医疗保健管理是将公共卫生调解和实施为临床医疗保健结果的一种实用工具,在我们的案例研究中被视为一个示范领域,以证明以人为本的方法的至关重要性。医护人员经常面临“烧坏”综合征的风险。然而,现代的燃尽措施只有在完全发展的后期才能识别燃尽。没有可用的方法来评估医疗保健系统中容易职业倦怠的风险。因此,我们的目标是设计一个复杂的以人为中心的模型,以便在早期阶段检测到高的倦怠风险,被称为“火焰熄灭”。我们接受这样的观察,即个人表现下降是精疲力竭的一个关键表现。通过气质和性格清单(TCI)衡量,低个人表现和负面情绪与低自我指导密切相关。同时,精疲力竭的特点是工作中的兴趣和积极情绪下降。如TCI所测量的,积极情绪的下降与低自我超越直接相关。倦怠也经常与社会疏离感或支持不足有关,这反过来又与低TCI合作有关。然而,高持久性和避免伤害是医疗专业人员精疲力竭的诱发特征,他们往往过于完美主义和强迫性,使他们容易焦虑,抑郁症,自杀和精疲力尽。因此,处于未来精疲力竭风险的人通常是高度尽责的过度成就者,积极和消极情绪强烈混合。对完美的高需求既来自内在特征,也来自其心理环境中的社会环境特征。通过增加自我超越来放弃无法实现的完美愿望,可以接受人类状况的不完美,从而防止倦怠和其他负面情绪,同时促进积极情绪和为他人服务。因此,我们可以使用TCI通过以人为中心的诊断方法评估脆弱人群,并且还可以将健康与工作场所的心理氛围联系起来.所提出的素质-压力模型可以直接影响人力资源管理和相关决策。引入这种以人为本的评估可以通过促进医疗保健员工的个人福祉来鼓励和改善公共卫生结果。
Healthcare management is one practical tool for mediation and implementation of public health into clinical healthcare outcomes and is taken in our
case study as an exemplar arena to demonstrate the vital importance of the person-centered approach. Healthcare personnel are frequently at risk for the \'burn-out\' syndrome. However, modern measures of burn-out recognize burn-out only at a late stage when it is fully developed. There are no available methods to assess the risk for vulnerability to burnout in healthcare systems. Our aim was therefore to design a complex person-centered model for detection of high risk for burn-out at an early stage, that has been termed \'flame-out\'. We accept the observation that decreased personal performance is one crucial expression of burn-out. Low personal performance and negative emotions are strongly related to low self-directedness as measured by the Temperament and Character Inventory (TCI). At the same time, burn-out is characterized by decreased interest and positive emotions from work. Decreased positive emotion is directly related to low self-transcendence as measured by the TCI. Burn-out is also frequently associated with feelings of social alienation or inadequacy of support, which is in turn related to low TCI Cooperativeness. However, high Persistence and Harm Avoidance are predisposing traits for burn-out in healthcare professionals who are often overly perfectionistic and compulsive, predisposing them to anxiety, depression, suicide and burn-out. Hence, people at risk for future burn-out are often highly conscientious over-achievers with intense mixtures of positive and negative emotions. The high demand for perfection comes from both intrinsic characteristics and from features of the social milieu in their psychological climate. Letting go of the unfulfillable desire to be perfect by increasing self-transcendence allows acceptance of the imperfection of the human condition, thereby preventing burn-out and other negative emotions while promoting positive emotions and work in the service of others. Hence, we can evaluate vulnerable populations via a person-centered diagnostic method using the TCI and also relate wellbeing to the psychological climate of the work place. The proposed diathesis-stress model can directly impact on the management of human resources and related decision-making. The introduction of such person-centered assessments can encourage and improve public health outcomes by promoting the personal wellbeing of healthcare employees.