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首页> 外文期刊>Nature reviews. Urology >The Kubler-Ross model, physician distress, and performance reporting
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The Kubler-Ross model, physician distress, and performance reporting

机译：Kubler-Ross模型，医师困扰和绩效报告

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Physician performance reporting has been proposed as an essential component of health-care reform, with the aim of improving quality by providing transparency and accountability. Despite strong evidence demonstrating regional variation in practice patterns and lack of evidence-based care, public outcomes reporting has been met with resistance from medical professionals. Application of the Kubler-Ross 'five stages of grief' model - a conceptual framework consisting of a series of emotional stages (denial, anger, bargaining, depression, and acceptance) inspired by work with terminally ill patients - could provide some insight into why physicians are reluctant to accept emerging quality-reporting mechanisms. Physician-led quality-improvement initiatives are vital to contemporary health-care reform efforts and applications in urology, as well as other medical disciplines, are currently being explored.
机译：已经提出医师绩效报告是医疗改革的重要组成部分，其目的是通过提供透明度和问责制来提高质量。尽管有充分的证据表明实践模式存在地区差异，并且缺乏基于证据的护理，但是公共结果报告受到了医疗专业人员的抵制。 Kubler-Ross的“悲伤的五个阶段”模型的应用-由一系列与绝症患者一起工作的情感阶段（否认，愤怒，讨价还价，沮丧和接受）组成的概念框架-可以为为什么提供一些见解医生们不愿接受新兴的质量报告机制。由医师领导的质量改进计划对于当代医疗改革的努力至关重要，目前正在探索泌尿外科以及其他医学学科的应用。

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