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Clinician-associated traumatization from difficult medical encounters: Results from a qualitative interview study on the Ehlers-Danlos Syndromes
被引:17
|作者:
Halverson, Colin M. E.
[1
,2
,3
,4
,6
]
Penwell, Heather L.
[1
]
Francomano, Clair A.
[5
]
机构:
[1] Indiana Univ Sch Med, Ctr Bioeth, Indianapolis, IN USA
[2] Indiana Univ Sch Med, Dept Med, Indianapolis, IN USA
[3] Indiana Univ, Dept Anthropol, Indianapolis, IN USA
[4] Regenstrief Inst Hlth Care, Indianapolis, IN USA
[5] Indiana Univ Sch Med, Dept Med & Mol Genet, Indianapolis, IN USA
[6] 410 W 10th St,Bldg 3131, Indianapolis, IN 46202 USA
来源:
基金:
美国国家卫生研究院;
关键词:
Clinician-associated traumatization;
Medical trauma;
Post-traumatic stress symptoms;
Ehlers-Danlos Syndromes;
Bioethics;
Medical anthropology;
In-depth interviews;
United States of America;
Iatrogenic;
Trauma symptoms;
POSTTRAUMATIC-STRESS-DISORDER;
INSTITUTIONAL BETRAYAL;
PATIENT;
TRUST;
HYPERMOBILITY;
ADHERENCE;
LIFE;
D O I:
10.1016/j.ssmqr.2023.100237
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Patients with hypermobile Ehlers Danlos Syndrome often experience psychological distress resulting from the perceived hostility and disinterest of their clinicians. We conducted 26 in-depth interviews with patients to understand the origins of this trauma and how it could be addressed in practice. We found that the cumulative effects of numerous negative encounters lead patients to lose trust in their healthcare providers and the healthcare system, and to develop acute anxiety about returning to clinic to seek further care. We describe this as clinicianassociated traumatization. Ultimately, our interviewees described the result of this traumatization as worse - but preventable - health outcomes.
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