Hoffman Wendell W
Sanford Clinic - Infectious Disease, Sioux Falls, South Dakota.
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2018 Jul;71(7):320-324.
All social reform, as evidenced by Martin Luther, requires disrupters who are willing to speak truth to power. Donald Berwick, as the most Lutheresque figure in the healthcare reform debate, has been doing just that, having defined the singular truth of patient-centeredness and its implications for both the regulated and unregulated parts of medicine. He has consequently been asking wicked questions concerning unproven assumptions, such as competition driven by the integer, over cooperation driven by the immortal. Above all he is reminding physicians of our dual role - clinical healer and social advocate - and that silence in the latter, is no longer an option. Physician-reformers must follow Berwick through this opened door and apply the principles of reformation, on behalf of the patient.
所有的社会变革，正如马丁·路德所证明的那样，都需要敢于向权力说出真相的破坏者。唐纳德·贝里克作为医疗改革辩论中最具路德风格的人物，一直在这样做，他明确了以患者为中心的独特真理及其对医学中受监管和不受监管部分的影响。因此，他一直在就未经证实的假设提出尖锐问题，比如由数字驱动的竞争，而非由永恒驱动的合作。最重要的是，他提醒医生我们的双重角色——临床治疗者和社会倡导者——而在后者角色上保持沉默已不再是一种选择。医生改革者必须跟随贝里克穿过这扇敞开的大门，代表患者应用改革原则。
