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What does patient-centred communication mean in Nepal?

机译:在尼泊尔,以患者为中心的交流意味着什么?

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Objectives To ascertain the expectations of Nepalese patients regarding aspects of doctor-patient communication and to review a model of patient-centred care for its appropriateness to Nepalese medical communication training. Methods A cross-sectional survey, using an adapted version of the Patient-Practitioner Orientation Scale (PPOS), was undertaken with a random sample of patients attending a general outpatients department in rural Nepal. An alternative survey instrument, derived from the PPOS, was also used. Results The following issues were most important to patients: being treated in a friendly and respectful manner; being fully informed, and being given adequate consultation time. Patients were happy for the doctor to be in charge and did not want to seek information outside the doctor's advice. They expressed a strong preference for receiving advice about preventative care. Patient responses were significantly more 'doctor-centred' than those found in comparable studies in the USA. Discussion Patients expressed strong preferences for some aspects of patient-centred communication (PCC), but were not very concerned with sharing power and control. Models of PCC in Nepal require modification to reflect these local preferences. The importance of good communication techniques requires emphasis in clinical training and practice. Methods of disseminating information need to be enhanced in this low-literacy setting.
机译:目的确定尼泊尔患者对医患沟通的期望,并审查以患者为中心的护理模式是否适合尼泊尔医学交流培训。方法采用适应性版本的《患者从业者定向量表》(PPOS)进行横断面调查,对尼泊尔农村普通门诊患者的随机样本进行调查。还使用了来自PPOS的替代调查工具。结果以下问题对患者最重要:以友好和尊重的方式得到治疗;充分了解情况并给予足够的咨询时间。患者很乐意让医生负责,并且不想在医生的建议之外寻求信息。他们强烈希望接受有关预防保健的建议。与美国的可比研究相比,患者的反应明显更“以医生为中心”。讨论患者对以患者为中心的沟通(PCC)的某些方面表现出强烈的偏爱,但并不十分关心共享力量和控制。尼泊尔的PCC模式需要修改,以反映这些本地偏好。良好的沟通技巧的重要性需要在临床培训和实践中加以强调。在这种低文化背景下,需要增强传播信息的方法。

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