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Coaching patients to be active, informed partners in their health.
Families, Systems, & Health ( IF 1.3 ) Pub Date : 2020-06-01 , DOI: 10.1037/fsh0000494
Thomas Bodenheimer 1
Affiliation  

In this issue, the article "A Physician Communication Coaching Program," by McDaniel and colleagues (see record 2020-40858-007), addresses this untenable situation through the coaching of physicians as part of continuing medical education. The coaching program hopes to explode the traditional paradigm of physician-patient interaction. An alternative paradigm is the philosophy of health coaching. While McDaniel et al. (2020) describe coaching physicians, the new paradigm involves coaching patients. Health coaching can be summed up in the adage: "Give a man a fish and you feed him for a day. Teach him how to fish and you feed him for a lifetime." Coaching is teaching "how to fish" by assisting patients to gain the knowledge, skills, and confidence to become informed, active participants in their care (Ghorob & Bodenheimer, 2013). Rather than telling patients what to do, coaching asks patients what they are willing and able to do to improve their health, meeting them where they are. Perhaps a patient with diabetes eats a pint of ice cream every night and cannot give it up. Rather than threatening, scolding, or imploring, physicians and other health personnel engage in a discussion of an action plan that the patient agrees to-perhaps eating only a half-pint of ice cream each night. Success with the realistic action plan breeds more success and eventually the ice cream becomes a rare treat. Randomized controlled trials demonstrate that this approach-compared with traditional care- significantly improves HbA1c levels in patients with diabetes (Thom et al., 2013; Willard-Grace et al., 2015). (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

指导患者积极主动,知情的健康伙伴。

在本期杂志中,McDaniel及其同事撰写的文章“医师交流教练计划”(请参阅​​记录2020-40858-007),通过作为持续医学教育一部分的医师指导解决了这种不可持续的情况。教练计划希望突破医患互动的传统范式。另一种范式是健康教练的哲学。而麦克丹尼尔等。(2020)描述教练医师,新范式涉及教练患者。健康教练可以总结为谚语:“给一个人一条鱼,你就给他喂一天。教他如何钓鱼,你一生都给他喂。” 教练通过帮助患者获得知识,技能和信心来成为知情的,积极的护理参与者,从而教授“如何钓鱼”(Ghorob&Bodenheimer,2013年)。教练并没有告诉患者该怎么做,而是询问患者他们愿意并能够做些什么来改善他们的健康,并与他们见面。也许糖尿病患者每晚都吃一品脱冰淇淋,却不能放弃。医生和其他卫生人员不会威胁,责骂或劝阻患者,而是要讨论患者同意的行动计划,也许每晚只吃一半品脱的冰淇淋。通过现实可行的行动计划获得成功,将获得更大的成功,最终,冰淇淋成为一种难得的享受。随机对照试验表明,与传统护理相比,该方法可显着改善糖尿病患者的HbA1c水平(Thom等,2013; Willard-Grace等,2015)。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。2013)。教练并没有告诉患者该怎么做,而是询问患者他们愿意并能够做些什么来改善他们的健康,并与他们见面。糖尿病患者也许每晚都吃一品脱冰淇淋,却不能放弃。医生和其他卫生人员不会威胁,责骂或劝阻患者,而是要讨论患者同意的行动计划,也许每晚只吃一半品脱的冰淇淋。通过现实可行的行动计划获得成功,将获得更大的成功,最终,冰淇淋成为一种难得的享受。随机对照试验表明,与传统护理相比,该方法可显着改善糖尿病患者的HbA1c水平(Thom等,2013; Willard-Grace等,2015)。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。2013)。教练并没有告诉患者该怎么做,而是询问患者他们愿意并能够做些什么来改善他们的健康,并与他们见面。糖尿病患者也许每晚都吃一品脱冰淇淋,却不能放弃。医师和其他卫生人员不会威胁,责骂或劝阻患者,而是要讨论患者同意的行动计划,也许每晚只吃半品脱的冰淇淋。通过现实可行的行动计划获得成功,将获得更大的成功,最终,冰淇淋成为一种难得的享受。随机对照试验表明,与传统护理相比,该方法可显着改善糖尿病患者的HbA1c水平(Thom等,2013; Willard-Grace等,2015)。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。教练并没有告诉患者该怎么做,而是询问患者他们愿意并能够做些什么来改善他们的健康,并与他们见面。糖尿病患者也许每晚都吃一品脱冰淇淋,却不能放弃。医生和其他卫生人员不会威胁,责骂或劝阻患者,而是要讨论患者同意的行动计划,也许每晚只吃一半品脱的冰淇淋。通过现实可行的行动计划获得成功,将获得更大的成功,最终,冰淇淋成为一种难得的享受。随机对照试验表明,与传统护理相比,该方法可显着改善糖尿病患者的HbA1c水平(Thom等,2013; Willard-Grace等,2015)。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。教练并没有告诉患者该怎么做,而是询问患者他们愿意并能够做些什么来改善他们的健康,并与他们见面。也许糖尿病患者每晚都吃一品脱冰淇淋,却不能放弃。医生和其他卫生人员不会威胁,责骂或劝阻患者,而是要讨论患者同意的行动计划,也许每晚只吃一半品脱的冰淇淋。通过现实可行的行动计划获得成功,将获得更大的成功,最终,冰淇淋成为一种难得的享受。随机对照试验表明,与传统护理相比,该方法可显着改善糖尿病患者的HbA1c水平(Thom等,2013; Willard-Grace等,2015)。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-06-01
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