走向一种以价值观为基础的方法来处理医疗保健中的复杂性:解释学评论。

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Milbank Quarterly Pub Date : 2023-09-01 Epub Date: 2023-05-23 DOI:10.1111/1468-0009.12656
Trisha Greenhalgh, Eivind Engebretsen, Roland Bal, Sofia Kjellström
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引用次数: 0

摘要

政策要点介绍并解释了价值复杂性的概念(由于人们的世界观、利益和价值观的差异而产生的复杂性,导致利益相关者之间的不信任、误解和冲突)。综述了来自多个学科的相关文献。确定了关键的理论主题,包括权力、冲突、语言和框架、意义形成和集体审议。从这些理论主题中提出了一些简单的规则。
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Toward a Values-Informed Approach to Complexity in Health Care: Hermeneutic Review.

Policy Points The concept of value complexity (complexity arising from differences in people's worldviews, interests, and values, leading to mistrust, misunderstanding, and conflict among stakeholders) is introduced and explained. Relevant literature from multiple disciplines is reviewed. Key theoretical themes, including power, conflict, language and framing, meaning-making, and collective deliberation, are identified. Simple rules derived from these theoretical themes are proposed.

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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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