行为合宜性理论视角下的医患关系研究  

Study on the Doctor-patient Relationship from the Perspective of Appropriate Behavior Theory

作　　者：宋杨[1] 姜谷蓉 吴华章[1] SONG Yang;JIANG Gu-rong;WU Hua-zhang(School of Humanities and Social Science,China Medical University,Shenyang 110122,China)

机构地区：[1]中国医科大学人文社科学院,辽宁沈阳110122 [2]中国医科大学第一临床学院,辽宁沈阳110001

出　　处：《医学与哲学》2019年第1期61-65,共5页Medicine and Philosophy

基　　金：2011年中国卫生经济学会第十二批招标课题(CHEA1112100201);2017年辽宁省高等学校基本科研项目(LQNR201704;LZDR201701);2018年中国医科大学"哲学社会科学提升计划"一般项目(124/3110118079)

摘　　要：在《道德情操论》中,亚当·斯密提出了行为合宜性理论,从伦理学的角度分析了人类行为的关系。通过论述行为合宜性理论与医患关系,说明行为合宜性理论在医患关系中有较强的适用性,并提出了影响合宜行为的各种情感因素。分析了医患双方不合宜行为的表现及原因,其中包括来源于肉体上的情感不合宜性、来源于不同群体的情感不合宜性、来源于患方的情感不合宜性以及来源于医方的情感不合宜性。从个人行为决策的视角提出了构建和谐医患关系的建议,即医生应学会管理患者的期望值、医生需要有明确的人生目的以及医生需要树立正确的价值观及道德判断标准。In the theory of moral sentiments,Adam Smith put forward the theory of appropriate behavior and analyzed the relationship of human behavior from the perspective of ethics.By discussing the theory of appropriate behavior theory and doctor-patient relationship,this paper argued that the theory of appropriate behavior had strong applicability in doctor-patient relationship,and there were various emotional factors that influence the behavior.Furthermore,this paper analyzed the manifestations and causes of inappropriate behaviors of doctors and patients,including emotional inappropriateness derived from the body,emotional inappropriateness derived from different groups,emotional inappropriateness derived from patients and doctors.From the perspective of individual decision-making,this paper put forward the suggestion of constructing harmonious doctor-patient relationship,that is,doctors should learn to manage patients'expectations,doctors should have clear life goals,and doctors should set up correct values and moral judgment standards.

关 键 词：合宜性 医患关系 亚当·斯密 道德 

分 类 号：R-05[医药卫生]