在医疗保健中处理价值复杂性
Lieke Oldenhof1, Violet Petit-Steeghs1, Rik Wehrens1
1Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
医疗复杂性需要一种新的方法,重点关注价值复杂性. 了解价值观和实践如何共同发展,为管理医疗保健挑战和冲突提供了更好的方法.
科学领域:
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
- 科学哲学的哲学科学哲学
背景情况:
- 复杂性理论,植根于积极主义,在解决医疗保健固有的复杂性方面存在局限性.
- 现有的框架努力捕捉医疗保健环境中价值观和实践的动态相互作用.
研究的目的:
- 通过"价值复杂性"的镜头重新思考医疗保健的复杂性.
- 引入一种实用主义的方法,强调定位和嵌入的价值观.
- 分析价值观和实践如何在复杂的医疗保健系统中共同发展.
主要方法:
- 荷兰医疗保健中的民族学和行动研究 (2010-2022) 的二次分析.
- 专注于老年人护理和慢性疾病,残疾和精神疾病的服务.
- 应用一个务实主义的框架来理解价值与实践的共同发展.
主要成果:
- 开发了价值复杂性的层次概念化.
- 确定了管理价值复杂性的三个策略:"围绕工作"",反对工作"和"与工作".
- 研究了每个管理策略的 (缺点).
结论:
- "处理"价值的复杂性虽然具有挑战性,但对负责任的冲突管理具有重大潜力.
- 通过价值复杂性重新思考医疗保健复杂性,可以更细致地了解邪恶的问题.
- 这项研究为从业者和学者提供了实用的见解,帮助他们应对基于价值的医疗保健挑战.
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