{"title":"创伤知情护理可加强全人护理,实现四重目标","authors":"Rebecca Perley, Barbara Ganzel","doi":"10.14485/hbpr.10.5.3","DOIUrl":null,"url":null,"abstract":"Objective: Whole person care typically includes a biopsychosocial, interdisciplinary treatment approach with the intent of improved health outcomes and savings in total dollars spent on healthcare providers and services. Its multidimensional approach to a patient’s physical and mental health makes it the model of choice for achieving the quadruple aim of healthcare reform. However, we argue that whole person care is incomplete in its current form due to its lack of attention to the public health impact of stress and psychological trauma. Methods: We used seminal articles, original research and theory, and a variety of databases such as PubMed, and Google Scholar to research our topic. Results: Whole person care would benefit from the integration of traumainformed care practices, so that it can better meet the quadruple aim by addressing these broader public health concerns. Trauma-informed care was selected because it understands, recognizes, and responds appropriately to trauma in patients and providers, which enhances the effectiveness of healthcare delivery and reduces the impact of social inequity. Conclusion: Integrating traumainformed care into whole person care can help achieve the quadruple aim, as well as the newly proposed fifth aim of advancing health equity, because social inequity increases stress and exposure to psychological trauma.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"87 1","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trauma Informed Care Can Enhance Whole Person Care to Meet the Quadruple Aim\",\"authors\":\"Rebecca Perley, Barbara Ganzel\",\"doi\":\"10.14485/hbpr.10.5.3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: Whole person care typically includes a biopsychosocial, interdisciplinary treatment approach with the intent of improved health outcomes and savings in total dollars spent on healthcare providers and services. Its multidimensional approach to a patient’s physical and mental health makes it the model of choice for achieving the quadruple aim of healthcare reform. However, we argue that whole person care is incomplete in its current form due to its lack of attention to the public health impact of stress and psychological trauma. Methods: We used seminal articles, original research and theory, and a variety of databases such as PubMed, and Google Scholar to research our topic. Results: Whole person care would benefit from the integration of traumainformed care practices, so that it can better meet the quadruple aim by addressing these broader public health concerns. Trauma-informed care was selected because it understands, recognizes, and responds appropriately to trauma in patients and providers, which enhances the effectiveness of healthcare delivery and reduces the impact of social inequity. Conclusion: Integrating traumainformed care into whole person care can help achieve the quadruple aim, as well as the newly proposed fifth aim of advancing health equity, because social inequity increases stress and exposure to psychological trauma.\",\"PeriodicalId\":44486,\"journal\":{\"name\":\"Health Behavior and Policy Review\",\"volume\":\"87 1\",\"pages\":\"\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Behavior and Policy Review\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14485/hbpr.10.5.3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Behavior and Policy Review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14485/hbpr.10.5.3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的:全人护理通常包括一种生物-心理-社会的跨学科治疗方法,目的是改善健康状况,节省医疗服务提供者和服务的总费用。这种从多维度关注患者身心健康的方法使其成为实现医疗改革四重目标的首选模式。然而,我们认为,由于缺乏对压力和心理创伤对公共健康影响的关注,目前形式的全人护理是不完整的。研究方法我们使用了开创性文章、原创研究和理论,以及 PubMed 和 Google Scholar 等各种数据库来研究我们的课题。研究结果全人护理将受益于创伤知情护理实践的整合,从而通过解决这些更广泛的公共健康问题,更好地实现四重目标。之所以选择 "创伤知情护理",是因为它能够理解、认识并适当应对患者和医疗服务提供者的创伤,从而提高医疗服务的有效性并减少社会不平等的影响。结论将创伤知情护理纳入全人护理有助于实现四重目标以及新提出的第五个目标,即促进健康公平,因为社会不公平会增加压力和心理创伤的暴露。
Trauma Informed Care Can Enhance Whole Person Care to Meet the Quadruple Aim
Objective: Whole person care typically includes a biopsychosocial, interdisciplinary treatment approach with the intent of improved health outcomes and savings in total dollars spent on healthcare providers and services. Its multidimensional approach to a patient’s physical and mental health makes it the model of choice for achieving the quadruple aim of healthcare reform. However, we argue that whole person care is incomplete in its current form due to its lack of attention to the public health impact of stress and psychological trauma. Methods: We used seminal articles, original research and theory, and a variety of databases such as PubMed, and Google Scholar to research our topic. Results: Whole person care would benefit from the integration of traumainformed care practices, so that it can better meet the quadruple aim by addressing these broader public health concerns. Trauma-informed care was selected because it understands, recognizes, and responds appropriately to trauma in patients and providers, which enhances the effectiveness of healthcare delivery and reduces the impact of social inequity. Conclusion: Integrating traumainformed care into whole person care can help achieve the quadruple aim, as well as the newly proposed fifth aim of advancing health equity, because social inequity increases stress and exposure to psychological trauma.