通过多标准决策支持来"解殖"临床体验
Jack Dowie1,2, Mette Kjer Kaltoft2, Vije Kumar Rajput1
1London School of Hygiene and Tropical Medicine.
Studies in health technology and informatics
|July 1, 2025
概括
加拿大患者和丹麦的全科医生面临着他们生活世界的"殖民化". 决策支持将沟通行动与手段-目的理性结合起来,可以促进公共卫生领域的相互理解和自治.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学哲学 医学哲学
- 公共卫生政策 公共卫生政策
背景情况:
- 尤尔根·哈伯马斯 (Jürgen Habermas) 的沟通行动理论和工具理性.
- 在医疗保健背景下"生活世界的殖民化"的概念.
- 在临床接触中,战略理性和沟通理性之间存在的紧张关系.
研究的目的:
- 探索哈伯马斯理论对加拿大和丹麦医疗保健系统的应用.
- 提出一种模式,将沟通行动与手段-目的理性结合起来.
- 调查决策支持在实现"沟通手段-目的理性"中的作用.
主要方法:
- 通过哈伯马斯理论的透视来分析医疗保健系统.
- 批评哈伯马斯的沟通行动与工具理性之间的二分法.
- 关于基于多标准决策分析 (MCDA) 的决策支持系统的建议.
主要成果:
- 加拿大患者和丹麦的全科医生都经历了他们生活世界的"殖民化".
- 沟通行动,当与手段-目的理性交织在一起时,可以增强临床接触.
- 多标准决策分析 (MCDA) 为"沟通手段-目的理性"提供了一个框架.
结论:
- 医疗保健系统可以从整合沟通和工具理性中受益.
- 像MCDA这样的决策支持工具对于促进公共卫生领域的诚信和自主性至关重要.
- 实现相互理解需要在临床环境中对理性有细微差别的方法.
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