精神卫生保健领域的创新源于何处？对官僚时代临床专业知识的思考。
What leads to innovation in mental healthcare? Reflections on clinical expertise in a bureaucratic age.
作者信息
Armstrong Neil
机构信息
University of Oxford,UK.
出版信息
BJPsych Bull. 2018 Oct;42(5):184-187. doi: 10.1192/bjb.2018.14.
SummaryThis paper considers a witness seminar in which healthcare professionals discussed working on an acute admissions ward run along therapeutic community lines from the 1960s to the 1980s. Participants remarked that older styles of working are 'unimaginable' today. This paper discusses why. Literature from the humanities and social sciences suggest healthcare is reactive, reflecting wider cultural changes, including a preference for a more bureaucratic, standardised, explicit style of reasoning and a high valuation of personal autonomy. Such a reflection prompts questions about the nature of professional expertise, the role of evidence and the importance of the humanities and social sciences.Declaration of interestNone.
摘要
本文探讨了一场证人研讨会，会上医疗保健专业人员讨论了在20世纪60年代至80年代按照治疗社区模式运作的急性入院病房的工作情况。参与者表示，如今老式的工作方式“难以想象”。本文探讨了其中的原因。人文和社会科学文献表明，医疗保健具有反应性，反映了更广泛的文化变革，包括对更具官僚化、标准化、明确的推理方式的偏好以及对个人自主权的高度重视。这种反思引发了有关专业知识的性质、证据的作用以及人文和社会科学的重要性的问题。
利益声明
无。
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