The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders.
The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders.
复制标题
生物心理社会慢性护理的理想：如何使其真实？荷兰利益相关者的定性研究。
DOI：
10.1186/1471-2296-13-14
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发表时间：
2012-03-12
影响因子：
2.9
通讯作者：
van Eijk JT
中科院分区：
文献类型：
--
作者：
van Dijk-de Vries A;Moser A;Mertens VC;van der Linden J;van der Weijden T;van Eijk JT
慢性病患者在日常生活中经常遇到心理问题。生物心理社会方法被认为是慢性病护理中必不可少的。在荷兰的初级卫生保健中，目前以生物医学为导向的临床实践可能与生物心理社会方法相冲突。本研究旨在探讨荷兰利益相关者对实现生物心理社会方法来照顾慢性病患者的意见。在定性探索性研究设计中，我们与利益相关者进行了半结构化访谈，面对面或通过电话。使用内容分析法对数据进行分析。荷兰慢性病患者，初级保健专业人员，政策制定者，卫生督察，健康保险公司，教育机构和研究人员的30名代表进行了采访。利益攸关方意识到，目前的做法缺乏系统的生物心理社会护理方法。有效变革的机会是多方面的。实现生物心理社会护理方法涉及患者的积极参与、专业人员的培训、高质量的准则、协议和工具、综合初级保健、研究和财务问题。虽然生物心理社会模式的原则和重要性已得到承认，但从个别病人的医疗、情感或社会需要出发提供护理并不容易与荷兰目前的保健制度相适应。有关各方需要作出承诺，实现生物心理社会慢性病护理的理想。它们需要共同使卫生专业人员掌握了解病人多方面需求的技能，并奖励综合的生物心理社会护理。需要赋予患者权力，使其成为自己护理的积极伙伴。
Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to explore the views of Dutch stakeholders on achieving a biopsychosocial approach to the care of patients with chronic diseases. In a qualitative explorative study design, we held semi-structured interviews with stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty representatives of Dutch patients with chronic illnesses, primary care professionals, policy makers, health inspectorate, health insurers, educational institutes and researchers were interviewed. Stakeholders were aware that a systematic biopsychosocial care approach is lacking in current practice. Opportunities for effective change are multidimensional. Achieving a biopsychosocial approach to care relates to active patient participation, the training of professionals, high-quality guidelines, protocols and tools, integrated primary care, research and financial issues. Although the principles and importance of the biopsychosocial model have been recognized, the provision of care that starts from the medical, emotional or social needs of individual patients does not fit in easily with the current Dutch health care system. All parties involved need to make a commitment to realize the ideal of biopsychosocial chronic care. Together they need to equip health professionals with skills to understand patients' multifaceted needs and to reward integrated biopsychosocial care. Patients need to be empowered to be active partners in their own care.
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影响因子：
--
作者：
Boivin, Antoine;Currie, Kay;Burgers, Jako
通讯作者：
Burgers, Jako
影响因子：
3.2
作者：
Boutain, Doris M.;Hitti, Jane
通讯作者：
Hitti, Jane
影响因子：
2
作者：
Novick, Gina
通讯作者：
Novick, Gina
影响因子：
--
作者：
DiMatteo, MR;Lepper, HS;Croghan, TW
通讯作者：
Croghan, TW
影响因子：
16.2
作者：
Fisher, Lawrence;Mullan, Joseph T.;Masharani, Umesh
通讯作者：
Masharani, Umesh