专业主义的行为和系统观点
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
概括
医疗保健的专业性需要从抽象的原则转向可观察的行为. 这种行为和系统方法使医生和组织能够实现专业性,改善医疗保健服务.
科学领域:
- 医学教育 医学教育
- 医疗保健系统分析 医疗保健系统分析
- 专业道德 职业道德 专业道德
背景情况:
- 当前对医疗保健专业性的定义是抽象的,基于原则的.
- 医疗实践中缺乏对专业行为的清晰,实用的描述.
- 专业主义对于美国医疗保健系统的转型至关重要.
研究的目的:
- 提出一种对医疗保健专业性的行为和系统观点.
- 为医生和医疗保健组织提供实用方法.
- 促进专业精神的发展,作为一种可教导的能力.
主要方法:
- 对医疗保健中的专业性进行概念分析.
- 开发一种基于行为和系统的专业主义定义.
- 探索组织环境对专业行为的影响.
主要成果:
- 专业主义可以通过可观察到的行为来定义,使其更容易获得.
- 专业精神应该被视为一套能力,而不是天生的特质.
- 组织和环境因素对医疗保健中的专业行为产生重大影响.
结论:
- 从行为和系统的角度来看,在日常实践中提高专业主义的追求.
- 作为一种能力,教授和完善专业精神对于终身实践至关重要.
- 利用组织背景可以支持和提高专业性,从而改善医疗保健服务.
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