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Developing Role Concept in Medicine

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의료 전문인들에 대한 역할 개념의 탐색은 주로 철학적 관점에서 진행되고 있다. 한국 의료분야에서도 예외는 아니다. 본 연구는 의료분야에 종사하는 전문인들의 역할 개념을 철학적, 심리학적 관점에서 탐색해보는 것이다. 철학적 관점에 근거해서 본 역할개념으로는 권위와 책임감, 심리학적 관점에서는 개인적 효능감, 대인관계 통제감, 사회정치적 통제감이 역할 개념으로 제안되었다. 본 연구에서 제안한 다섯가지 역할 개념은 다음과 같다. 첫째, 권위는 환자들에게 서비스를 제공하기 위해 필요한 특별한 정보와 지식를 소유한 의료 전문인으로서의 질로 정의되었고, 둘째, 책임감은 환자의 사회적 신분과는 무관하게 환자를 위해 제공해야 할 서비스를 공정하게 제공하는 의무감으로 정의되었으며, 셋째, 개인적 효능감은 의료 전문인의 심리적 특성의 하나로서 의료 전문인의 성격과 삶을 통제함으로써 얻게 되는 자기 성취감과 자기 확심감으로 정의되었다. 넷째, 대인관계 통제감은 환자나 환자의 가족등을 포함해서 의료 활동에 관여하는 모든 사람들과의 관계를 통제하고 관리할 수 있는 능력, 다섯째, 사회정치적 통제감은 사회정치적 체계의 목표와 전문인으로서의 개인적 목표사이의 갈등 혹은 차이를 해결하는 능력으로 정의되었다. 본 연구를 통해 몇가지 제안을 하면 다음과 같다. 첫째, 역할 개념을 탐색하는 방법을 철학적 관점이외의 심리학적 관점 더 나아가 다른 관점들에 비추어 폭넓게 역할 개념을 조명해볼 수 있을 것이다. 둘째, 본 연구에서 제안한 다섯 가지 역할 개념을 기초로 해서 의료 전문인들의 역할 개념과 윤리의식을 측정할 수 있는 타당한 검사지를 개발할 수 있을 것이다. 셋째, 의료 전문인이외의 다른 전문가 집단의 역할 개념을 탐색하고 설명하는 데에도 도움이 될 것이다.

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