A Framework for Managing Moral Challenges Related to Health Policy for the Surgeon.

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Tác giả: Joanne Baerg, Elizabeth A Berdan, Mary L Brandt, Terry L Buchmiller, Kenneth W Gow, Marion C Henry, Yue-Yung Hu, J Leslie Knod, Sindhu V Mannava, Erin E Perrone, Baddr A Shakhsheer, Mindy Statter, Wolfgang Stehr

Ngôn ngữ: eng

Ký hiệu phân loại: 920.71 Men

Thông tin xuất bản: United States : Journal of the American College of Surgeons , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 186639

Surgeons of all specialties are impacted by health policies, primarily written and executed by non-medical parties. The sequelae of policy change may limit the patient-physician relationship across numerous surgical disciplines, including general and acute care surgery, obstetrics and gynecologic surgery, pediatric and fetal surgery, and others. The discordance between a surgeon's imperative to provide excellent patient care and legislative limitations that hinder patient care can impact surgeon wellness, career longevity, and attrition as well as reduce access and outcomes for patients, across specialties. Limited literature addresses this presage to physician wellness and patient outcomes. Combatting moral distress requires a framework which considers a multifactorial approach including open communication and respect among colleagues, free discussion of challenges related to health policy, resources for coaching and therapeutic counseling, and organizational actions promoting surgeon wellness. In this paper, we present strategies, curated and executed by our subspecialty advocacy group, for navigating moral challenges secondary to health policy. This framework may be implemented across specialties to promote discussion of controversial or difficult topics in the professional setting and help prevent distress and attrition.
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