Invoking the Medical Humanities to Develop a #MedicineWeCanTrust

被引:15
作者
Bleakley, Alan [1 ,2 ]
机构
[1] Plymouth Univ, Peninsula Sch Med, Med Educ & Med Humanities, Plymouth, Devon, England
[2] Plymouth Univ, Peninsula Sch Dent, Med Educ & Med Humanities, Plymouth, Devon, England
关键词
INCOME INEQUALITY; TRUST; HEALTH;
D O I
10.1097/ACM.0000000000002870
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Trust is a complex phenomenon that resists easy definition, but it is easily recognizable, or rather its absence is impossible to miss. The author draws inspiration from the #MedsWeCanTrust movement to advocate for #MedicineWeCanTrust. Trust can be seen as a "soft," "tender-minded," optimistic condition fighting for survival in a "hard," "tough-minded," or jaundiced medicine. Modern medicine is traditionally patriarchal, individualistic, and resistant to encouraging democratic, collaborative habits as it socializes its young into hierarchical structures or eats them whole. Yet trust is a health intervention and essential for the innovative expansion of medical culture as it encourages authentic democracy, interprofessional clinical teamwork, and patient-centeredness. Increases in trust lead to greater tolerance of uncertainty, one of the primary goals of medical education. Recent curriculum development work has shown that the medical humanities offer a superb delivery mechanism for ensuring democratic habits in medicine that align with social justice agendas, key to addressing links between social inequalities and compromised physical and mental health. Where lack of trust is associated with cynicism in doctors, increasing trust loosens dependence upon suffocating control mechanisms. This allows medicine to take on the moral concerns and uncertainties of an adulthood that also promises emotional warmth, guidance, support, and improved communication between colleagues and with patients. Medicine must embrace trust as the matrix of health care, and the medical humanities can educate for values such as tolerance of uncertainty and ambiguity as a basis for engendering trust.
引用
收藏
页码:1422 / 1424
页数:3
相关论文
共 23 条
  • [11] HIGGINS GL, 1992, HUM MED, V8, P286
  • [12] Inui T.S., 2003, A flag in the wind: educating for professionalism in medicine
  • [13] Kawachi I., 2002, The Health of Nations: Why Inequality Is Harmful to Your Health
  • [14] Khullar Druv., 2018, New York Times
  • [15] Kosloff J, 2019, STAT
  • [16] Levinson DJ, 1950, AUTHORITARIAN PERSON
  • [17] Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions
    Lynch, JW
    Smith, GD
    Kaplan, GA
    House, JS
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7243): : 1200 - 1204
  • [18] Masters PA, 2018, RESTORING TRUST MED
  • [19] Mechanic D, 1998, J HEALTH POLIT POLIC, V23, P661
  • [20] Nussbaum MC, 2010, PUB SQUARE, P1