プロフェッショナリズムの行動的・システム的な見方
Cara S Lesser1, Catherine R Lucey, Barry Egener
1Foundation Programs, American Board of Internal Medicine Foundation, Philadelphia, Pennsylvania, USA. cara.lesser@hhs.gov
JAMA
|December 24, 2010
まとめ
医療のプロフェッショナリズムは,抽象的な原則から,観察可能な行動への移行を必要とする. この行動的およびシステム的なアプローチは,医師や組織にとって専門性を達成し,医療の提供を改善します.
科学分野:
- 医療教育 医療教育について
- 医療システム分析 医療システム分析
- 職業倫理 プロフェッショナル・エシック
背景:
- 医療におけるプロフェッショナリズムの現在の定義は,抽象的で原則に基づいています.
- 医療実践における専門的な行動に関する明確で実践的な記述が欠けている.
- プロフェッショナリズムは,米国のヘルスケアシステムの変革にとって極めて重要です.
研究 の 目的:
- 医療におけるプロフェッショナリズムの行動的およびシステム的な見方を提案する.
- 医師や医療機関に実践的なアプローチを提供するためです.
- 教えられる能力としてのプロフェッショナリズムの発展を促進する.
主な方法:
- 医療における専門性の概念的分析.
- プロフェッショナリズムの行動的およびシステムベースの定義の開発.
- 組織環境が職業行動に及ぼす影響の探求.
主要な成果:
- プロフェッショナリズムは,観察可能な行動によって定義され,よりアクセシブルにすることができます.
- プロフェッショナリズムは,生まれつきの特徴ではなく,能力の集合として見るべきです.
- 組織的および環境的要因は,医療における専門的な行動に大きく影響します.
結論:
- 行動とシステムの視点は,日常の実践におけるプロフェッショナリズムの追求を強化します.
- 能力としてのプロフェッショナリズムを教え,磨くことは,生涯の実践にとって不可欠です.
- 組織的な文脈を活用することで,プロフェッショナリズムをサポートし,向上させることができ,よりよい医療提供につながります.
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