| 引用本文：许婉纯, 张亮, 张研.基于情境主义的医生非技术服务能力:概念与框架[J].中国卫生政策研究,2019,12(7):50-58 |
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| 基于情境主义的医生非技术服务能力:概念与框架 |
| 投稿时间：2018-11-10 修订日期：2019-03-16 PDF全文浏览 HTML全文浏览 |
| 许婉纯1,2, 张亮1,2, 张研1,2,3 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030;
3. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 山东济南 250012 |
| 摘要:医生的非技术服务能力是指其在提供医疗服务的过程中，成功地或创新性应对具体的工作情境、发挥其专业技术能力所需要的认知、个人特质及相关的"软能力"。本文运用情境主义的理论对医生的非技术服务能力进行识别和解析。医生作为连接患者和医疗系统的纽带，其在服务提供过程中的工作情境包括患者理解、共同决策、服务管理、外部联系以及关系管理五个方面。医生应对这些工作情境的非技术服务能力分别为：患者识别、辅助决策、服务管理、外部协作以及关系管理能力。医生非技术服务能力的框架建构和概念解析有助于对医生行为机制的深入剖析，为医疗服务供需问题的研究提供医生行为视角下的理论基础。 |
| 关键词:非技术服务能力 医生行为 情境主义 |
| 基金项目:国家自然科学基金青年项目（71603088）；国家卫生健康委员会卫生经济与政策研究重点实验室开放基金（NAC-HEPR2018002） |
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| Physicians' non-technical competences in service provision based on the situationalist perspective: Concepts and framework |
| XU Wan-chun1,2, ZHANG Liang1,2, ZHANG Yan1,2,3 |
1. School of Medical and Health Management, Tongji Medical College, Huazhong University of Scienceand Technology, Wuhan Hubei 430030, China;
2. Research Center for Rural Health Service, Key Research Institute of Humanities Social Sciences of Hubei Provincial Department of Education, Wuhan Hubei 430030, China;
3. NHC Key Laboratory of Health Economics and Policy Research(Shangdong University), Jinan Shandong 250012, China |
| Abstract:Physicians' non-technical competences in service refer to the individual cognition,traits and the "soft-skills" required for a physician to successfully and innovatively cope with the specific work situations and make good use of his or her technical competences in providing medical services. This article used the theory of situationalism to identify and analyze the physicians' non-technical service capabilities. As the links between the patients and the health care system, the physicians' work situations in the service provision process include the following five aspects:the understanding of patients, joint decision-making with patients, service management, the contact with the health care system at large, and the doctor-patient relationship management respectively. The corresponding non-technical competences of doctors in the provision of service in different working conditions were found to be the patient identification ability, patient support, service management, external collaboration and relationship management capabilities. The construction of this framework and conceptual analysis of physicians' non-technical competences in service provision may contribute to deeply understand doctors' behavioral attitude, and, from this perspective, provide the theoretical basis for the supply and demand issue in the medical service market. |
| Key words:Non-technical competence in servicing Physicians' behavior Situationalism |
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