解释水平理论视域下审看医患差异  

Viewing the Doctor-patient Differences from the Perspective of Construal Level Theory(CLT)

作　　者：孙鹤宇 姜欢[2] 尹梅[3] 

机构地区：[1]哈尔滨医科大学科技研发与产业处 [2]哈尔滨医科大学团委 [3]哈尔滨医科大学人文社会科学学院

出　　处：《医学与法学》2016年第6期1-6,共6页Medicine and Jurisprudence

基　　金：2014年度黑龙江省社科规划重点项目"医疗体制转型与我国医患关系变革研究"(项目编号:14A005);四川医事卫生法治研究中心立项资助项目"基于解释水平理论的医患认知和决策差异研究"(项目编号:YF15-Q02)的阶段性成果

摘　　要：就诊决策是医疗实务中医患沟通的重要内容,而认知是决策的前提。但现有相关研究主要集中在知情同意原则及其实践上,而解释水平理论近年在研究认知和决策上提出:心理距离与决策偏好存在相关性;不同的人、时间及背景信息情况下的认知和决策存在必然差异。本文在该理论视域下审看医患间的差异,及发现差异不可消除时通过及时转变思路、为医患关系注入正能量、审视知情同意实务现状等来减小差异所造成的负面影响。Medical treatment decision making is an important content of doctor-patient communication in medical practice, and cognition is the precondition of decision making. Construal level theory, as a rapid develop- ing psychology theory of cognition and decision in the recent years, puts forward the correlation between psycho- logical distance and decision preference. For different people, different time and different background, differences exist in cognition and decision making inevitably. This paper views the doctor-patient differences from the per- spective of Construal Level Theory （CLT）. When doctor-patient differences cannot be eliminated, we should change ideas in a timely manner, and reduce the negative impact caused by the difference by injecting positive energy to the doctor-patient relationship, and viewing the current situation of the practice of informed consent.

关 键 词：医患关系 解释水平理论 认知差异 

分 类 号：R-051[医药卫生] D922.16[政治法律—宪法学与行政法学]