Abstract：
OBJECTIVE:To explore leadership perspectives on how to maintain high quality efficient care that is also person-centered and humanistic. METHODS:The authors interviewed and collected narrative transcripts from a convenience sample of 32 institutional healthcare leaders at seven U.S. medical schools. The institutional leaders were asked to identify factors that either promoted or inhibited humanistic practice. A subset of authors used the constant comparative method to perform qualitative analysis of the interview transcripts. They reached thematic saturation by consensus on the major themes and illustrative examples after six conference calls. RESULTS:Institutional healthcare leaders supported vision statements, policies, organized educational and faculty development programs, role modeling including their own, and recognition of informal acts of kindness to promote and maintain humanistic patient-care. These measures were described individually rather than as components of a coordinated plan. Few healthcare leaders mentioned plans for organizational or systems changes to promote humanistic clinician-patient relationships. CONCLUSIONS:Institutional leaders assisted clinicians in dealing with stressful practices in beneficial ways but fell short of envisaging systems approaches that improve practice organization to encourage humanistic care. PRACTICE IMPLICATIONS:To preserve humanistic care requires system changes as well as programs to enhance skills and foster humanistic values and attitudes.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Gilligan MC,Osterberg LG,Rider EA,Derse AR,Weil AB,Litzelman DK,Dunne DW,Hafler JP,Plews-Ogan M,Frankel RM,Branch WT Jrdoi
10.1016/j.pec.2019.04.025subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1911-1916issue
10eissn
0738-3991issn
1873-5134pii
S0738-3991(19)30144-2journal_volume
102pub_type
杂志文章abstract：OBJECTIVE:To explore treatment decision-making experiences of Australian migrants with cancer from Arabic, Chinese, or Greek backgrounds and their relatives. METHODS:73 patients and 18 caregivers from cancer support groups and oncology clinics participated in either a focus group (n=14) or semi-structured interview (n...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.01.012
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:Knowledge relevant to women's peri- and postmenopausal health decisions has been evolving rapidly. Web-based decision supports can be rapidly updated and have the potential to improve the quality of patients' decisions. We developed and tested a web-based decision support for peri- and postmenopausal health d...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.pec.2006.12.004
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:First-degree relatives (FDRs) of people diagnosed with colorectal cancer (CRC) have a two- to threefold increased risk of developing the same disease. Tailored print interventions based on behavior change theories have demonstrated considerable promise in facilitating health-promoting behaviors. This study co...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2008.01.013
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an educa...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.001
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:Most women diagnosed with unilateral breast cancer without BRCA1 or BRCA2 mutations are at low risk of contralateral breast cancer. Contralateral Prophylactic Mastectomy (CPM) decreases the relative risk of contralateral breast cancer, but may not increase life expectancy; yet international uptake is increasi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.11.012
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG). METHODS:PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.03.010
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To investigate whether the Verona Coding Definitions of Emotional Sequences to code health providers' responses (VR-CoDES-P) can be used for assessment of medical students' responses to patients' cues and concerns provided in written case vignettes. METHODS:Student responses in direct speech to patient cues ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.026
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to evaluate a Communication Skills Training (CST) module for health care providers (HCPs) applying a shared decision-making approach to a meeting with an older adult with cancer and his/her family. METHODS:Ninety-nine HCPs from community-based centers, cancer centers, and hospit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.04.032
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To quantify and compare the determinants of different types of medication non-adherence in cholesterol lowering and asthma maintenance medications using a theoretical approach. METHODS:Study design was online cross sectional survey. A conceptual framework was developed using Andersen's Behavioral Model and L...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.02.017
更新日期：2011-06-01 00:00:00
abstract：:Determinants of compliance with a 6-month diet and exercise program were studied among 118 healthy middle-aged men with risk factors for coronary heart disease (CHD). Data were gathered via medical examinations, interviews and questionnaires. Smoking, high levels of hostility, perception of barriers to diet change and...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0738-3991(96)00917-2
更新日期：1996-12-01 00:00:00
abstract：:In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confidence, and to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00113-5
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:There is a limited understanding of symptom meaning and its significance to clinical practice within symptom experience literature. This study aims to qualitatively explore the ways in which symptom meanings are discussed by patients and responded to by palliative care physicians during consultations. METHOD...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.05.006
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. METHODS:Ten oncologists, 78 patients (31 Australian-born, 47 immigrants...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.03.006
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:Communication in healthcare has influenced and been influenced by the COVID-19 pandemic. In this position paper, we share observations based on the latest available evidence and experiential knowledge that have emerged during the pandemic, with a specific focus on policy and practice. METHODS:This is a posit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.12.025
更新日期：2021-02-01 00:00:00
abstract：OBJECTIVE:To develop an attractive and effective patient feedback training programme for general practice trainees (GPTs). METHODS:First, an exploratory study was conducted in which patients and GPTs were interviewed after they had worked with patient feedback. This contributed to the development of the patient feedba...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.01.016
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVE:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.03.011
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrumen...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.04.035
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:In Japan, the HPV vaccination rate has sharply fallen to nearly 0% due to a series of sensational media reports of adverse events. Online anti-HPV-vaccination activists often warn readers of the vaccine's dangers. We aimed to examine distribution and readability of pro-and anti-vaccination online messages wit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.04.013
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:To determine self-referrals' motives to visit the accident & emergency departments (AED) and to compare their characteristics to patients contacting the GP cooperative. METHODS:Postal questionnaires were send to AED self-referrals and logistic regression analysis was used to contrast self-referrals to patien...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.10.012
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To study how comprehension of cardiovascular disease (CVD) risk is influenced by: (1) infographics about qualitative risk information, with/without risk numbers; (2) which qualitative risk dimension is emphasized; (3) heart age vs. traditional risk format. METHODS:For aim 1, a 2 (infographics versus text) x ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.03.015
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:This study examines (a) providers' and interpreters' perception of their competition in controlling the content and process of provider-patient interactions, and (b) the challenges to providers' and interpreters' collaboration in bilingual health care. METHODS:I recruited 26 professional medical interpreters...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.02.017
更新日期：2010-02-01 00:00:00
abstract：:As the growth of healthcare continues to outpace inflation, health policy makers are increasingly concerned with cost containment. This article summarizes studies of the cost-benefit of patient education studies in managed care and other settings, including comprehensive approaches to healthcare delivery that emphasiz...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00723-d
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To ascertain whether physicians have favorite patients, their experiences with such patients, and how such relationships may influence patients and physicians. METHODS:Semi-structured key informant interviews with 25 primary care internists practicing in several clinic settings at a large academic medical ce...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.023
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To explore patient observations of teamwork-related behaviors such as inter-team communication through a newly designed survey. METHODS:In this cross-sectional study, 101 patients (N=86) and caregivers (N=15) recruited from the emergency department (ED) of an urban, academic medical center (>85,000 visits/ye...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.06.002
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To assess if exposure to varying "facts and myths" message formats affected participant knowledge and recall accuracy of information related to influenza vaccination. METHODS:Consenting patients (N=125) were randomized to receive one of four influenza related messages (Facts Only; Facts and Myths; Facts, Myt...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2013.06.017
更新日期：2013-09-01 00:00:00
abstract：:The objective of the study was to validate the model of empathic opportunity (EO) and potential empathic opportunity (PEO) using the Roter Interaction Analysis System (RIAS) in a sample of cancer patients. Thirty-nine audio taped consultations at an outpatient oncology clinic performed by four oncologists were previou...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.09.006
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVE:Burnout among nurses is an issue of concern, and preventive interventions are important to implement and evaluate. This study investigated levels and predictors of change in burnout dimensions after an intervention for help-seeking nurses. METHODS:Nurses participating in a self-referral, counseling intervent...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.008
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.013
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:In the Netherlands HIV nursing consultants have participated in HIV-care since 1985; their profession has changed with developments in HIV-treatment over time. The study goal was to gather information about their role in HIV-care and to provide an useful example to other (HIV-)care settings over the world. M...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.11.016
更新日期：2010-08-01 00:00:00
abstract：AIM:The value of patient-centredness, of which effective physician-patient communication is one key element, has been established within medicine. However, research shows social differences in medical communication according to the patient's social background. This study examines the role of the patient's ethnicity, ed...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.11.006
更新日期：2019-04-01 00:00:00
