医学中的责任美德：从理论到实践。
Accountability as a virtue in medicine: from theory to practice.
机构信息
Department of Psychiatry, Harvard Medical School, Boston, USA.
Psychology Department, Hope College, Holland, MI, USA.
出版信息
Philos Ethics Humanit Med. 2023 Mar 22;18(1):1. doi: 10.1186/s13010-023-00129-5.
Abstract
Accountability is a norm basic to several aspects of medical practice. We explore here the benefits of a more explicit focus on the virtue of accountability, which as distinct from the state of being held accountable, entails both welcoming responsibility to others and welcoming input from others. Practicing accountably can limit moral distress caused by institutional pressures on the doctor patient relationship. Fostering a mindset that is welcoming rather than resistant to feedback is critical to enhancing a culture of learning. Analysis of failures of accountable practice offers opportunities for improving the delivery of clinical care.
摘要
责任感是医疗实践几个方面的基本规范。在这里，我们探讨了更加明确地关注责任感的好处，这种责任感与被追究责任的状态不同，既包括欢迎对他人承担责任，也包括欢迎他人的投入。负责任地行医可以限制因医疗机构对医患关系的压力而导致的道德困境。培养一种乐于接受而不是抵制反馈的心态对于增强学习文化至关重要。对负责实践失败的分析为改善临床护理提供了机会。
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