Director, Medical Assistance in Dying, Provincial Health Services Association, Vancouver, BC.
Healthc Pap. 2024 Jul;22(SP):52-58. doi: 10.12927/hcpap.2024.27367.
The COVID-19 pandemic has significantly disrupted patient engagement and exposed long-standing inequities within Canada's healthcare system. As a patient partner and caregiver, the author reflects on the exacerbated challenges during the pandemic, particularly for hardly reached communities and those managing chronic conditions. The crisis highlighted the absence of opportunities for patient partnership, with healthcare organizations halting engagement activities despite an increased need for communication and community involvement. The pandemic underlined the necessity of trauma-informed care and engagement-capable environments (ECE). To address these challenges, the author advocates for integrating trauma-informed practices with ECEs, thereby promoting a healthcare model that is both structurally supportive and responsive to individual trauma and resilience. By focusing on compassion, recognizing trauma and fostering engagement, such an approach could enhance patient outcomes and create a more adaptive, inclusive healthcare environment.
新冠疫情大流行严重扰乱了患者的参与度，使加拿大医疗体系中的长期不平等现象浮出水面。作为患者伙伴和护理人员，作者反思了疫情期间加剧的挑战，特别是对难以接触到的社区和管理慢性病的患者。这场危机凸显了患者伙伴关系机会的缺失，医疗机构停止了参与活动，尽管此时更需要加强沟通和社区参与。疫情还强调了需要建立创伤知情护理和参与能力环境（ECE）。为了应对这些挑战，作者主张将创伤知情实践与 ECE 相结合，从而促进一种既能提供结构性支持又能对个人创伤和恢复力做出反应的医疗模式。通过关注同情心、认识创伤和促进参与，这种方法可以改善患者的预后并创造一个更具适应性、更包容的医疗环境。
