Relationship-centered care - A constructive reframing

Relationship-centered care - A constructive reframing
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DOI:
10.1111/j.1525-1497.2006.00302.x
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发表时间:
2006-01-01
影响因子:
5.7
通讯作者:
Inui, T
Inui, T
中科院分区:
医学2区
文献类型:
--
作者:
Beach, MC;Inui, T

文献摘要

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所有疾病、护理和治愈过程都发生在个人与自我和他人的关系中。以关系为中心的护理 (RCC) 是概念化医疗保健的重要框架,认识到关系的性质和质量对于医疗保健和更广泛的医疗保健提供系统至关重要。 RCC 可以定义为一种护理,其中所有参与者都认识到彼此关系的重要性。 RCC 建立在 4 项原则之上:(1) 医疗保健中的关系应包括参与者的人格,(2) 影响和情感是这些关系的重要组成部分,(3) 所有医疗保健关系都发生在相互影响的背景下,(4) 医疗保健中真正关系的形成和维持具有道德价值。在 RCC 中,患者和临床医生之间的关系仍然是核心,尽管临床医生与自己、彼此之间以及与社区的关系也受到重视。
All illness, care, and healing processes occur in relationship-relationships of an individual with self and with others. Relationship-centered care (RCC) is an important framework for conceptualizing health care, recognizing that the nature and the quality of relationships are central to health care and the broader health care delivery system. RCC can be defined as care in which all participants appreciate the importance of their relationships with one another. RCC is founded upon 4 principles: (1) that relationships in health care ought to include the personhood of the participants, (2) that affect and emotion are important components of these relationships, (3) that all health care relationships occur in the context of reciprocal influence, and (4) that the formation and maintenance of genuine relationships in health care is morally valuable. In RCC, relationships between patients and clinicians remain central, although the relationships of clinicians with themselves, with each other and with community are also emphasized.