医師-市民 - 公的役割と職業上の義務
Russell L Gruen1, Steven D Pearson, Troyen A Brennan
1Harvard School of Public Health, Harvard Medical School, Boston, Mass, USA. russell.gruen@menzies.edu.au
JAMA
|January 8, 2004
まとめ
医師は,アドボカシーとコミュニティーワークにおける定義された役割を通じて公衆衛生を改善することができます. この研究は,医師の関与のモデルを提案し,公衆衛生のニーズと実用的な医療実践の現実のバランスをとります.
科学分野:
- 医療倫理 医療倫理について
- 公共衛生政策 公共衛生政策
- 医者の関与
背景:
- 医療システムと人口の健康に医師のより大きな関与を求める呼びかけがあります.
- 現在の医療教育と医療実践の環境は,これらの公共の役割を十分にサポートしていません.
- 明確な定義,現実的な期待,実践的な指導の欠如は,医師の関与を妨げています.
研究 の 目的:
- 医師の公的役割を定義し,医師の関与のための概念的モデルを提案する.
- 医療従事者や団体のための公共の議題を確立し,アドボカシーと地域社会の参加に焦点を当てます.
- 拡大された医師の公的役割の妥当性と実現可能性に関する対話を刺激する.
主な方法:
- 病気の因果関係に関する証拠に基づいた医師の公的役割の定義を開発した.
- 医者の関与の実現可能性と有効性を考慮した概念モデルを作成しました.
- 個々の医師や組織のための公共の議題を策定した.
主要な成果:
- 医者の公的役割の定義とモデルを提案した.
- 提唱と地域社会の参加を強調する公共の議題を概説した.
- 明確な役割の定義と実践的な支援の必要性を認識しました.
結論:
- 公衆衛生における医師の関与は極めて重要ですが,構造的なサポートが必要です.
- 定義された枠組みは,人口の健康に対する医師の貢献を容易にすることができます.
- 医療実践に公衆衛生の責任を統合するために,さらなる対話が必要である.
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