[The change in medical practice. Psycho-social challenges for the profession].
This article analyzes important changes in medical practice, focusing in those most deeply perceived by a group of physiciansfrom the Metropolitan Region of Santiago, included in a joint research conducted by the Departments of Psychiatry and Mental Health (East) of the Medical Faculty at the University of Chile and Public Health of the Catholic University of Santiago, during 2003. These are the perceived changes in the relationship between doctors and patients; increased limits in professional autonomy and the fragmentation of medical practice. Reflecting transformations in social relationships in general, they have added new stress and frustrations, as well as new opportunities and rewards to the medical profession. The perceptions identified are commented within the structural determinants of medical practice. These issues call for a refreshing discussion on the values supporting medical professionalism and the concept of profession in itself, in view of the challenges posed by the current social and cultural changes.
Departamento de Psiquiatría y Salud Mental, Campus Oriente y Departamento de Bioética y Humanidades Médicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile. nhorwitz@med.uchile.cl
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D017144:Focus Groups; D006801:Humans; D010819:Physician's Role / Q000523:psychology*; D010817:Physician-Patient Relations; D011216:Practice Management, Medical / Q000592:standards / Q000639:trends*; D017009:Professional Autonomy; D011364:Professional Practice / Q000592:standards / Q000639:trends