医生,了解你的病人。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Isaac Ks Ng
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引用次数: 0

摘要

目前,以人为本的护理是标准的医疗保健模式,它强调共同临床决策、患者自主和授权。然而,现代临床实践的许多方面,如对医疗技术、人工智能和远程会诊的日益依赖,极大地改变了医患沟通的质量。此外,许多国家正面临着人口老龄化问题,人们的预期寿命越来越长,但医疗合并症却越来越复杂,再加上医疗亚专业化和相互竞争的医疗系统,往往会导致临床护理的碎片化。在这篇文章中,我将讨论临床医生了解病人的真正含义,事实上,这是一项非常复杂的技能,是达到以人为本的护理高标准所必需的。我建议,可以通过在医生层面实施全面的生物心理社会临床咨询模式,以及在医疗系统层面促进护理的协调性和连续性来实现这一目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physicians, know thy patient.

Person-centered care is presently the standard healthcare model, which emphases shared clinical decision-making, patient autonomy and empowerment. However, many aspects of the modern-day clinical practice such as the increased reliance on medical technologies, artificial intelligence, and teleconsultation have significantly altered the quality of patient-physician communications. Moreover, many countries are facing an aging population with longer life expectancies but increasingly complex medical comorbidities, which, coupled with medical subspecialization and competing health systems, often lead to fragmentation of clinical care. In this article, I discuss what it truly means for a clinician to know a patient, which is, in fact, a highly intricate skill that is necessary to meet the high bar of person-centered care. I suggest that this can be achieved through the implementation of a holistic biopsychosocial model of clinical consultation at the physician level and fostering coordinated and continuity of care at the health systems level.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
81
审稿时长
20 weeks
期刊介绍: The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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