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高军衔患者比低军衔患者得到更好的治疗

2024-05-17 16:34 by 图书馆员与黄金锅

一项涉及 150 万名患者就诊的研究显示,军衔较高的患者会比军衔较低的患者得到军医给予的更好的治疗。这些发现所提供的证据表明,有权势者可享有更好的临床资源和支持,而这常常是以牺牲权势地位较低者的权益为代价的。尽管权力的作用在人类社会规范体系的几乎方方面面都普遍存在,但用现实世界的数据来研究权力却极为困难,它限制了我们对权力动态在现实世界中发挥作用的方式的了解。一种特别相关的高风险性权力动态是医患间的关系。这种权力差异通常对医生有利,因为医生拥有知识、临床资源和法律权威,而患者则需依赖医生的医疗护理。它建立在社会期望的基础之上,即医生始终以无私和符合伦理的方式对待所有患者。研究人员研究了美国军事医疗系统 (MHS) 中医患权力差异的变化会如何影响患者医疗和转归——在 MHS 中具有清晰且根深蒂固的权力等级制度,在这个体系中,医生和病人都是现役军人,且每人都有明确的军衔。当患者的军阶接近或超过军医时,这种权势差异应该缩小,这可能会影响医生或患者的行为,因而可能会影响所提供的医疗及患者的转归。

https://www.eurekalert.org/news-releases/1044305?language=chinese

#医学



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高军衔患者比低军衔患者得到更好的治疗

2024-05-17 16:34 by 图书馆员与黄金锅

一项涉及 150 万名患者就诊的研究显示,军衔较高的患者会比军衔较低的患者得到军医给予的更好的治疗。这些发现所提供的证据表明,有权势者可享有更好的临床资源和支持,而这常常是以牺牲权势地位较低者的权益为代价的。尽管权力的作用在人类社会规范体系的几乎方方面面都普遍存在,但用现实世界的数据来研究权力却极为困难,它限制了我们对权力动态在现实世界中发挥作用的方式的了解。一种特别相关的高风险性权力动态是医患间的关系。这种权力差异通常对医生有利,因为医生拥有知识、临床资源和法律权威,而患者则需依赖医生的医疗护理。它建立在社会期望的基础之上,即医生始终以无私和符合伦理的方式对待所有患者。研究人员研究了美国军事医疗系统 (MHS) 中医患权力差异的变化会如何影响患者医疗和转归——在 MHS 中具有清晰且根深蒂固的权力等级制度,在这个体系中,医生和病人都是现役军人,且每人都有明确的军衔。当患者的军阶接近或超过军医时,这种权势差异应该缩小,这可能会影响医生或患者的行为,因而可能会影响所提供的医疗及患者的转归。

https://www.eurekalert.org/news-releases/1044305?language=chinese

#医学

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