巴西与工作有关的心理健康问题:在多个系统和共享的生命世界之间
Fernanda Sousa-Duarte1, Patrick Brown2
1Department of Sociology, University of Amsterdam, Nieuwe Achtergracht 166, 1018, WV, Amsterdam, the Netherlands; Department of Social and Work Psychology, University of Brasília, Campus Darcy Ribeiro, ICC Sul, AT-013/12, 70910900, Brasília, Brazil.
对医疗保健的信任是复杂的,特别是与工作相关的心理健康问题 (WRMHPs). 分碎的系统和不稳定的职业条件显著影响了患者和治疗师信任的动态.
科学领域:
- 卫生社会学 卫生社会学
- 心理健康研究 心理健康研究
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 关于医疗保健信任的传统社会学观点侧重于连贯系统中的患者-系统和患者-专业人员关系.
- 这种观点往往忽视了多个,分散的组织和机构对患者 (不信任) 的影响.
- 现有的模式经常假设一个稳定,薪酬良好的医疗保健专业人员,这一概念在不同的全球背景下受到挑战.
研究的目的:
- 通过采用现象学方法,扩大对医疗保健的信任和不信任的理解.
- 分析分散的医疗保健系统中的信任动态,特别是与工作相关的心理健康问题.
- 探索不稳定的职业条件如何影响医疗保健中的信任关系.
主要方法:
- 现象学方法应用于研究对巴西医疗保健环境的信任.
- 与14名患有WRMHP的患者及其心理治疗师进行了深入采访.
- 在多个医疗保健和社会系统的分散网络中分析信任动态.
主要成果:
- 系统碎片化和组织间的距离是患者和专业 (不信任) 的出现的关键因素.
- 共享的生命世界结构,包括对生物医学模型的批评和不稳定的经验,影响信任.
- 专业人士对患者的信任,由共同的脆弱性和沟通行动培养,对于建立患者信任至关重要.
结论:
- 了解医疗保健信任需要承认抽象系统,认识传统和组织结构的多样性.
- 心理健康专业人员的不稳定工作条件对信任动态产生了重大影响.
- 巴西的WRMHP背景突出了系统碎片化,专业不稳定性和对心理健康护理的信任形成之间的复杂相互作用.
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