Advancing the greater good a question of wills.pdf
In their Viewpoint, Victor J Dzau and colleagues recommend ways academic health sciences systems (AHSS) can attend to important health-care needs. One recommendation in particular caught our attention:“AHSS across the world must come together to address global societal issues and advance the greater good.”
在他们的观点中，维克多·J·佐及其同事推荐了学术健康科学系统 (AHSS) 可以满足重要医疗保健需求的方式。其中一项建议特别引起了我们的注意：“全世界的 AHSS 必须齐心协力解决全球社会问题并促进更大的利益。”
What Dzau and colleagues neglect to mention is that many clinicians and educators in AHSS already know how to accomplish this task, principally by supporting robust primary carepractices, especially in medically underserved areas; transforming health professional education, following socially accountable principles; and embracing universal health care.
佐及其同事忽略的是，AHSS 的许多临床医生和教育工作者已经知道如何完成这项任务，主要是通过支持强大的初级保健实践，特别是在医疗服务不足的地区；遵循对社会负责的原则，转变卫生专业教育；并接受全民医疗保健。
What is needed to tackle these actions is will (a special combination of consciousness, inclination, desire, motivation, and resolve) across several dimensions: institutional will, prioritising the health-care needs of people living on the margins of society; professional will, inculcating social responsibility as a key principleof medical education and practice; personal will, nurturing social responsibility as a key value in work; economic will, resisting the medicalindustrial model that prioritises profit over compassionate health care; moral will, acknowledging local and global interdependency as a force for systemic change; imaginative will, adopting a person-centred, community-embedded, bio-psycho-eco-social-existential understanding of medicine; and political will, advocating for a collective response to communal needs.
应对这些行动需要的是跨越几个维度的意志（意识、倾向、愿望、动机和决心的特殊组合）：制度意志，优先考虑生活在社会边缘的人们的医疗保健需求；专业意志，灌输社会责任作为医学教育和实践的关键原则；个人意愿，培养社会责任作为工作的关键价值；经济意愿，抵制将利润优先于富有同情心的医疗保健的医疗工业模式；道德意愿，承认地方和全球相互依存是系统变革的力量；富有想象力的意志，采用以人为本、嵌入社区、生物-心理-生态-社会-存在主义的医学理解；和政治意愿，倡导集体应对公共需求。
To date, AHSS have focused on educating scientists and clinicians in isolation of societal needs. It is time that AHSS act on the above wills to fulfil their social contract, work towards a better society, and realise the greater good to which Dzau and colleagues aspire.
迄今为止，AHSS 一直专注于教育科学家和临床医生，使其脱离社会需求。AHSS 是时候按照上述意愿行事，履行他们的社会契约，为更美好的社会而努力，实现佐和同事所渴望的更大利益。