School of Social Work, University of Alaska Anchorage, Anchorage, Alaska, USA.
Soc Work Health Care. 2024;63(4-5):385-398. doi: 10.1080/00981389.2024.2333744. Epub 2024 Mar 24.
The purpose of this research was to explore patients' shared perceptions of what makes them feel valued and devalued during in-patient and out-patient medical visits and patients' recommendations for increasing feelings of value. A criterion-based snowball sampling method was used to recruit participants who are adults living in Anchorage, Alaska, and have had an in-patient or out-patient medical visit within at least the past year. Semi-structured qualitative interviews were conducted using eight open-ended questions via Zoom web conferencing. Data were stored and managed electronically. A thematic analysis approach guided data analysis. A phenomenological approach was applied to capture participants' shared experiences. This study's key findings highlight a shared patient perception that communication is paramount in conveying value: conversations with healthcare providers instill value, feeling valued is essential to well-being, feeling devalued is driven by depersonalization, and devaluation perpetuates discontinuity in healthcare.
本研究旨在探讨患者在住院和门诊期间对自身感受被重视和被轻视的因素的共同看法,以及患者对增加自身价值感的建议。采用基于标准的滚雪球抽样方法招募参与者,他们是居住在阿拉斯加安克雷奇的成年人,并且在过去至少一年中接受过住院或门诊医疗服务。通过 Zoom 网络会议使用 8 个开放式问题进行半结构化定性访谈。数据以电子方式存储和管理。主题分析方法指导数据分析。现象学方法用于捕捉参与者的共同体验。本研究的主要发现强调了患者的共同看法,即沟通是传达价值的关键:与医疗保健提供者的对话能体现价值,有价值感对幸福感至关重要,被轻视感源于去人性化,而被轻视感会导致医疗服务的连续性中断。