在台湾重新定义医疗专业主义:对社会期望和教育影响的定性研究
Ching-Yi Lee1,2, Sze-Yuen Yau3, Mi-Mi Chen1,2
1Department of Neurosurgery, Chang Gung Memorial Hospital, Linkou, Taiwan.
Perspectives on medical education
|November 10, 2025
概括
台湾的医疗专业主义是由家传统塑造的,强调关系道德和以家庭为中心的护理,而不是西方价值观. 教育必须整合这些当地期望,以更好地与社会需求保持一致.
科学领域:
- 医学教育 医学教育
- 卫生社会学 卫生社会学
- 生物伦理学生物伦理学
背景情况:
- 全球医疗专业主义框架往往反映西方的自由价值观,可能与非西方的伦理期望发生冲突.
- 在台湾,家传统影响临床互动,优先考虑关系伦理,以家庭为中心的护理和医疗专业精神中的情感劳动.
- 本研究探讨了台湾不同利益关方对医疗专业主义的文化定义和谈判.
研究的目的:
- 探索医疗专业主义在台湾医疗保健背景下如何在文化上被定义和谈判.
- 发现台湾公众期望与专业主义的正规教育理念之间的差异.
- 为医疗专业教育提出一个文化敏感的框架.
主要方法:
- 采用了定性,构造主义-解释主义的研究设计.
- 针对78名参与者进行了11个重点小组,其中包括台湾北部的医生,医学学生和公众.
- 主题分析,由一个构造主义-解释主义范式的信息,被用于数据解释.
主要成果:
- 出现了三个主要主题:人文和关系价值观,职业期望和文化紧张.
- 关键的子主题包括同理心,道德品格,情感劳动,沟通,问责制,终身学习,服务导向和家庭义务与患者自主权.
- 专业主义的认知有显著的差异,特别是在公众的期望和正式的学术理想之间.
结论:
- 在受教影响的背景下,医疗专业教育需要文化响应.
- 将关系伦理,情感调和和以家庭为中心的价值观整合到课程和教师发展中至关重要.
- 一个上下文化的框架可以使全球专业化标准与当地道德格局相协调.
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