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首页> 外文期刊>Journal of Health Services Research & Policy >Does medical culture limit doctors' adoption of quality improvement? Lessons from Camelot
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Does medical culture limit doctors' adoption of quality improvement? Lessons from Camelot

机译：医学文化是否限制医生采用质量改进措施？卡米洛特的教训

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摘要

This paper analyses aspects of medical culture, explains why this culture is antagonistic to quality improvement, andnprovides solutions to help medical colleges meet the challenge of clinical governance. Like the knights of Camelot,ndoctors have their own all-pervading culture, occupationally centred, exclusive to the initiated and tending to thentraditional, either overtly or through assumed values. The Camelot metaphor is supported by analysis of empiricalnevidence, especially the documents produced by medical colleges. Suggested initiatives to overcome thesenorganisational barriers include improvements in continuing medical education, accreditation, guideline productionnand responsibility for the performance of doctors. Central to these improvements should be the involvement ofnevery doctor, via the Delphi process, and substantial contributions to college processes from other health carenprofessions and patients.
机译：本文分析了医学文化的各个方面，解释了为何这种文化会不利于提高质量，并提供了解决方案来帮助医学院校应对临床治理的挑战。像卡米洛特的骑士一样，中立主义者拥有自己无处不在的文化，以职业为中心，公开或通过假定的价值观独占始祖并倾向于传统。卡米洛特的隐喻得到了经验证据分析的支持，尤其是医学院的文件。为克服组织上的障碍而建议采取的措施包括继续医学教育，资格认证，指导方针的制定以及对医生绩效的责任。这些改进的中心应该是每位医生都应通过Delphi流程参与其中，并应由其他健康专业人士和患者对大学流程做出实质性贡献。

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