Grimen Harald
Centre for the Study of the Professions, Oslo University College.
Med Anthropol Q. 2009 Mar;23(1):16-33. doi: 10.1111/j.1548-1387.2009.01035.x.
In modern discussions among health professionals there is a strange lack of discussions of power. This is most notably true for the discussions about proper physician-patient relations and the discussions about trust. This article explores some of the consequences of this absence. It is argued that the absence of the issue of power hampers a serious and open moral discussion of important institutional forms in the health care system. It is also argued that some of the proposals for how to organize physician-patient interaction are rather unrealistic, mainly because the issue of power is neglected. Finally, the article develops some ideas about how power ought to be approached in modern health care.
在现代医疗专业人员的讨论中,对权力的讨论奇怪地缺失了。在关于恰当的医患关系讨论以及关于信任的讨论中,情况尤其如此。本文探讨了这种缺失所带来的一些后果。有人认为,权力问题的缺失阻碍了对医疗保健系统中重要制度形式进行严肃而开放的道德讨论。还有人认为,一些关于如何组织医患互动的提议相当不切实际,主要是因为权力问题被忽视了。最后,本文提出了一些关于在现代医疗保健中应如何看待权力的观点。