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首页> 外文期刊>Journal of European CME >International challenges in patient-centred care in fertility clinics offering assisted reproductive technology: providers' gaps and attitudes towards addressing the patients' psychological needs
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International challenges in patient-centred care in fertility clinics offering assisted reproductive technology: providers' gaps and attitudes towards addressing the patients' psychological needs

机译：提供辅助生殖技术的生育诊所以患者为中心的国际挑战：提供者在满足患者心理需求方面的差距和态度

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Introduction. Psychosocial care provided to patients undergoing fertility treatment has focused on a small proportion of patients with major psychosocial problems, leaving the remaining patients impacted by psychosocial stressors without follow-up. Factors that could influence the ability or willingness of physicians treating infertility to assess and address patients’ psychosocial needs have not been investigated. This study aimed to identify the practice gaps and educational needs of physicians treating and managing patients with infertility, with the aim of informing future educational interventions. Methods. A cross-sectional, exploratory, mixed-methods study incorporating semi-structured qualitative telephone interviews and a quantitative online survey was designed and deployed to actively practising physicians treating infertile couples from 15 countries across the Americas, Europe, Asia, and the Middle East Region. Triangulation of qualitative and quantitative data was used to increase trustworthiness of findings. Results. Forty-five participants completed a qualitative interview and 271 participants completed the quantitative online survey (response rates were 4 and 9%, respectively). A majority (74%) of respondents reported needing improvement in their psychological assessment skill, which was considered essential to the provision of optimal care by less than half (41%) of respondents. A need for improvement in their skill to assess patients’ parenting skills was reported in 72% of respondents, and this skill was considered as essential by 32% of participants. Similarly, 72% reported needing improvement in their ability to identify the needs of patients for psychological and emotional support, and this ability was considered essential by 45%. Statistical differences were observed between countries (p<0.05). Conclusion. Addressing the gaps highlighted in this study, through educational or performance improvement activities, could optimise the clinical performance of physicians treating infertility and, thus, increase patient satisfaction and outcomes.Keywords: assisted reproductive technology, psychosocial care, infertility, patient-centricity, needs assessment, continuing medical education, mixed-methods(Published: 15 June 2015)Citation: Journal of European CME 2015, 4: 27578 -http://dx.doi.org/10.3402/jecme.v4.27578.
机译：介绍。向接受生育治疗的患者提供的社会心理护理集中于一小部分患有严重社会心理问题的患者，而其余患者则受到后续心理社会压力的影响。尚未调查可能影响治疗不育症的医师评估或解决患者心理需求的能力或意愿的因素。这项研究旨在确定治疗和管理不育症患者的医生的实践差距和教育需求，旨在为将来的教育干预提供信息。方法。设计并部署了一项横断面，探索性，混合方法的研究，该研究结合了半结构化的定性电话采访和定量在线调查，以积极地治疗来自美洲，欧洲，亚洲和中东地区15个国家的不育夫妇的医生。定性和定量数据的三角剖分用于增加发现的可信度。结果。 45名参与者完成了定性访问，271名参与者完成了定量在线调查（答复率分别为4％和9％）。大多数（74％）的受访者表示需要提高其心理评估技能，不到一半（41％）的受访者认为这对于提供最佳护理至关重要。据报告，有72％的受访者需要提高他们的技能以评估患者的父母教养技能，而32％的参与者认为该技能是必不可少的。同样，有72％的人表示需要提高其识别患者对心理和情感支持的需求的能力，而这一能力在45％的情况下被认为是必不可少的。各国之间存在统计学差异（p <0.05）。结论。通过开展教育或提高绩效的活动来弥补本研究中突出的差距，可以优化治疗不育症的医生的临床表现，从而提高患者的满意度和结果。关键词：辅助生殖技术，心理社会护理，不育症，以患者为中心，需求评估，继续医学教育，混合方法（出版时间：2015年6月15日）引文：Journal of European CME 2015，4：27578 -http：//dx.doi.org/10.3402/jecme.v4.27578。

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