Responsive Equanimity to Uncertainty: Towards the Construction of a Concept for Handling Medical Uncertainty in Clinical Practice.

IF 1.4 3区 哲学 Q2 ETHICS
Bjørn Hofmann
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引用次数: 0

Abstract

The objective of this study is to elaborate an overall concept of addressing uncertainty in clinical practice that covers a series of specific characteristics. To do so, a conceptual engineering approach has been applied, starting with describing the concepts that exist and are in use. Based on this description the functional quality of these concepts (representational devices) is evaluated and a series of criteria for an improved concept is developed. Four alternatives, each with special merits, are presented, suitable for different context, i.e., bearing the burdens of uncertainty, mindful adaptability, compassionate resilience, and responsive equanimity. Among these, responsive equanimity emerges as the most robust generic concept, meeting the majority of criteria at a general level. These results are open for debate and revision before implementation and evaluation.

对不确定性的反应平静:构建临床实践中处理医学不确定性的观念
本研究的目的是阐述解决临床实践中不确定性的总体概念,涵盖一系列具体特征。为此,应用了概念工程方法,从描述存在的和正在使用的概念开始。在此基础上,对这些概念(表征装置)的功能质量进行了评估,并制定了一系列改进概念的标准。提出了四种选择,每种都有其特殊的优点,适用于不同的环境,即承担不确定性的负担,正念适应性,富有同情心的弹性和反应性的平静。其中,反应性平静是最有力的一般概念,在一般水平上满足大多数标准。在实施和评价之前,这些结果可以公开讨论和修订。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
3
期刊介绍: Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.
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