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以患者为中心医患关系视角

Authors
Tom Delbanco, MD
Margaret Gerteis, PhD
Section Editor
Mark D Aronson, MD
Deputy Editor
H Nancy Sokol, MD
Translators
徐佳, 主治医师

引言

医生与患者之间的关系正变得越来越复杂。随着整个医疗体系的日益增长，医疗保健工作人员的角色越来越渺小，提供医疗服务的医疗保健供者和寻求医疗服务的患者常常会觉得彼此之间离愈加疏远。作为医生，我们都是被医疗的人性面所吸引而献身于医学事业；而就在我们反思医疗的人性面到底发生了什么的同时，我们也被反复告知我们看起来有多么傲慢。我们的患者释放了一个清晰的信息，那就是越来越多的患者对我们的动机以及我们的医疗质量提出了质疑。

我们该如何拉近与患者的关系？有3种策略关注于患者所定义的患者需求和关注，这些策略可帮助维持和充实医患关系：

●在临床实践中，临床医生应有序而系统地将每名患者视为一个独特的个体。我们在医学院所学习到的是器官特异性的系统回顾，而“患者评价”则具体阐明了每一位患者的偏好、价值观和需求，故患者评价可作为系统回顾的补充[1,2]。

●临床医生应将目光放在其所有的患者身上，并使用调查工具和其他工具，这些工具将邀请患者全面地报告其临床体验。这种反馈可以提供关于医生个人实践的重要方面的有效且可靠的信息，并可将其与地区性和全国性的患者体验相比较[3,4]。

●临床医生和患者可以共享信息，并一起参与制定治疗计划。受益于快速传播的电子信息记录，以及越来越多地伴随着电子健康记录的安全患者门户(即，让患者与其医疗保健提供者进行即时交流的在线软件)，临床医生与患者达成一致正快速变得更为可行。

             

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Literature review current through: 2017-06 . | This topic last updated: 2015-09-16.
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