Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework ...Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on.展开更多
【目的】有效分担风险,减少责任推诿,促进全过程工程咨询联合体顺利合作。【方法】从全过程工程咨询联合体的角度,建立风险因素清单和风险分担影响因素指标体系;采用基于云模型改进的层次分析法和熵权法分别计算各指标的主观权重和客观...【目的】有效分担风险,减少责任推诿,促进全过程工程咨询联合体顺利合作。【方法】从全过程工程咨询联合体的角度,建立风险因素清单和风险分担影响因素指标体系;采用基于云模型改进的层次分析法和熵权法分别计算各指标的主观权重和客观权重,用线性加权方式获得组合赋权;构建基于灰色关联分析法(grey relational analysis,GRA)耦合优劣解距离法(technique for order preference by similarity to an ideal solution,TOPSIS)的联合体内部风险分担模型(GRA-TOPSIS),按综合相对贴近度排序确定风险分担结果。【结果】将所构建的模型用于长沙市某建设项目,以工程变更风险为例选择最合适的风险分担方,研究结果与工程实际相符。基于此,通过求解确定了一套合理共担或独担风险的方案,实现了联合体内部风险的合理分担。【结论】GRA-TOPSIS模型适用于全过程工程咨询联合体内部的风险分担且具有普适性,可为联合体内部风险分担和全过程工程咨询服务模式的推进提供一定参考。展开更多
文摘Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on.
文摘【目的】有效分担风险,减少责任推诿,促进全过程工程咨询联合体顺利合作。【方法】从全过程工程咨询联合体的角度,建立风险因素清单和风险分担影响因素指标体系;采用基于云模型改进的层次分析法和熵权法分别计算各指标的主观权重和客观权重,用线性加权方式获得组合赋权;构建基于灰色关联分析法(grey relational analysis,GRA)耦合优劣解距离法(technique for order preference by similarity to an ideal solution,TOPSIS)的联合体内部风险分担模型(GRA-TOPSIS),按综合相对贴近度排序确定风险分担结果。【结果】将所构建的模型用于长沙市某建设项目,以工程变更风险为例选择最合适的风险分担方,研究结果与工程实际相符。基于此,通过求解确定了一套合理共担或独担风险的方案,实现了联合体内部风险的合理分担。【结论】GRA-TOPSIS模型适用于全过程工程咨询联合体内部的风险分担且具有普适性,可为联合体内部风险分担和全过程工程咨询服务模式的推进提供一定参考。
