基于中国全科医生的糖尿病医患沟通技能培训设计与开发  

Design and Development of Communication Skills Training in Diabetes Care for General Practitioners in China

作　　者：姚弥 林恺[3] 樊洁婷 纪欣鑫 王颖[6] 董爱梅[7] 韩晓宁[8] 齐建光[9] 迟春花[1,2,10] Shamil Haroon Dawn Jackson KK Cheng Richard Lehman YAO Mi;LIN Kai;FAN Jieting;JI Xinxin;WANG Ying;DONG Aimei;HAN Xiaoning;QI Jianguang;CHI Chunhua;Shamil Haroon;Dawn Jackson;KK Cheng;Richard Lehman(Department of General Practice,Peking University First Hospital,Beijing 100034,China;Department of General Practice,Peking University Health Science Center,Beijing 100191,China;Family Medicine Center,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of Endocrinology,PLA Rocket Force Characteristic Medical Center,Beijing 100088,China;Shantou University Medical College,Shantou 515041,China;Department of Education,Peking University First Hospital,Beijing 100034,China;Department of Endocrinology,Peking University First Hospital,Beijing 100034,China;Department of Cardiovascular Disease,Peking University First Hospital,Beijing 100034,China;Department of Paediatric,Peking University First Hospital,Beijing 100034,China;Department of Health Management,Peking University First Hospital,Beijing 100034,China;Institute of Applied Health Research,University of Birmingham,Birmingham B152TT,UK;College of Medical and Dental Sciences,University of Birmingham,Birmingham B152TT,UK)

机构地区：[1]北京大学第一医院全科医学科,北京市100034 [2]北京大学医学部全科医学系,北京市100191 [3]汕头大学医学院第一附属医院全科医学中心,广东省汕头市515041 [4]火箭军特色医学中心内分泌科,北京市100088 [5]汕头大学医学院,广东省汕头市515041 [6]北京大学第一医院教育处,北京市100034 [7]北京大学第一医院内分泌科,北京市100034 [8]北京大学第一医院心血管科,北京市100034 [9]北京大学第一医院儿科,北京市100034 [10]北京大学第一医院健康管理中心,北京市100034 [11]英国伯明翰大学应用健康研究院,伯明翰B152TT [12]英国伯明翰大学医学院,伯明翰B152TT

出　　处：《中国全科医学》2024年第7期816-821,共6页Chinese General Practice

摘　　要：全科医生作为居民健康“守门人”,在基层糖尿病等慢性疾病管理中发挥着重要作用。糖尿病管理可以延缓病情进展、减少糖尿病并发症和改善患者健康结局,这需要患者和医生之间的有效沟通并互相协作。全科医生具备良好的沟通能力有助于与糖尿病患者建立长期的照护关系、帮助患者建立有效的自我管理技能。本文总结了本研究团队在多种理论框架指导下的全科医生糖尿病沟通技能培训的设计和开发:基于系统综述发现的循证依据,通过定性研究进一步探索糖尿病患者与全科医生的沟通体验和想法,以及混合方法研究设计理念获取全科医学对于医患沟通培训内容的优先排序,旨在为高质量的基层糖尿病管理提供新思路,并为基于证据和医学教育框架设计全科医生相关培训项目提供借鉴。General practitioners(GPs)play an important role in diabetes care in primary care as the"gatekeepers"of population health.The management of diabetes can slow its progression,reduce complications and improve patient outcomes,which requires effective communication and collaboration between patients and their doctors.GPs with good communication skills can help to build long-term care relationships with diabetes patients and help them develop effective self-management skills.This paper summarizes the design and development of diabetes communication skills training for GPs guided by research team with multiple theoretical frameworks,including evidence-based findings from systematic review,experiences and ideas of diabetes patients communicating with GPs based on qualitative studies,prioritization of training content for patient-doctor communication in GPs captured by mixed-methods research,in order to provide new ideas for high-quality diabetes management in primary care and inform the design of training programmes for GPs based on evidence and medical education frameworks.

关 键 词：糖尿病 沟通技能 在职培训 培训设计 全科医生 

分 类 号：R587.1[医药卫生—内分泌]