Dwa modele zaufania w opiece zdrowotnej

• Authors: Głos Aleksandra

Title variants

EN

Two Models of Trust in Health Care

• Languages of publication: PL

Abstracts

PL

Zaufanie jest warunkiem godziwej i sprawiedliwej służby zdrowia. W subtelnej relacji między lekarzem a pacjentem zaufanie nie tylko umożliwia przeprowadzenie terapii, ale samo w sobie pełni rolę terapeutyczną. Zaufanie jest także fundamentem skutecznej współpracy – obniża jej koszty, zwiększa efektywność i pozytywnie wpływa na czerpaną z pracy satysfakcję. Aby jednak zaufanie mogło spełnić wspomniane wyżej funkcje, musi mieć ono charakter altruistyczny, a nie wyłącznie kalkulacyjny. Prawdziwości tego pierwszego modelu dowodzą nie tylko argumenty filozoficzne, ale i badania procesu obdarzania zaufaniem w praktyce opieki zdrowotnej. Rozróżnienie pomiędzy tymi modelami pomaga zrozumieć przyczyny kryzysu zaufania w służbie zdrowia. Wiele ze współczesnych reform przeprowadzanych jest bowiem wyłącznie z troską okognitywną stronę zaufania – zwiększenie przewidywalności i efektywności systemów zdrowotnych, z pominięciem jego strony etycznej, która jest istotą zaufania. Artykuł omawia także niejednoznaczny wpływ nowych technologii medycznych na całokształt tych procesów.

EN

Trust is a fundament of decent and just health care. In a subtle relation between patient and physician trust not only fuels the process of therapy but also plays a therapeutic role itself. Trust is a precondition of successful cooperation – it lowers its costs, increases efficiency and brings satisfaction to the partners. Only altruistic (as opposed to calculative) trust acts as such. Philosophical arguments as well as experiments analysing birth of trust in health care praxis prove the validity of the altruistic model. Distinction between these two models casts light on the contemporary health care crisis. Many of todays’ reforms improve only cognitive side of trust by increasing predictability and efficiency of the health care system, while neglecting its crucial – ethical side. Article analyses also ambivalent influence of new technologies on these processes.

Keywords

PL

zaufanie; opieka zdrowotna; nowe technologie medyczne; altruizm; reforma służby zdrowia; I. Bohnet; J. Mansbridge; A. Howson; J. Brownlie; M. Hillen

EN

trust; health care; new medical technologies; altruism; health care reform; I. Bohnet; J. Mansbridge; A. Howson; J. Brownlie; M. Hillen

• Publisher: Instytut Filozofii - Uniwersytet Jagielloński
• Journal: Diametros
• Year: 2015
• Issue: Diametros 45
• Pages: 82-106

Dates

published

2015-09

Contributors

author

Głos Aleksandra

• Institute of Philosophy Jagiellonian University

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Notes

PL

Artykuł powstał w ramach projektu badawczego „Sprawiedliwość w opiece zdrowotnej” nr 2013/08/A/HS1/00079 finansowanego przez Narodowe Centrum Nauki.

Identifiers

DOI

dx.doi.org/10.13153/diam.45.2015.798