Physician-citizens - Public roles and professional obligations
Physician-citizens - Public roles and professional obligations
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DOI：
10.1001/jama.291.1.94
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发表时间：
2004-01-07
影响因子：
120.7
通讯作者：
Brennan, TA
中科院分区：
文献类型：
--
作者：
Gruen, RL;Pearson, SD;Brennan, TA
尽管领导人和其他评论家呼吁医学界更多地参与改善护理系统和人口健康，但医学教育和实践环境都没有促进这种参与。缺少的是对医生的公共角色的明确定义，对预期的合理限制，以及熟悉与忙碌的医疗实践相适应的任务。我们解决这些问题，提出了一个定义和一个概念模型的公共角色，需要疾病的因果关系的证据，并指导医生参与的可行性和有效性。然后，我们为医生个人和医生组织制定了一个公共议程，重点是宣传和社区参与。通过这样做，我们的目标是激发关于这些角色的适当性的对话，并促进医生参与公共竞技场中紧迫的健康问题。
Although leaders and other commentators have called for the medical profession's greater engagement in improving systems of care and population health, neither medical education nor the practice environment has fostered such engagement. Missing have been a clear definition of physicians' public roles, reasonable limits to what can be expected, and familiarity with tasks that are compatible with busy medical practices. We address these issues by proposing a definition and a conceptual model of public roles that require evidence of disease causation and are guided by the feasibility and efficacy of physician involvement. we then frame a public agenda for individual physicians and physician organizations that focuses on advocacy and community participation. By doing so, we aim to stimulate dialogue about the appropriateness of such roles and promote physician engagement with pressing health issues in the public arena.