Foundation for Medical Excellence, Portland, Oregon, USA.
Acad Med. 2012 May;87(5):668-74. doi: 10.1097/ACM.0b013e31824d4b67.
The professionalism behaviors of physicians have been extensively discussed and defined; however, the professionalism behaviors of health care organizations have not been systemically categorized or described. Defining organizational professionalism is important because the behaviors of a health care organization may substantially impact the behaviors of physicians and others within the organization as well as other institutions and the larger community. In this article, the authors discuss the following competencies of organizational professionalism, derived from ethical values: service, respect, fairness, integrity, accountability, mindfulness, and self-motivation. How nonprofit health care organizations can translate these competencies into behaviors is described. For example, incorporating metrics of population health into assessments of corporate success may increase collaboration among regional health care organizations while also benefiting the community. The unique responsibilities of leadership to model these competencies, promote them in the community, and develop relevant organizational strategies are clarified. These obligations elevate the importance of the executive leadership's capacity for self-reflection and the governing boards' responsibility for mapping operational activities to organizational mission. Lastly, the authors consider how medical organizations are currently addressing professionalism challenges. In an environment made turbulent by regulatory change and financial constraints, achieving proficiency in professionalism competencies can assist nonprofit health care organizations to promote population health and the well-being of their workforces.
医生的专业行为已经得到了广泛的讨论和定义;然而,医疗机构的专业行为尚未被系统地分类或描述。定义组织的专业性很重要,因为医疗机构的行为可能会极大地影响组织内医生和其他人的行为,以及其他机构和更广泛社区的行为。在本文中,作者讨论了以下源自伦理价值观的组织专业性的能力:服务、尊重、公平、正直、问责、正念和自我激励。非营利性医疗机构如何将这些能力转化为行为,也有所描述。例如,将人口健康指标纳入对企业成功的评估中,可能会增加区域医疗机构之间的合作,同时也使社区受益。领导层以身作则、在社区中推广这些能力以及制定相关组织战略的独特责任也得到了明确。这些义务提升了行政领导自我反思能力的重要性,以及董事会负责将运营活动映射到组织使命的责任。最后,作者考虑了医疗组织目前如何应对专业精神挑战。在监管变革和财务限制使环境变得动荡的情况下,在专业能力方面达到熟练程度可以帮助非营利性医疗机构促进人口健康和员工福祉。