Objective:The aim of this article was to discuss the theory of doctor-patient co-operated evidence-based medical record and set up the preliminary frame of the doctor-patient co-operated evidence-based medical record ...Objective:The aim of this article was to discuss the theory of doctor-patient co-operated evidence-based medical record and set up the preliminary frame of the doctor-patient co-operated evidence-based medical record following the concept of narrative evidence-based medicine.Methods:The information was searched from Pubmed,Embase,CBMdisc,CNKI.A preliminary agreement was reached by referring to the principles of narrative medicine and advises given by experts of digestive system and evidence-based medicine in both Traditional Chinese Medicine and Western Medicine.Result:This research is a useful attempt to discuss the establishment of doctor-patient co-operated evidence-based medical record guided by the direction of narrative evidence-based medicine.Reflection and outlook:Doctor-patient co-operated medical record can be a key factor of the curative effect evaluation methodology system of integrated therapy of Tradition Chinese Medicine and Western Medicine on spleen and stomach diseases.展开更多
2011 Integrative Medical Doctors Conference, sponsored by Integrative Medical Doctors Branch of Chinese Medical Doctor Association, was solemnly held in Guangzhou on November 25-27, 2011. Thousands of integrative medi...2011 Integrative Medical Doctors Conference, sponsored by Integrative Medical Doctors Branch of Chinese Medical Doctor Association, was solemnly held in Guangzhou on November 25-27, 2011. Thousands of integrative medicine （IM） experts, scholars, doctors, and nurses from China, Japan, and Hong Kong attended this grand conference. It was sponsored by IM doctor branch of IM Doctor Association and IM doctor branch of Guangdong Provincial IM Association, and co-sponsored by Guangdong Provincial Hospital of Traditional Chinese Medicine, Chinese Journal of Integrated Traditional and Western Medicine Press, Guangdong Provincial Association of Integrative Medicine, and the Special Committee of Critical Care Medicine of Chinese Association of Integrative Medicine.展开更多
Context: Exposure to burnout of staff involved with elderly patients is dependent on many factors either personal or linked to the professional environment. Social stress and systemic problems created particularly by ...Context: Exposure to burnout of staff involved with elderly patients is dependent on many factors either personal or linked to the professional environment. Social stress and systemic problems created particularly by difficulties inherent in the French hospital management system and the way people feel it, lead to a risk of burnout. One illustration of this is the rise in suicides at work. Quality of life at work, harassment and psycho-social risks are intimately linked. Affective factors, such as suffering for the medical carers in response to the distress of their patients aggravate the risk of burnout. Methods: We have evaluated these parameters using a self-filled questionnaire form sent to all staff and filled in by computer, anonymously, in 4 establishments, in December 2012 and over the first semester of 2013. After the three factors studied by the ProQOL scale of quality of life at work, to do with burnout, satisfaction compassion and fatigue compassion, 5 other questions were added, connected with a feeling of harassment and several social and demographic matters. Burnout risk was retained on reaching a threshold of 30 for this ProQOL scale item. Results: After multivariate analysis including the parameters of the Stamm scale, harassment and the socio-demographic factors studied, (age, sex, seniority, profession, and work departments) 4 factors are significantly associated with the risk of burnout, one negatively, compassion satisfaction, three positively, compassion fatigue, harassment experience and seniority. Conclusions: The risk of burnout is linked to subjective factors—the way quality of life at work is perceived and harassment experienced. Some professions, such as nurses, are particularly exposed and require these risk factors to be foreseen.展开更多
While medical care has improved,more education is needed to end bias and make the battle against HIV/AIDS more effective His 27th birthday was a dark milepost in Wang Bing’s life.On that day,Wang learned he was HIV p...While medical care has improved,more education is needed to end bias and make the battle against HIV/AIDS more effective His 27th birthday was a dark milepost in Wang Bing’s life.On that day,Wang learned he was HIV positive and he had been infected through unprotected sex."It hit me like a ton of bricks,"展开更多
文摘Objective:The aim of this article was to discuss the theory of doctor-patient co-operated evidence-based medical record and set up the preliminary frame of the doctor-patient co-operated evidence-based medical record following the concept of narrative evidence-based medicine.Methods:The information was searched from Pubmed,Embase,CBMdisc,CNKI.A preliminary agreement was reached by referring to the principles of narrative medicine and advises given by experts of digestive system and evidence-based medicine in both Traditional Chinese Medicine and Western Medicine.Result:This research is a useful attempt to discuss the establishment of doctor-patient co-operated evidence-based medical record guided by the direction of narrative evidence-based medicine.Reflection and outlook:Doctor-patient co-operated medical record can be a key factor of the curative effect evaluation methodology system of integrated therapy of Tradition Chinese Medicine and Western Medicine on spleen and stomach diseases.
文摘2011 Integrative Medical Doctors Conference, sponsored by Integrative Medical Doctors Branch of Chinese Medical Doctor Association, was solemnly held in Guangzhou on November 25-27, 2011. Thousands of integrative medicine （IM） experts, scholars, doctors, and nurses from China, Japan, and Hong Kong attended this grand conference. It was sponsored by IM doctor branch of IM Doctor Association and IM doctor branch of Guangdong Provincial IM Association, and co-sponsored by Guangdong Provincial Hospital of Traditional Chinese Medicine, Chinese Journal of Integrated Traditional and Western Medicine Press, Guangdong Provincial Association of Integrative Medicine, and the Special Committee of Critical Care Medicine of Chinese Association of Integrative Medicine.
文摘Context: Exposure to burnout of staff involved with elderly patients is dependent on many factors either personal or linked to the professional environment. Social stress and systemic problems created particularly by difficulties inherent in the French hospital management system and the way people feel it, lead to a risk of burnout. One illustration of this is the rise in suicides at work. Quality of life at work, harassment and psycho-social risks are intimately linked. Affective factors, such as suffering for the medical carers in response to the distress of their patients aggravate the risk of burnout. Methods: We have evaluated these parameters using a self-filled questionnaire form sent to all staff and filled in by computer, anonymously, in 4 establishments, in December 2012 and over the first semester of 2013. After the three factors studied by the ProQOL scale of quality of life at work, to do with burnout, satisfaction compassion and fatigue compassion, 5 other questions were added, connected with a feeling of harassment and several social and demographic matters. Burnout risk was retained on reaching a threshold of 30 for this ProQOL scale item. Results: After multivariate analysis including the parameters of the Stamm scale, harassment and the socio-demographic factors studied, (age, sex, seniority, profession, and work departments) 4 factors are significantly associated with the risk of burnout, one negatively, compassion satisfaction, three positively, compassion fatigue, harassment experience and seniority. Conclusions: The risk of burnout is linked to subjective factors—the way quality of life at work is perceived and harassment experienced. Some professions, such as nurses, are particularly exposed and require these risk factors to be foreseen.
文摘While medical care has improved,more education is needed to end bias and make the battle against HIV/AIDS more effective His 27th birthday was a dark milepost in Wang Bing’s life.On that day,Wang learned he was HIV positive and he had been infected through unprotected sex."It hit me like a ton of bricks,"
