Elbanna May F, Thomas Melissa R, Patel Palka R, McHenry Megan S
Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of Medicine, Indianapolis, IN, USA.
Glob Adv Integr Med Health. 2023 May 11;12:27536130231162350. doi: 10.1177/27536130231162350. eCollection 2023 Jan-Dec.
Physician burnout is a major problem that has long been facing our healthcare system. The COVID-19 pandemic has unfortunately deepened this problem and shed the light on the multiple structural shortcomings of our healthcare system that need immediate attention. Demoralization is one of the core features of "physician burnout," which results from a breakdown of genuine physician-patient interaction. A healthcare system that embraces cultural humility, where we find ourselves rewarded for supporting, uplifting, and respecting our patients' diverse voices could pave the way for battling burnout. Unlike cultural competency, which suggests that one should know everything about another's culture (an unfeasible task), cultural humility is a continuum of self-reflection and critique that aims to foster a deep connection between the physician and patient; a connection that sits at the core of the humanistic and multicultural experience of medicine.
医生职业倦怠是我们的医疗体系长期以来面临的一个重大问题。不幸的是,新冠疫情加剧了这一问题,并揭示了我们医疗体系中多个亟待关注的结构性缺陷。士气低落是“医生职业倦怠”的核心特征之一,它源于医患之间真实互动的破裂。一个秉持文化谦逊的医疗体系,即我们因支持、鼓舞和尊重患者的不同声音而得到回报,这可能为对抗职业倦怠铺平道路。与文化能力不同,文化能力意味着一个人应该了解另一种文化的一切(这是一项无法完成的任务),文化谦逊是一个自我反思和批判的连续过程,旨在促进医生与患者之间的深度联系;这种联系是医学人文和多元文化体验的核心。