Author/Editor     Drinovec, Jože
Title     Profesionalizem in zdravnik
Translated title     Medical professionalism
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 71, št. 12
Publication year     2002
Volume     str. 751-6
Language     slo
Abstract     Background. Due to restrictions imposed on a clinical freedom, interest for professionalism in healthcare has been getting bigger not only in medicine literature and various mass media but also in teaching and organisation of healthcare. Professionalism stands not only for a medicine's contract with society, recognition of a physician status, privilege and monopoly but also for a genuine physician's commitment to professional responsibilities. Analysis. In 2002 European and American associations approved a document on medical professionalism in the new millenium, so-called Physician Charter. This document includes fundamental principles of professionalism such as altruism, patient autonomy and social justice. In particular, it analyses a physician professional competency, honesty with patients, patient confidentiality, appropriate relations with patients, improvements regarding a healthcare quality, healthcare access, just distribution of finite funds, commitment to scientific knowledge, trust maintenance by managing conflicts of interest and a professional responsibility. Conclusions. Physician's professionalism means philosophycal and sociological analysis of his/herprofession and its position in a society. It includes a concern for improvements of his/her own scientific knowledge, skills, a genuine ethic interest for an individual patient bearing in mind principles of equality andjustice in society. Whether performing an organisational and public work or participating in professional health organizations, physician's interest for a patient must prevail.
Summary     Izhodišča. Zaradi omejevanja klinične svobode se ponovno povečuje zanimanje za profesionalizem v zdravstvu, ne samo v medicinski literaturi, javnih medijih, ampak tudi pri poučevanju in organizaciji zdravstvene oskrbe. Profesionalizem pomeni pogodbo med zdravnikom in družbo, priznavanje njegovega statusa, celo privilegija in monopola, pa hkrati tudi prevzemanje dolžnosti za svoje ravnanje ter odgovornost do bolnika in širše skupnosti. Razdenitev. Leta 2002 so evropska in ameriška združenja sprejela listino o medicinskem profesionalizmu v novem tisočletju oz. t. i. zdravniško listino. Ta vključuje osnovne principe profesionalizma, kot so: altruizem, bolnikova avtonomija, socialna pravičnost. Posebej razčlenjuje profesionalno kompetentnost, poštenost z bolniki, bolnikovo zaupnost, ustreznost odnosov do bolnikov, izboljševanje kakovosti zdravstvene oskrbe, dostopnost do zdravstvene oskrbe, pravično delitev omejenih sredstev, privrženost znanosti in znanju, vzdrževanje zaupanja in obvladovanje interesnih nasprotij ter poklicno odgovornost. Zaključki. Profesionalizem pri zdravniku pomeni filozofsko in sociološko razčlenitev svojega poklica in njegovega mesta v družbi. Vključuje skrb za izpopolnjevanje lastnega znanja, spretnosti in obveščenosti, pristni etični interes za posameznega bolnika ob upoštevanju principov enakosti in pravičnosti v družbi. Pri organizacijskem in javnem delu ter v profesionalnih zdravniških organizacijah mora prevladovati interes za bolnika pred lastnimi interesi.
Descriptors     ETHICS, MEDICAL
PROFESSIONAL COMPETENCE
PROFESSIONAL AUTONOMY
PHYSICIAN'S ROLE
LIABILITY, LEGAL
QUALITY OF HEALTH CARE