患者对医疗保健的了解和信任。高现代性条件下患者知识与对医护人员信任关系的理论探讨。

IF 1.8 3区 哲学 Q2 ETHICS
Health Care Analysis Pub Date : 2024-06-01 Epub Date: 2023-10-09 DOI:10.1007/s10728-023-00467-7
Stein Conradsen, Henrik Vardinghus-Nielsen, Helge Skirbekk
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引用次数: 0

摘要

在本文中,我们旨在讨论患者的知识与他们对医护人员的信任之间正相关关系的理论解释。我们的方法是基于约翰·杜威的连续性概念。这一概念意味着个人的经历被解释为相互关联,知识与未来的经历有关,而不仅仅是过去的记录。此外,我们将Niklas Luhmann的信任理论应用于降低复杂性和促进行动。安东尼·吉登斯对高等现代社会的描述和分析为讨论患者与医护人员互动的前提条件提供了一个框架。高度现代化是由专家系统主导的,需要对这些系统的信任。我们得出结论,患者的知识和对医护人员的信任是相关的,因为知识和信任都是面向未来和行动的概念。高度现代化的特点为人员能够而且必须行使自由裁量权提供了机遇和挑战。这种自由裁量权必须在知识被认为是不确定和初步的情况下作出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Knowledge and Trust in Health Care. A Theoretical Discussion on the Relationship Between Patients' Knowledge and Their Trust in Health Care Personnel in High Modernity.

In this paper we aim to discuss a theoretical explanation for the positive relationship between patients' knowledge and their trust in healthcare personnel. Our approach is based on John Dewey's notion of continuity. This notion entails that the individual's experiences are interpreted as interrelated to each other, and that knowledge is related to future experience, not merely a record of the past. Furthermore, we apply Niklas Luhmann's theory on trust as a way of reducing complexity and enabling action. Anthony Giddens' description and analysis of the high modern society provides a frame for discussing the preconditions for patient-healthcare personnel interaction. High modernity is dominated by expert systems and demands trust in these. We conclude that patient knowledge and trust in healthcare personnel is related because both knowledge and trust are future- and action-oriented concepts. The traits of high modernity provides opportunities and challenges as the personnel can and must perform discretion. This discretion must be made in a context where knowledge is considered uncertain and preliminary.

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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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