Scott R A, Aiken L H, Mechanic D, Moravcsik J
Center for Advanced Study in the Behavioral Sciences, University of Pennsylvania.
Milbank Q. 1995;73(1):77-95.
Caring is fundamental to competence in medicine. Expressions of humaneness in the relationship between doctor and patient foster bonds of trust, enabling doctors and patients to communicate in ways that enhance diagnosis, treatment, and compliance. To be effective, a caring attitude must be adopted by all persons involved in the delivery of health care. Components of caring can be specified, learned, and incorporated into routine medical practice. Through their impact on stress management and coping, as well as morale and job satisfaction, the organizational and administrative practices surrounding health care encounters decisively impinge on caring. The organizational and financial arrangements for enhancing the humane delivery of health care are examined.
关怀是医学胜任能力的根本。医患关系中的人道表达促进信任纽带，使医患能够以增进诊断、治疗和依从性的方式进行沟通。要想取得成效，所有参与医疗服务的人员都必须采取关怀的态度。关怀的要素可以明确、学习并融入日常医疗实践。围绕医疗服务过程的组织和管理实践，通过对压力管理与应对以及士气和工作满意度的影响，对关怀产生决定性影响。本文探讨了促进人道医疗服务的组织和财务安排。
