Avtor/Urednik		Premik, Marjan
Naslov		Zdravnik v tranziciji
Prevedeni naslov		A physician in transition
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 67, št. 10
Leto izdaje		1998
Obseg		str. 561-5
Jezik		slo
Abstrakt		Background. By changing of social values, by the development of science and accompanying technolgies the physician's position, role and working method is being changed. The paper objective is an attempt to define transitional dilemmas, and to designate possible solutions. Material and methods. The previous and existent legislation study, published reports on health reforms objectives and enfficiency, medical, sociological and economic proceedings are the basis of a qualitative social medical analysis of conditions which influence on the physician present and future work. Results. The following dilemmas are defined: To which extension are health and health service private, and to which extension public good? How should a physician pay regard to new cognition in the field of biomedicine, and thereby he remains a subtle personal defender of a patient? How far can a health model be included into the so far existing medicine model which is adjusted to a diseae model? What pressures can a physician expect in his socio-political environment due to reforms and bureaucratic relations? There are offered basic replies suggestions which should help to form physicians' statements. Conclusions. Medical associations which represent the organised medicine, a guardian of professional values, and a physician's voice in the society are the premises to verify the physician's statements and treatments in the changeable society.
Izvleček		Izhodišča. S spreminjanjem socialnih vrednot, z razvojem znanosti in spremljajočih tehnologij se spreminja položaj, vloga in način dela zdravnika. Cilj razprave je poskus opredelitve tranzicijskih dilem ter naznačitev možnih rešitev. Matrial in metode. Proučitev predhodne in obstoječe zakonodaje, objavljena poročila o ciljih in uspešnosti zdravstvenih reform, medicinske, sociološke in ekonomske razprave so podlaga za kvalitativno socialno medicinsko analizo razmer, ki vplivajo na sedanje in prihodnje delo zdravnika. Rezultati. Opredeljene so naslednje dileme: Koliko je zdravje in zdravstvo zasebna in koliko javna dobrina? Kako naj zdravnik upošteva vsa nova spoznanja na področju biomedicine in pri tem ostane čuteč osebni zagovornik bolnika? Kako se v dosedanji model medicine, ki je naravnana na model bolezni, lahko vpenja model zdravja? Kakšne pritiske lahko pričakuje zdravnik v svoje, sociopolitičnem okolju zaradi reform in birokratskih odnosov? Podani soishodiščni predlogi odgovorov, ki naj pomagajo oblikovati stališča zdravnikov. Zaključki. Mesto za preverjanje stališč in ravnanj zdravnika v preminjajoči družbi so zdravniška združevanja, ki pomenijo organizirano medicino, varuha poklicnih vrednot in glas zdravnika v družbi.
Deskriptorji		PHYSICIAN'S ROLE HEALTH CARE REFORM PUBLIC POLICY ETHICS, MEDICAL SOCIOECONOMIC FACTORS