Doctoring as leadership - the power to heal
Doctoring as leadership - the power to heal
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DOI：
10.1353/pbm.2006.0048
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发表时间：
2006-06-01
影响因子：
1
通讯作者：
Schei, Edvin
中科院分区：
文献类型：
--
作者：
Schei, Edvin
在加强病人权利的合法努力中，医生的权力受到了攻击和禁忌。然而，医生所拥有的结构性和象征性的权力，正是使良好和正确的治疗行动成为可能的原因。避免权力问题导致了一种混乱的状态，在这种状态下，病人的信任正在动摇，医生不确定如何用纯粹的科学和技术的智力工具来履行医生的角色。我认为，健康，疾病和临床遭遇的构成特征需要一个处方和负责任的愈合剂谁是比技术官僚，信息经纪人，或卖方。本文提出临床领导力作为一个概念，为临床医生、教育、研究和卫生政策提供实用和道德指导。领导力的先决条件是对医生的结构和象征性权力的反思意识，并表现为在关键情况下基于同情和向患者学习的意愿的洞察力和即兴创作。临床领导力的概念突出了病人的脆弱性，医学的伦理核心，以及医学教育中性格发展的重要性。
Physician power has been attacked, and tabooed, in legitimate efforts to strengthen patients' rights. Yet the structural and symbolic power wielded by doctors is what makes good and right healing actions possible. Avoiding the power issue contributes to a confusing state, where patient trust is faltering and physicians are uncertain about how to fulfill the doctor's role with the intellectual tools of mere science and technology. I argue that constitutive characteristics of health, illness, and the clinical encounter necessitate a prescriptive and responsible healing agent who is more than a technocrat, an information broker, or a seller. The article proposes clinical leadership as a concept offering practical and ethical direction to clinicians, education, research, and health policy. Leadership presupposes reflective awareness of physicians' structural and symbolic power, and is displayed as discerning, empowering improvisations in critical situations, based on empathy and willingness to learn from patients. The notion of clinical leadership highlights patient vulnerability, medicine's ethical core, and the importance of character development in medical education.