CAJ | 학술논문

一个好的医学模式的最终目的就是能使患者得到最佳的治疗。但是在临床医疗活动中的各种因素中，人们往往忽视了一个重要因素，那就是医疗秩序。广义而言，医疗秩序涉及到在医疗过程中谁是医疗决策的主体，谁又是客体，这种关系的稳定性如何，而这种关系是否能够得到主客体的认可，以及社会舆论、媒体甚至法律的认可等等问题。在不同的医学模式中，医疗秩序的核心内容是不同的。分析一种医学模式的优劣，可以从分析其所形成的医疗秩序的利弊开始。本文分析了生物医学模式，生物心理社会医学模式，以及最近有人提出的所谓“以病人为中心的新型医疗服务模式”，强调了以医生作为医疗决策主体的医疗秩序的重要性，指出只有这样的稳定的医疗秩序才能为患者提供有效的治疗。
일개호적의학모식적최종목적취시능사환자득도최가적치료。단시재림상의료활동중적각충인소중，인문왕왕홀시료일개중요인소，나취시의료질서。엄의이언，의료질서섭급도재의료과정중수시의료결책적주체，수우시객체，저충관계적은정성여하，이저충관계시부능구득도주객체적인가，이급사회여론、매체심지법률적인가등등문제。재불동적의학모식중，의료질서적핵심내용시불동적。분석일충의학모식적우렬，가이종분석기소형성적의료질서적리폐개시。본문분석료생물의학모식，생물심리사회의학모식，이급최근유인제출적소위“이병인위중심적신형의료복무모식”，강조료이의생작위의료결책주체적의료질서적중요성，지출지유저양적은정적의료질서재능위환자제공유효적치료。
The ultimate purpose of a good medical model is to offer the patients the best treatment .But in the various factors of the clinical medical activities ,medical order is the most important one which is often ignored by most of the people .In broad terms ,it refers to many issues in the medical process ,such as w ho is the subject of the medical decision and who is the object?How is the stability of the relationship of both sides?Could it be accepted by the both sides and public opinion ,or even by law ?In different medical models ,the core contents of medical order are different .Judgement of one medical model which is superior or not could be made by the analysis of the pros and cons of its medical order .And so , the biomedical model ,bio‐psycho‐social medical model and the newly proposed idea of the new patient‐centered medical serving model are discussed in this article which emphasizes the importance of the medical order of which the doctors act as subject of the medical decision .The author also points out that only by this stable medical order could we provide an effective treatment to the patients .