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医疗管理与人文科学:对话邀请

Healthcare Management and the Humanities: An Invitation to Dialogue.

作者信息

Gerard Nathan

机构信息

Department of Health Care Administration, California State University, Long Beach, CA 90840, USA.

出版信息

Int J Environ Res Public Health. 2021 Jun 24;18(13):6771. doi: 10.3390/ijerph18136771.

Abstract

Throughout the fields of medicine and organization studies, there are growing indications of the value of the humanities for enriching scholarship, education, and practice. However, the field of healthcare management has yet to consider the promise of the humanities for illuminating its particular domain. This perspective paper explores how the humanities might begin to play a role in healthcare management by focusing on three broad areas: (1) understanding the lived experiences of management, (2) offsetting the "tyranny of metrics", and (3) confronting rather than avoiding anxiety. While preliminary in presentation, these areas are intended to facilitate wider consideration of the humanities in healthcare management and to encourage interdisciplinary dialogue. The paper also identifies actionable approaches that might be derived from such a dialogue, including substantiating critical healthcare management scholarship, collaborating with humanities educators to design novel curricula, proposing alternatives to unduly circumscribed performance targets and competency assessments, creating case studies of formative experiences of practicing healthcare managers, and advancing guidelines for better managing anxiety and its concomitant stress, burnout, and compassion fatigue in healthcare organizations. The paper concludes by discussing the potential risks of incorporating the humanities into healthcare management, while also offering a prospective synthesis from an interdisciplinary approach.

摘要

在医学和组织研究领域,越来越多的迹象表明人文学科对于丰富学术研究、教育和实践具有重要价值。然而,医疗管理领域尚未认识到人文学科对阐明其特定领域的前景。这篇观点论文探讨了人文学科如何通过关注三个广泛领域在医疗管理中发挥作用:(1)理解管理的实际体验,(2)抵消“指标暴政”,以及(3)直面而非回避焦虑。虽然本文只是初步阐述,但这些领域旨在促进对人文学科在医疗管理中更广泛的思考,并鼓励跨学科对话。本文还确定了可能从这种对话中得出的可行方法,包括充实批判性医疗管理学术研究、与人文学科教育工作者合作设计新颖课程、提出替代过度受限的绩效目标和能力评估的方案、创建医疗管理人员实践形成性经验的案例研究,以及推进关于更好地管理医疗组织中焦虑及其伴随的压力、倦怠和同情疲劳的指导方针。本文最后讨论了将人文学科纳入医疗管理的潜在风险,同时也从跨学科方法提供了前瞻性的综合观点。

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