病人先于利益：恢复医学中的代理与减轻道德伤害。

IF 0.7 4区医学 Q2 HISTORY & PHILOSOPHY OF SCIENCE

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI:10.1353/pbm.2025.a962020

Jonathan M Cahill, Ian Marcus Corbin, Lydia S Dugdale

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引用次数: 0

摘要

医疗保健组织面临的主要挑战之一是临床医生的福祉。这篇文章的目的是展示组织是如何受到新自由主义逻辑的约束的，这种逻辑将以工厂为基础的组织模式引入医疗保健，导致与工作的疏远，背叛和不信任的感觉，最终对医生造成道德伤害。如果要修复这一损害，我们就必须设法了解目前困扰卫生保健的组织性疾病，并努力恢复对卫生保健工作者和病人的代理和信任。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Patients Before Profits: restoring agency and mitigating moral injury in medicine.

One of the major challenges facing health-care organizations is the well-being of clinicians. The goal of this article is to show how organizations are constrained by a neoliberal logic that has imported a factory-based organizational model into health care, resulting in alienation from work, feelings of betrayal and mistrust, and ultimately moral injury for physicians. If this damage is to be repaired, we must seek to understand the organizational sickness now afflicting health care and work to restore agency and trust to health-care workers and patients alike.

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来源期刊

Perspectives in Biology and Medicine 医学-科学史与科学哲学

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

期刊介绍： Perspectives in Biology and Medicine, an interdisciplinary scholarly journal whose readers include biologists, physicians, students, and scholars, publishes essays that place important biological or medical subjects in broader scientific, social, or humanistic contexts. These essays span a wide range of subjects, from biomedical topics such as neurobiology, genetics, and evolution, to topics in ethics, history, philosophy, and medical education and practice. The editors encourage an informal style that has literary merit and that preserves the warmth, excitement, and color of the biological and medical sciences.