Department of Psychiatry, University of Colorado School of Medicine, Aurora (Winston); Department of Psychiatry, University of Toronto, Toronto (Fage).
Psychiatr Serv. 2019 Aug 1;70(8):737-739. doi: 10.1176/appi.ps.201800477. Epub 2019 May 14.
There is an increasing focus on physician wellness as an indicator of health system quality, and terms related to wellness, such as "burnout" and "resilience," have blossomed in the international discourse. An emphasis on the current concept of resilience shifts the responsibility for systemic problems to the individual. Examining the history of the term "resilience" reveals its origins in ecological studies and its subsequent mobilization by economic theorists and politics. Understanding this historical context when considering wellness initiatives may help providers recognize which interventions and changes to individual behaviors or systems might be useful; it also encourages providers to focus on political action (local and national) to facilitate change.
越来越多的人关注医生的健康状况，将其作为医疗体系质量的一个指标，因此，“倦怠”和“韧性”等与健康相关的术语在国际讨论中也越来越流行。强调当前的韧性概念将系统问题的责任转移到个人身上。考察“韧性”一词的历史可以发现，它起源于生态学研究，后来被经济理论家与政治学家所利用。在考虑健康促进措施时，了解这一历史背景可以帮助提供者认识到哪些干预措施和对个人行为或系统的改变可能是有用的；它还鼓励提供者关注政治行动（地方和国家）以促进变革。
