CAJ | 학술논문

在新医学模式下的医疗服务领域中，对医患合作式决策模式仍存在着一定争议，其焦点在于医疗的决策权由谁来主导的问题。实际上，这个问题本身就是问题，单纯强调任何一方都是片面的，是从一个极端走向另一个极端，其结果是没有结果。医患合作模式涉及的重点不是技术问题，而是人文问题。医学模式决定着服务方式的形态，医患合作模式探讨的不是医疗决策权的归属问题，而是如何将两者有机结合在一起。其中，理念转变是转型的关键，信任是医患合作的基础，语言是医患协调的桥梁，道德是模式运行的核心。
재신의학모식하적의료복무영역중，대의환합작식결책모식잉존재착일정쟁의，기초점재우의료적결책권유수래주도적문제。실제상，저개문제본신취시문제，단순강조임하일방도시편면적，시종일개겁단주향령일개겁단，기결과시몰유결과。의환합작모식섭급적중점불시기술문제，이시인문문제。의학모식결정착복무방식적형태，의환합작모식탐토적불시의료결책권적귀속문제，이시여하장량자유궤결합재일기。기중，이념전변시전형적관건，신임시의환합작적기출，어언시의환협조적교량，도덕시모식운행적핵심。
In the medical service system of new medical model ,there are still some disputes on shared decision model by doctor and patient ,which focus on the question of who dominates the medical decision‐making authority .In fact ,this problem itself is a problem .Simply emphasizing on any one party is one‐sided thinking ,and is from one extreme to the other extreme .The result will be without any results .The key point involving shared mode is not a technical problem ,but human problems .Medical model determines the medical service form .The discussion on the cooperation mode is not the ownership of medical decision making ,but how to combining the two together .The key to the transformation is the change of ideas .Trust is the foundation of the cooperation of doctors and patients .Language is a bridge of doctor‐patient coordination and morality is the core of program running .