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医院专业人员作为双重代理人:一种解决医院内跨专业冲突的上级认同?评“医院中的双重代理:管理者和医生应用哪些策略来调和临床和经济考虑之间的困境?”

Hospital Professionals as Dual Agents: A Superordinate Identity to Solve Interprofessional Conflicts in Hospitals? Comment on "Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?".

机构信息

Business Management Department, University Rovira i Virgili, Reus, Spain.

出版信息

Int J Health Policy Manag. 2022 Oct 19;11(10):2343-2345. doi: 10.34172/ijhpm.2022.6928. Epub 2022 Mar 2.

Abstract

The inherent conflict between economic and clinical considerations, between professionalism and managerialism, and between being a manager or being a clinician is widely acknowledged in the sociology of professions. The original article by Waitzberg and colleagues focused on how hospital professionals reconcile these conflicting demands. In this commentary, we argue that their assumption that the considered hospital professionals (managers, chief financial officers [CFOs], chief physicians and practising physicians) are dual agents moves on from the unproductive debates of inherent conflicts to envisage possibilities of reconciling economic and clinical considerations. We conclude that the instrumental use of the term dual agent to include "the other" (the manager or the clinician) in a superlative and inclusive category can be considered a reframing strategy to solve inherent interprofessional conflicts and to implement more collaborative models in healthcare.

摘要

在职业社会学中,人们普遍认识到经济和临床考虑之间、专业性和管理主义之间,以及作为管理者或临床医生之间存在内在冲突。Waitzberg 及其同事的原文重点关注医院专业人员如何调和这些相互冲突的要求。在这篇评论中,我们认为,他们的假设,即经过深思熟虑的医院专业人员(管理者、首席财务官、首席医师和执业医师)是双重代理人,这一假设超越了内在冲突的无益争论,设想了调和经济和临床考虑的可能性。我们的结论是,将术语“双重代理人”工具性地用于将“另一个”(管理者或临床医生)包含在一个最高级和包容性的类别中,可以被视为一种重新构建策略,以解决内在的专业间冲突,并在医疗保健中实施更具协作性的模式。

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