医学人文关怀的临床路径构建与实践——基于整合型的 5C+4A服务模式

The construction and practice path of medical humanistic care―The 5C +4A model

关键词:  医学人文  医患关系  医务社会工作  临床实践

Key words:  medical humanities  physician-patient relations  medical social work  clinical practice

摘要:

医学实践是医学人文的主要载体，只有通过医学实践才能真正体现医学人文的价值。广东医科大学 顺德妇女儿童医院基于该院多年的医学人文服务经验，打造了一套整合型医疗人文关怀服务模型。该模型包括了 由医生（Cure）、护士（Care）、医务社工（Casework）、社区（Community）和慈善组织（Charity）组成的 5C 服务团队；由 入院时的适应（Adapt）、住院期间的陪伴（Accompany）、出院前的鼓励（Arouse）和出院后的支持关怀（Attentive）构 成的 4A服务流程。这是一种由医疗服务机构所领衔的医学人文临床路径，旨在为患者提供“以健康为中心、以病 人为中心”的主动服务，提高患者的就医感受和医学服务的人文温度。该模式的实施有效提高了患者的满意度、治 疗信心和治疗依从性，对医疗服务效率和医院品牌影响力也产生了积极作用。该文对该项目的实践经验及实施路 径进行总结和阐述，以期对医疗服务人文关怀的发展方向和创新路径提供参考。

Abstract:

Medical practice is the primary vehicle for the expression of medical humanities. Only through the medical practice that the value of medical humanities can be truly realized. Drawing on its extensive experience in providing medical humanities services, Guangdong Medical University Shunde Women and Children's Hospital has developed a comprehensive model in order to deliver humanistic care within a medical context. This model not only includes a 5C service team, which is composed of doctors(Cure), nurses(Care), social workers(Casework), community representatives (Community) and charitable organizations (Charity), but also a 4A service process. The 4A process includes adaptation (Adapt) upon admission, companionship (Accompany) during hospitalization, encouragement (Arouse) before discharging, and attentive support and care (Attentive) after discharging. This is a medical humanities clinical pathway guided by medical service institutions, which aiming to provide the proactive services that are "health-centered and patient-centered" for patients, thereby enhancing their healthcare experiences and a more humanistic warmth of medical services. The implementation of this model has effectively enhanced patients' satisfaction, treatment confidence and compliance. It is also positively impacting the efficiency of medical services and the overall brand influence of the hospital. This article summarizes and elucidates practical experiences and implementation paths, aiming to provide valuable reference for the future development direction and innovative path of humanistic care in medical services.