Cernega Ana, Nicolescu Dragoș Nicolae, Meleșcanu Imre Marina, Ripszky Totan Alexandra, Arsene Andreea Letiția, Șerban Robert Sabiniu, Perpelea Anca-Cristina, Nedea Marina-Ionela Ilie, Pițuru Silviu-Mirel
Department of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Plevnei Street, 020021 Bucharest, Romania.
Department of Prosthodontics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-23 Calea Plevnei, 010221 Bucharest, Romania.
Healthcare (Basel). 2024 Apr 2;12(7):773. doi: 10.3390/healthcare12070773.
Our professional activity is constantly under pressure from a multitude of elements and factors that can be classified into the four components of the VUCA phenomenon-volatility, uncertainty, complexity, and ambiguity-components that define the turbulence and challenges of the external environment. Considering the general elements of this phenomenon, we designed a new VUCA dimension specific to the healthcare field within which we have identified and analyzed all the factors that can influence the main actors of the doctor-patient relationship and the effects that can occur within the healthcare system in which this relationship is born. In this context, we generated the VUCA treatment in healthcare capable of mitigating the impact of this phenomenon; this treatment involves essential elements in overcoming possible crises and vulnerabilities of the medical profession. The VUCA treatment in healthcare requires combating volatility, uncertainty, complexity, and ambiguity through vision, understanding, clarity, and agility, which are grounded in the doctor's need to acquire cross-functional competencies (soft skills). These competencies are applicable by using functional mechanisms and techniques that support the doctor in developing adaptability and anticipation skills, understanding the patient's needs and addressing them, and ensuring the functionality and efficiency of the healthcare system by transferring these elements from micro-management to macro-management levels.
我们的专业活动不断受到众多因素的压力,这些因素可分为易变性、不确定性、复杂性和模糊性这四个构成VUCA现象的要素,这些要素界定了外部环境的动荡和挑战。考虑到这一现象的一般要素,我们设计了一个特定于医疗保健领域的新的VUCA维度,在这个维度中,我们识别并分析了所有可能影响医患关系主要参与者的因素,以及在这种关系产生的医疗保健系统中可能出现的影响。在此背景下,我们生成了医疗保健领域的VUCA应对措施,能够减轻这一现象的影响;这种应对措施涉及克服医疗行业可能出现的危机和脆弱性的基本要素。医疗保健领域的VUCA应对措施要求通过愿景、理解、清晰性和灵活性来应对易变性、不确定性、复杂性和模糊性,而这些都基于医生获得跨职能能力(软技能)的需求。这些能力可通过使用功能性机制和技术来应用,这些机制和技术支持医生培养适应能力和预判能力,理解患者需求并加以解决,并通过将这些要素从微观管理层面转移到宏观管理层面来确保医疗保健系统的功能性和效率。