the International Journal of Person-Centered Medicine最新文献_第8页

New Patient Centered Approach to Unlock the Individual`s Potential to Adopt Healthy Lifestyles: Health Coaching 新的以病人为中心的方法来释放个人的潜力，采用健康的生活方式:健康指导

the International Journal of Person-Centered Medicine Pub Date : 2015-12-31 DOI: 10.5750/IJPCM.V5I4.511

A. Cinar

{"title":"New Patient Centered Approach to Unlock the Individual`s Potential to Adopt Healthy Lifestyles: Health Coaching","authors":"A. Cinar","doi":"10.5750/IJPCM.V5I4.511","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I4.511","url":null,"abstract":"Health Coaching (HC), a patient-empowerment focused approach, is guided and supported by the medical professional, to facilitate patient to explore, unlock and activate his/her self-potential to adopt healthy lifestyles. HC, a whole person and also a population-based approach, can be defined as a system-wide innovation aiming positive social change. A NHS review showed that there is promising evidence about HC, particularly for supporting behaviour change. HC in our international intervention project, to our knowledge, is used for the first time as a holistic health promotion approach for oral health and diabetes type 2 (T2DM) management; in line with IDF-FDI (2007) declaration stating that oral health promotion should be part of diabetes management. The aim of the present study is to assess the effectiveness of HC on oral health and T2DM management by use of clinical (HbA1c, periodontal health) and subjective measures (satisfaction with access to health care, frequency of physical activity, toothbrushing and dental visit) among T2DM patients. Our study`s preliminary results show that at post-intervention there was a significant reduction at HbA1c (Turkey:0.7%, Denmark:0.4%, p=0.001) in HC groups. The figures for HE groups were non-significant. Daily toothbrushing was correlated with change at HbA1c and regular physical activity in HC groups. Person-centered approach focusing on multidisciplinary collaboration is essential to improve the whole well-being of individual in daily life, and thereby the society, in line with WHO 2014 Geneva Declaration. HC, a promising new approach, can speak as one of the key implementations/approaches at health care-settings to meet this essentiality.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115195719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Person-centred Communications: How do People as Patients Want to be Spoken to? 以人为本的沟通:作为病人的人们希望如何被交谈?

the International Journal of Person-Centered Medicine Pub Date : 2015-12-31 DOI: 10.5750/ijpcm.v5i4.551

J. Groves

{"title":"Person-centred Communications: How do People as Patients Want to be Spoken to?","authors":"J. Groves","doi":"10.5750/ijpcm.v5i4.551","DOIUrl":"https://doi.org/10.5750/ijpcm.v5i4.551","url":null,"abstract":"Background: The World Health Organization's (WHO) World Health Report of 2008 titled, “ Primary Health Care – Now More Than Ever” put renewed emphasis on the values of achieving health for all and putting people at the centre of healthcare (1). In order to do this it is necessary to understand what people expect and want from healthcare and pertinent communications so that health systems can be designed that can respond to patients' needs, wishes and preferences. Objectives: To consider the initiatives which are being taken forward by numerous national and global initiatives to further person-centred healthcare and consideration of the evidence for this approach with particular regard to the role of communication in enabling healthcare to meet people's needs, wishes and preferences. Methods: Review of person-centred healthcare initiatives and evidence for its impact and consideration of principles of person-centred care as they relate to healthcare communications. Results: T here is evidence for a person-centred approach to healthcare. There are fundamental principles relating to how communications can impact on patients being empowered to make informed decisions about their healthcare. Patient experiences and outcomes are improved when they have the opportunity for their wishes and preferences to inform shared decision-making in mutually trusting and equal partnerships with health professionals about their health and well being. Conclusions: Person-centred healthcare requires communication which enables respect for people's needs, preferences, dignity, values, autonomy and independence. Empowering patients and health professionals so that they can work in partnership to reach an informed decision on what the patient wants and expects from treatment should be the priority for policy-makers, health professionals and patients. There are some fundamental principles and many tools and initiatives that can support good communication and enable shared decision-making.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"54 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132069498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstracts on Primary Care, Public Health and Person Centered Medicine 初级保健、公共卫生和以人为本的医学

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.546

J. Mezzich

引用次数: 1

Person Centered Medicine, Primary Care, and Public Health 以人为本的医学、初级保健和公共卫生

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.547

J. Appleyard, S. Rawaf

引用次数: 2

Review Dialogues as an Opportunity to Develop a Person-related Overall Diagnosis 回顾对话作为发展与人相关的全面诊断的机会

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.545

O. Bahrs, K. Henze, F. Lowenstein, H. Abholz, Katharina Ilse, S. Wilm, Gertrud Bureick, S. Heim

{"title":"Review Dialogues as an Opportunity to Develop a Person-related Overall Diagnosis","authors":"O. Bahrs, K. Henze, F. Lowenstein, H. Abholz, Katharina Ilse, S. Wilm, Gertrud Bureick, S. Heim","doi":"10.5750/IJPCM.V5I3.545","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I3.545","url":null,"abstract":"Background: In the long-term care of patients with chronic conditions, the process aspect of treatment is rarely in the focus of general practitioner(GP)-patient interactions. A specific interaction tool, the Review Dialogue (RD), has been developed to integrate patients’ health-related problems/risks as well as coping strategies/resources and to agree upon shared treatment objectives. Research question: Do periodical RDs contribute to a better achievement of treatment objectives and do they arrive at an overall diagnosis (Balint)? Methods: GPs were randomized either into an intervention group (extra training and regular RD with 20 patients with chronic conditions) or into a control group (usual care). Videos of a sub-sample of patients (5 per practice) were taken at four points in time. This paper focuses on a sub-sample of 125 video-recorded GP-patient interactions, analysed using a semi-standardised procedure (RLI). An in-depth analysis of a maximum variation sample of eight GPs’ videotapes across four points in time was made to identify professional interaction strategies. Results: Implementing the RD and creating an overall holistic diagnosis is case-specific with respect to both, the GPs and the patients. Fostering individualised care RDs might contribute to a better achievement of treatment objectives. Conclusions: Review Dialogues facilitate the GP-patient communication process about diagnostics and therapy helping to make the implied overall diagnosis explicit. Further research is needed.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131289624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Summary Report of the Third International Congress of Person Centered Medicine and the First International Conference on Primary Care and Public Health 第三届国际以人为本医学大会暨第一届国际初级保健与公共卫生会议总结报告

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.548

S. Dulmen, J. Appleyard

引用次数: 2

Decision Aids in the United States: the Patient Response 美国的决策辅助:患者反应

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.517

R. Wexler, Bethany S. Gerstein, Charles D Brackett, L. Fagnan, Kathleen M. Fairfield, D. Frosch, Carmen L. Lewis, L. Morrissey, Leigh H. Simmons, David Swieskowski, Yuchiao Chang, F. J. Fowler, M. Barry

{"title":"Decision Aids in the United States: the Patient Response","authors":"R. Wexler, Bethany S. Gerstein, Charles D Brackett, L. Fagnan, Kathleen M. Fairfield, D. Frosch, Carmen L. Lewis, L. Morrissey, Leigh H. Simmons, David Swieskowski, Yuchiao Chang, F. J. Fowler, M. Barry","doi":"10.5750/IJPCM.V5I3.517","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I3.517","url":null,"abstract":"Background: In the United States and elsewhere, a growing chorus of voices is calling for the routine use of patient decision aids (DAs) and shared decision making (SDM) in day-to-day care. A frequently cited barrier to this approach is the belief that many patients will not be able to understand key clinical information and/or prefer to delegate decision making to providers. These beliefs, often held by providers, are thought to be particularly applicable to elderly and less educated patients. Objectives: To test the perception that older and less educated patients will not value or benefit from DAs. Research design: Self-administered questionnaires completed by patients after viewing DAs. Subjects: 3001 patients in six primary care practice sites facing one of sixteen common medical decisions. Measures: Amount of DA viewed, knowledge about medical tests or treatments, DA rating, and importance of receiving DAs from providers. Results: Across age and education level, higher self-reported exposure to the DAs was associated with higher knowledge scores. Those over 65 and those who had not attended college had knowledge gains at least has high as those in other groups. There were no statistically significant differences by age or education in patient assessment of the importance of using DAs. Conclusions: Patients in primary care settings in the U.S. learn from DAs, rate them highly, and believe that providers should make them available in ways that are mainly independent of patient age or formal education.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123697915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Persons Caring For Persons: A Public Health Policy Architecturally Presented 人关心人:一种公共卫生政策的建筑呈现

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.543

Fernando Carbone-Campoverde

{"title":"Persons Caring For Persons: A Public Health Policy Architecturally Presented","authors":"Fernando Carbone-Campoverde","doi":"10.5750/IJPCM.V5I3.543","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I3.543","url":null,"abstract":"Background: In 2001 a number of limitations and inconsistencies were noted in the Peruvian national health system. In addition to long-standing structural issues, challenges emerged related to social determinants of health as well as health workers’ attitudes and skills. Objectives: The purpose of this paper is to describe some of the national health policy changes that the Ministry of Health of Peru considered necessary in 2002 to address the prevailing challenges and the particular implementation of such policies. Methods: The formulation of the desired national health policy changes were based on critical readings of the pertinent scientific literature, the collation of national health policy experience, and consultations with Ministry officers and recognized national experts. Results : The thrust of the national health policy changes, involving the crucial relationship between service providers and users resulting from such process was summarized by the dictum “Persons Caring for Persons” (In Spanish, “Personas que Atendemos Personas”). In order to extend the impact of this policy dictum, it was decided to inscribe it right under the Ministry’s name on the facade or frontispiece of the Ministry’s central building in Lima, the capital of Peru. Discussion : The focus of health care on persons was based on well considered Peruvian and international experience, particularly those maturing at the World Health Organization since the Alma Ata Declaration. The dictum “Persons Caring for Persons” has remained present in national health discussions as well as on the frontispiece of the Ministry’s central building across several changes in national political leadership over the past 13 years. Conclusions: The policy statement “Persons Caring for Persons”, reflects well considered national experience and wisdom, consistent with growing international aspirations. Its endurance over many years calls for renewed efforts to deepen such perspectives towards greater respect for human rights and the full humanization of health care and social life.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116806376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Postmodern View of Evidence-based Medicine (EBM) 循证医学的后现代观

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.530

Brian Walsh

引用次数: 0

Applicability, Internal Structure, and basic Patterns of a Multicultural Brief Quality of Life Measure in a Sample of Psychiatric Patients with Comorbid Substance Use Disorders 多元文化生活质量测量在精神疾病共病性物质使用障碍患者样本中的适用性、内部结构和基本模式

the International Journal of Person-Centered Medicine Pub Date : 2015-12-15 DOI: 10.5750/IJPCM.V5I3.519

I. Salloum, J. Mezzich, L. Kirisci

{"title":"Applicability, Internal Structure, and basic Patterns of a Multicultural Brief Quality of Life Measure in a Sample of Psychiatric Patients with Comorbid Substance Use Disorders","authors":"I. Salloum, J. Mezzich, L. Kirisci","doi":"10.5750/IJPCM.V5I3.519","DOIUrl":"https://doi.org/10.5750/IJPCM.V5I3.519","url":null,"abstract":"Background: The measurement of quality of life as estimate of well being is assuming increasing importance in the evaluation of health and treatment efficacy. Objectives: The aim of this study is to evaluate the applicability, internal structure and clinical patterns of the Multicultural Quality of Life Index (MQLI), a brief, self-rated, culturally informed, quality of life scale, in patients experiencing comorbid psychiatric and substance use disorders. Methods: Sixty-two consecutively admitted outpatients completed the MQLI. With this data, the applicability, internal consistency, factorial structure, and prediction of treatment adherence over a three-month period were assessed. Results: It was found that the MQLI was easy to administer. It had good internal consistency (Cronbach’s alpha 0.89). Factor analysis revealed that the first factor explained 53% of the variance, indicating the unidimensionality of the instrument around quality of life. Two MQLI items, interpersonal functioning and the availability of supports, significantly predicted treatment adherence. Conclusions: The MQLI is easy to use, it has a coherent structure, and is clinically useful in psychiatric patients with comorbid substance use disorders.","PeriodicalId":402902,"journal":{"name":"the International Journal of Person-Centered Medicine","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128382853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1