医疗服务提供者的复原力沟通:以患者为中心的新型沟通。

IF 3.1 2区 医学 Q1 COMMUNICATION
Journal of Health Communication Pub Date : 2024-08-02 Epub Date: 2024-07-09 DOI:10.1080/10810730.2024.2376610
Helen M Lillie
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引用次数: 0

摘要

以患者为中心的沟通(PCC)被认为是优质医疗保健的关键组成部分,据报道,过去十年中,PCC 的水平不断提高。然而,对患者情绪和不确定性的参与度上升较慢,医疗服务提供者有时会利用以患者为中心的沟通行为来操纵患者。医疗服务提供者使用复原力沟通理论(CTR)流程可使患者受益。一项在美国进行的横断面调查(N = 486)测试了 CTR 过程与患者满意度和感知身心健康之间的关联。所有五个核心 CTR 流程都与患者结果呈正相关。在控制了传统的 PCC 行为后:(a) 创造正常状态、身份锚和替代逻辑与患者满意度呈正相关;(b) 没有任何过程与感知到的心理健康相关;(c) 沟通网络、替代逻辑和富有成效的行动与感知到的身体健康呈正相关。病情严重程度调节了三种关联。在中度-高度严重情况下,制作正常性和沟通网络与感知到的心理健康呈正相关,而制作正常性与感知到的身体健康呈正相关。研究结果将 CTR 扩展到了患者与医疗服务提供者的关系中,并证明了 CTR 流程在改善患者预后方面的实际潜力。该研究还提出了医疗服务提供者复原力沟通(HPRC)的测量方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare Providers' Resilience Communication: A New Type of Patient-Centered Communication.

Patient-centered communication (PCC) is considered a key component of quality healthcare, with reported levels of PCC rising over the last decade. However, engagement with patient emotions and uncertainty have been slower to rise, and healthcare providers at times use PCC behaviors to manipulate patients. Healthcare providers' use of the communication theory of resilience's (CTR) processes could benefit patients. A cross-sectional survey in the United States (N = 486) tested associations between CTR processes and patient satisfaction and perceived physical and mental health. All five core CTR processes were positively correlated with patient outcomes. When controlling for traditional PCC behaviors: (a) crafting normalcy, identity anchors, and alternative logics were positively related to patient satisfaction, (b) no processes were related to perceived mental health, and (c) communication networks, alternative logics, and productive action were positively related to perceived physical health. Condition severity moderated three associations. At moderate-high severity, crafting normalcy and communication networks were positively related to perceived mental health, and crafting normalcy was positively related to perceived physical health. Findings extend CTR into the patient-provider relationship and demonstrate the practical potential of CTR processes for improving patient outcomes. The study also forwards a measure of healthcare provider resilience communication (HPRC).

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来源期刊
CiteScore
5.60
自引率
4.50%
发文量
63
期刊介绍: Journal of Health Communication: International Perspectives is the leading journal covering the full breadth of a field that focuses on the communication of health information globally. Articles feature research on: • Developments in the field of health communication; • New media, m-health and interactive health communication; • Health Literacy; • Social marketing; • Global Health; • Shared decision making and ethics; • Interpersonal and mass media communication; • Advances in health diplomacy, psychology, government, policy and education; • Government, civil society and multi-stakeholder initiatives; • Public Private partnerships and • Public Health campaigns. Global in scope, the journal seeks to advance a synergistic relationship between research and practical information. With a focus on promoting the health literacy of the individual, caregiver, provider, community, and those in the health policy, the journal presents research, progress in areas of technology and public health, ethics, politics and policy, and the application of health communication principles. The journal is selective with the highest quality social scientific research including qualitative and quantitative studies.
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