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

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.