将倡导融入您的实践中
Keith S Naunheim1, Joseph J Platz1
1St Louis University School of Medicine, 1008 South Spring Avenue, St Louis, MO 63104, USA.
Thoracic surgery clinics
|November 12, 2023
概括
60多年来,医疗保健已经发生了变化,面临着成本,质量和获取方面的挑战. 医生现在必须超越临床职责,为患者和社会的经济,教育和社会福祉而倡导.
科学领域:
- 卫生政策 卫生政策
- 医学经济学 医学经济学
- 卫生社会学 卫生社会学
背景情况:
- 在过去的60年里,医疗保健经历了显著的进化.
- 主要趋势包括第三方付款人,人口老龄化,技术进步以及对健康社会决定因素 (种族,性别,贫困) 的认识日益增长.
- 其他因素包括医生劳动力转移,成本上升,行业整合和医疗保健的企业化.
研究的目的:
- 分析过去60年影响医疗保健服务的多方面的趋势.
- 确定医疗保健成本,质量和获取方面的由此产生的挑战.
- 探索医生在解决更广泛的社会和经济问题中的不断变化的作用.
主要方法:
- 对历史医疗保健趋势的定性分析.
- 关于医疗保健经济学和政策的文献综述.
- 对医生责任的医疗领导视角的综合.
主要成果:
- 医疗保健的进化带来了复杂的挑战,影响了成本,质量和获取.
- 医生的感知责任正在发生显著的转变.
- 传统的临床作用正在扩大,包括为患者和社会倡导.
结论:
- 医生越来越多地被期望参与倡导活动,而不仅仅是直接照顾患者.
- 解决经济,金融,教育和社会问题正在成为医生角色的组成部分.
- 这种扩大作用对于应对现代医疗保健系统的复杂性至关重要.
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