Silbaugh B, Winchester-Silbaugh J
St. Joseph Healthcare Delivery System, Albuguergue, NM, USA.
Physician Exec. 1998 Jul-Aug;24(4):30-2.
The profound changes in the health care industry have led to the anger, frustration, and unhappiness that physicians are feeling. It is important to examine physicians' responses to the threats to their professional autonomy, image, lifestyles, and relationships with their patients. The "learned helplessness" behavior exhibited by physicians is astounding, considering the education, status, and reputation of physicians as healers for those in need. This article explores the concept of resiliency among physicians and describes why physicians as a group may be less resilient than other individuals. In fact, the structure and training of the medical profession stacks the deck against those who want to change or to be resilient in the face of the changing environment.
医疗行业的深刻变革引发了医生们的愤怒、沮丧和不满情绪。审视医生对其职业自主权、形象、生活方式以及与患者关系所面临威胁的反应非常重要。考虑到医生作为救助有需要之人的医者所接受的教育、地位和声誉,医生表现出的“习得性无助”行为令人震惊。本文探讨了医生群体中的复原力概念,并阐述了为何医生群体可能比其他个体更缺乏复原力。事实上,医学职业的结构和培训对那些想要改变或在不断变化的环境中保持复原力的人不利。