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医疗保健中的不确定性耐受性:走向规范性的概念

Paul K J Han¹, Bjørn Hofmann^2,3

¹Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health (NIH), 9609 Medical Center Drive, 3E138, Bethesda, MD, 20892, USA. paul.han@nih.gov.

Theoretical medicine and bioethics

|October 15, 2025

概括

这项研究重新定义了医疗保健中的不确定性容忍 (UT),超越了对负面结果的仅仅耐受,以一种专注于道德美德的适应能力. 这种重构为临床医生和患者在医学不确定性中进行导航提供了更加连贯和实用的方法.

科学领域:

医疗保健道德医疗保健道德
医学教育医学教育
临床心理学临床心理学

背景情况:

在医疗专业人员,教育工作者和研究人员中,对不确定性容忍 (UT) 的兴趣日益增长.
目前对UT的理解是有限的,只关注持久的负面结果.
在临床实践和教育中需要更强大的UT概念化.

研究的目的:

批判性地分析普遍存在的不确定性容忍 (UT) 概念.
提出一种基于适应和道德美德的UT替代概念.
制定一种对美德的分类法,以适应不确定性.

主要方法:

对现有的关于不确定性耐受性的文献进行批判性分析.
基于适应的,以美德为中心的模型的概念开发.
相关道德美德的分类学分类.

主要成果:

基于耐力,以结果为重点的UT视图在理论上是有缺陷的,在实践中是不够的.
提出了UT作为一种适应能力的替代概念,这种适应能力是由道德美德所启用的.
为了适应不确定性,已经制定了关键美德的临时分类.

结论:

目前普遍存在的UT概念需要修订,以获得更大的理论连贯性和实际实用性.
基于适应的,以美德为重点的方法为了解和增强医疗保健中的UT提供了一个有希望的新框架.
未来的研究应该探索这种新概念的承诺和挑战.

关键词:

我们的框架框架框架.不确定性不确定性不确定性宽容度不确定性宽容度德行是一种美德.

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