多学科团队合作,同时越来越多地使用技术和数据。虽然这些发展旨在改善护理,但它们也给患者和医疗保健专业人员带来了障碍和新的挑战。事实上,临床接触日益碎片化和交易化的性质可能会使不同学科和专业的护理体验失去人性化。有效的沟通通过提供以患者为中心的关怀——富有同情心、协作的关怀,关注每个患者作为一个整体的需求,在加强医疗保健的人性化方面发挥着关键作用。在 2022 年于格拉斯哥举行的医疗保健沟通国际会议(International Conference on Communication in Healthcare)之后,一组跨学科的研究人员、教育工作者和医疗保健专业人员共同努力,为有效的沟通制定了一个框架,该框架既承认当代卫生服务中的关键挑战,又加强了卫生保健的人性化。格拉斯哥共识声明旨在作为医疗保健专业人员培训和实践的有用国际基准,充分认识和尊重不同国家在教学、评估和政策方面处于不同阶段。它还为监测系统层面挑战的影响提供了一个词汇。虽然有效的沟通可能不会改变医疗保健的结构,但如果医疗保健专业人员得到支持,将他们自身的内在人性融入系统,并应用本共识声明中提供的框架来加强日常实践中的人性化,那么沟通就可以改善这一过程。