Patient dissatisfaction and institutional betrayal in the Canadian medical system: A qualitative study
Patient dissatisfaction and institutional betrayal in the Canadian medical system: A qualitative study
复制标题
加拿大医疗系统中的患者不满和机构背叛：一项定性研究
DOI：
10.1080/15299732.2016.1181134
复制
发表时间：
2017
影响因子：
3.3
通讯作者：
C. Mutschler
中科院分区：
文献类型：
--
作者：
Andreea Tamaian;Bridget Klest;C. Mutschler
与慢性疾病作斗争的个人经常使用医疗服务，并可能依赖医疗系统来确保他们的整体健康。因此，当他们的需求得不到满足时，他们可能会感到被医疗系统背叛的风险更大。目前的研究旨在定性评估患者对医疗系统的负面体验，这些体验可能会导致机构背叛的感觉。共有14名患有各种慢性病的加拿大成年人完成了一份在线开放式问卷。研究结果表明，制度背叛由医生层面的背叛（医疗服务不足和缺乏心理支持）和制度层面的背叛组成。研究结果进行了讨论的背景下，背叛创伤理论，具体来说，病人的评价，他们的负面医疗保健的经验可能会发挥至关重要的作用，当一个人正在考虑的影响，制度背叛对个人的整体福祉。
ABSTRACT Individuals who struggle with chronic medical conditions frequently use medical services and may depend on the medical system to ensure their overall well-being. As a result, they may be at a greater risk of feeling betrayed by the medical system when their needs are not being met. The current study aimed to qualitatively assess patients’ negative experiences with the medical system that may lead to feelings of institutional betrayal. A total of 14 Canadian adults struggling with various chronic conditions completed an online open-ended questionnaire. Results indicated that institutional betrayal is composed of doctor-level betrayal (inadequate medical care and lack of psychological support) as well as system-level betrayal. The findings are discussed in the context of betrayal trauma theory; specifically, patients’ appraisals of their negative health care experiences may play a vital role when one is considering the impact of institutional betrayal on an individual’s overall well-being.
影响因子：
120.7
作者：
Gallagher, TH;Waterman, AD;Levinson, W
通讯作者：
Levinson, W