医疗保健和科学诚信的侵蚀:日益关注的问题
Björn L D M Brücher1,2,3,4
1European Academy of Sciences and Arts (EASA), Salzburg, Austria.
Journal of healthcare leadership
|February 26, 2025
概括
尽管医学取得了进步,但癌症发病率的上升和生存率的停滞凸显了医疗保健和科学诚信的下降. 由管理主义驱动的对质量而不是数量的关注,侵蚀了这些重要领域的信任和问责制.
科学领域:
- 医疗保健和科学诚信
- 在瘤学瘤学.
- 医学伦理学医学伦理学
背景情况:
- 医疗保健和科学方面的重大进步增加了预期寿命.
- 虽然一些癌症治疗方法表现有前途 (例如,C型肝炎和HPV疫苗),但整体癌症发病率正在上升,生存率并没有显著改善.
- 目前在医疗保健和科学中对管理主义和数量的关注威胁到它们的基本完整性.
研究的目的:
- 检查导致卫生保健和科学诚信受到侵蚀的复杂因素.
- 分析从以质量和人文主义为中心的方法向量,收入和营销驱动的实践的转变.
- 突出这些变化对癌症研究和患者结果的影响.
主要方法:
- 对医疗保健和科学的基础进行全面的审查.
- 分析医疗保健数量,技术,出版,营销和媒体 (包括掠夺性出版) 的趋势.
- 探索影响科学诚信观念的心理和社会学因素.
主要成果:
- 发生了矛盾的转变,优先考虑数量,收入和营销,而不是质量和人文主义.
- 诸如"引用沉默" (无视原始发现),增加腐败和不当行为等做法普遍存在.
- 这种转变导致医疗保健和科学界的诚信受到严重侵蚀.
结论:
- 国家和社会的力量与其医疗保健和科学部门的完整性密切相关.
- 重新关注质量和问责制对于抵消当前趋势至关重要.
- 提高对这些问题的认识是恢复诚信和确保医疗保健和科学强度的第一步.
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