Analysis of Real-World Implementation of the Biopsychosocial Approach to Healthcare

Evidence From a Combination of Qualitative and Quantitative Methods

Datos Bibliográficos

ID15517384
AutoresXiaohua Xiao (0000-0003-1526-882X, Children's Hospital of Zhejiang University), Haidong Song (0000-0003-4734-6730, Hangzhou Seventh Peoples Hospital), Tian Sang (0000-0001-7417-1054, Women's Hospital, School of Medicine, Zhejiang University), Zhihua Wu (0000-0002-4213-1274, Children's Hospital of Zhejiang University), Ying Xie (0000-0002-9189-6046, Zhejiang University), Qian Yang (0000-0001-8338-6241, Children's Hospital of Zhejiang University, autor de correspondencia)
Año2021
Volumen12
Páginas725596-725596
Fecha de publicación2021-10-26
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1664-0640 • E-ISSN: 1664-0640
EditorialFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.725596
PMID34764895
OpenAlexW3209416767
IdiomaEN
Citas recibidas1
Referencias citadas34

Aims: The modern medical model has been transformed into a biopsychosocial model. The integration of the biopsychosocial approach in healthcare can help improve the effectiveness of diagnosis and treatment. This study explored the actual application of the biopsychosocial approach in healthcare and provides a basis for targeted interventions to promote the biopsychosocial approach in healthcare. Methods: Study 1 involved one-on-one interviews with 30 medical staff and focus group interviews with 16 recent patients. Study 2 was a cross-sectional survey of 13,105 medical staff in Hangzhou, China that analyzed the status quo implementation of the biopsychosocial approach in healthcare. Results: Study 1 found that medical staff did not welcome patients to report information unrelated to their disease, hoping patients did not express their emotions. In the treatment process, patients believed that medical staff refused to attend to or did not encourage reporting of any information other than the disease, and that patients should have reasonable expectations for medical staff. Study 2 found that medical staff had a 37.5% probability of actively paying attention to the patient's psychosocial status. Female medical staff (38.5%) were actively concerned about the patient's psychosocial status significantly more than male medical staff (34.2%) ( P P Conclusion: Although the biopsychosocial approach has been popularized for many years, it has not been widely used in medical care. Medical staff pay more attention to patients' physical symptoms and less attention to patients' psychosocial status. It is recommended that training will be provided to medical personnel on implementing a biopsychosocial approach with particular attention to the sociodemographic characteristics of medical personnel. Additionally, we propose helping patients set reasonable expectations, and formulating guidelines for implementing the biopsychosocial approach

Biopsychosocial model · Family medicine · Health care · Psychiatry · Psychological intervention · Psychosocial · Empathy and Medical Education · Health, psychology, and well-being · Healthcare professionals’ stress and burnout · Medicine · Nursing · Psychology