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患者期望:关于患者希望医疗服务提供者提供何种支持以实现健康老龄化的定性研究。

Patient Expectations: A Qualitative Study on What Patients Want From Their Healthcare Providers to Support Them in Healthy Aging.

作者信息

Duplantier Sally C, Undem Teri

机构信息

Indiana University, Bloomington, IN, USA (SCD).

North Dakota State University, Fargo, ND, USA (TU).

出版信息

Am J Lifestyle Med. 2025 May 21:15598276251344856. doi: 10.1177/15598276251344856.

Abstract

While extensive literature exists on healthy aging and the role of lifestyle medicine in promoting it, little is known about what patients expect from their healthcare providers to support them in this process. This study explored these expectations. We conducted 22 one-hour focus groups with a diverse sample of men and women, aged 38-88, and used reflexive thematic analysis to identify common themes related to these expectations. Three key themes were generated regarding participant expectations: (1) Respect and Collaboration, (2) Information on Alternatives to Medication, and (3) Information on Preventative Care. Participants emphasized the importance of being valued as individuals and treated as active partners in their care, even during brief medical appointments. They also expressed a desire for guidance on non-pharmacologic approaches and age-appropriate preventive strategies to support healthy aging. This study examines healthy aging through the unique lens of patient expectations. It reveals that patients expect healthcare providers to act as proactive, collaborative partners in their journey toward healthy aging. It also underscores patients' preference for evidence-based alternatives to medication and for preventive care, including guidance on lifestyle choices, to support healthy aging throughout the lifespan.

摘要

虽然关于健康老龄化以及生活方式医学在促进健康老龄化方面的作用已有大量文献,但对于患者期望医疗保健提供者在这一过程中如何支持他们却知之甚少。本研究探讨了这些期望。我们对年龄在38 - 88岁之间的不同性别样本进行了22次一小时的焦点小组讨论,并采用反思性主题分析来确定与这些期望相关的共同主题。关于参与者的期望产生了三个关键主题:(1)尊重与协作,(2)药物替代疗法信息,以及(3)预防保健信息。参与者强调了在医疗过程中,即使是在简短的就诊过程中,作为个体被重视并被当作积极参与者对待的重要性。他们还表示希望获得关于非药物方法和适合年龄的预防策略的指导,以支持健康老龄化。本研究通过患者期望这一独特视角审视健康老龄化。研究表明,患者期望医疗保健提供者在他们迈向健康老龄化的过程中成为积极主动、协作的伙伴。它还强调了患者对基于证据的药物替代疗法以及预防保健的偏好,包括关于生活方式选择的指导,以在整个生命周期中支持健康老龄化。

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