医生是为了什么? 呼吁基于同情心的指标作为医生价值的衡量标准
Timothy Aaron Zeller1,2, Parker A Rhoden3,4, Catherine Florio Pipas5,6
1Clemson Rural Health, Clemson, South Carolina timmyzeller@gmail.com.
Annals of family medicine
|July 22, 2024
概括
医生价值指标侧重于生产力燃料耗尽. 重新关注同情和人文主义可以恢复职业满意度并改善人口健康.
科学领域:
- 医学伦理 医学伦理
- 医生福利 医生福利
- 公共卫生 公共卫生
背景情况:
- 目前的医生价值指标强调生产力,财务和结果,导致倦怠和伪造者综合征.
- 这些外部和内部的压力创造了不切实际的标准,医生难以满足.
- 现代的绩效指标与医学传统的哲学目的之间存在分歧.
研究的目的:
- 探索当前医生价值指标对倦怠和职业满意度的影响.
- 倡导在医疗保健中转向基于同情心的指标.
- 突出人文价值观的潜力,以改善医生福祉和人口健康.
主要方法:
- 对医学目的的传统哲学观念的文献综述.
- 分析当前指标与医生倦怠之间的关系.
- 基于同情心的评估的概念框架开发.
主要成果:
- 医生倦怠和假冒者综合征被当前以生产率为中心的价值体系加剧了.
- 传统的慈悲,同理心和人文主义的哲学理想提供了一条缓解倦怠的途径.
- 向基于同情心的指标的转变被认为是医生福祉的关键.
结论:
- 目前的医生价值指标不利于医生福祉和专业成就.
- 将同情心和人文主义重新整合到医生评估中至关重要.
- 实施新的基于同情心的指标可以提高医生满意度,有利于人口健康.
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