现代中医临床
現代中醫臨床
현대중의림상
Journal of Beijing University of Traditional Chinese Medicine (Clinical Medicine)
2015年
1期
1-4
,共4页
王永炎%商洪才%牟玮%王燕平
王永炎%商洪纔%牟瑋%王燕平
왕영염%상홍재%모위%왕연평
中医药%医改%叙事医学
中醫藥%醫改%敘事醫學
중의약%의개%서사의학
Chinese medicine%medical reform%narrative medicine
从中国式新医改面临窘境的根结所在,即“人文与道德观的缺失”入手,论述了和谐的医患关系需要既加强患者的医学人文教育,又要提升医生的人为关怀,从而形成医患双方的道德共同体;并对晚近形成的叙事医学做了详尽的论述,提出叙事医学与循证医学不可偏废,共同促进医学与人文发展,这也是解决医改难题的关键所在。
從中國式新醫改麵臨窘境的根結所在,即“人文與道德觀的缺失”入手,論述瞭和諧的醫患關繫需要既加彊患者的醫學人文教育,又要提升醫生的人為關懷,從而形成醫患雙方的道德共同體;併對晚近形成的敘事醫學做瞭詳儘的論述,提齣敘事醫學與循證醫學不可偏廢,共同促進醫學與人文髮展,這也是解決醫改難題的關鍵所在。
종중국식신의개면림군경적근결소재,즉“인문여도덕관적결실”입수,논술료화해적의환관계수요기가강환자적의학인문교육,우요제승의생적인위관부,종이형성의환쌍방적도덕공동체;병대만근형성적서사의학주료상진적논술,제출서사의학여순증의학불가편폐,공동촉진의학여인문발전,저야시해결의개난제적관건소재。
The new medical care reform in China now faces tough chanllenges, and it is believed renewed emphasis on and respect for medical hunmanities and morality could make a breakthrough. In this study, the authors argue for patient and doctor to develop a harmonious relationship and form a moral community, the paitens need to receive education in medical humanities and the doctors need to learn the art of healing. Besides, the concept of narrative medicine is introduced and elaborated. It is proposed narrative-based medicine and evidence-based medicine should be developed shoulder-by-shoulder, while keeping a balance between the promotion of medical humanities and advancements in medical science. This could help solve the dilima of the current medical reform in China.