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通过全人导向的康复路径模型加强医患关系。

Enhancing patient-provider relationships with a whole person oriented healing pathway model.

作者信息

Haun Jolie N, McDaniel Justin T, Benzinger Rachel C, Melillo Christine

机构信息

Research and Development Service, James A. Haley Veterans' Hospital, Tampa, FL, USA.

Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.

出版信息

BMC Health Serv Res. 2025 May 13;25(1):682. doi: 10.1186/s12913-025-12858-8.

DOI:10.1186/s12913-025-12858-8
PMID:40355886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12070668/
Abstract

OBJECTIVE

This paper identifies provider characteristics, across medical specialties, that facilitate a healing pathway model for patients.

DESIGN

With a phenomenological approach, a prospective descriptive study design was used to conduct in-depth semi-structured focus groups and individual interviews, which elicited experiences facilitating healing. Thematic content analysis methods were used to organize and analyze data findings within the context of a healing pathway model.

SETTING

Data were collected in three geographically diverse areas representing various fields of practice in conventional and complementary and integrative health (CIH).

PATIENTS OR OTHER PARTICIPANTS

Snowball sampling was used to collect data from 52 providers from diverse healthcare settings.

RESULTS

As a group, participants described three healing domains, including (1) Provider Approach for Facilitating Healing; (2) Foundations of a Healing Pathway; and (3) Observation of Healing Outcomes.

CONCLUSIONS

As the dynamics of healthcare continue to become more complex, and consumeristic in nature, constructs emerge across disciplines reflecting an interpersonal approach to facilitate healing. These emergent constructs informed the development of a conceptually driven healing pathway model to identify points of intervening and informing how to leverage patient-provider relationships to facilitate healing.

摘要

目的

本文确定了不同医学专科中有助于患者康复途径模型的医疗服务提供者特征。

设计

采用现象学方法,运用前瞻性描述性研究设计进行深入的半结构化焦点小组讨论和个人访谈,以获取有助于康复的经验。采用主题内容分析方法,在康复途径模型的背景下组织和分析数据结果。

地点

在三个地理区域收集数据,这些区域代表了传统医学以及补充与整合医学(CIH)的各个实践领域。

患者或其他参与者

采用滚雪球抽样法从52名来自不同医疗环境的医疗服务提供者处收集数据。

结果

作为一个群体,参与者描述了三个康复领域,包括(1)促进康复的医疗服务提供者方法;(2)康复途径的基础;(3)康复结果观察。

结论

随着医疗保健的动态变化日益复杂且具有消费主义性质,跨学科出现了一些构想,反映了一种促进康复的人际方法。这些新出现的构想为一个概念驱动的康复途径模型的开发提供了信息,以确定干预点,并说明如何利用医患关系促进康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294c/12070668/bc4cdb3428b5/12913_2025_12858_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294c/12070668/9d945319d50c/12913_2025_12858_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294c/12070668/bc4cdb3428b5/12913_2025_12858_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294c/12070668/9d945319d50c/12913_2025_12858_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294c/12070668/bc4cdb3428b5/12913_2025_12858_Fig2_HTML.jpg

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Moral Injury is a Risk Factor for Substance Use and Suicidality Among US Military Veterans with and without Traumatic Brain Injury.道德伤害是美国有和没有创伤性脑损伤的退伍军人物质使用和自杀的风险因素。
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A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward.
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The Case for Whole-Person Integrative Care.全人整合照护的理由。
Medicina (Kaunas). 2021 Jun 30;57(7):677. doi: 10.3390/medicina57070677.
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Investigating the healthcare pathway through patients' experience and profiles: implications for breast cancer healthcare providers.调查患者体验和特征的医疗保健途径:对乳腺癌医疗保健提供者的启示。
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