阐释学理论对增进医患沟通的启示  

Implications of hermeneutic theory on improving doctor-patient communication

作　　者：刘云章 Liu Yunzhang(Department of Social Sciences, Hebei Medical University, Shijiazhuang 050017, China)

机构地区：[1]河北医科大学社会科学部,河北石家庄050017

出　　处：《临床荟萃》2022年第1期62-65,共4页Clinical Focus

基　　金：河北省社会科学基金项目——“医患命运共同体”的价值理念与治理路径研究(HB20SH011)。

摘　　要：医患沟通究其本质是医患双方就患者所患疾病与健康状况在医学认知、医疗能力及医疗价值取向等方面相互交流,弥合分歧,形成共识,并采取相应医疗对策的过程,期间需要医患双方对相关信息进行有效的阐释并接受。基于阐释学理论与原则,在沟通过程中,医患相互尊重对疾病与医学的认知“前理解”是进行医患沟通的前提,正视并理性对待医疗过程中的现实差异是进行医患沟通的基础,努力达成“视域融合”是进行医患沟通的关键。Doctor-patient communication,in its essence,is a process in which doctors and patients communicate with each other in terms of medical cognition,medical ability and medical values,bridge the differences,form consensus,and adopt corresponding medical treatments.Effective interpretation and acceptance of relevant information are necessary in doctor-patient communication.Based on hermeneutic theories and principles,doctor and patient's mutual respect and“pre-understanding”cognition of disease and medicine is the prerequisite for doctor-patient communication in this process.Reasonable viewing and rational treating of the actual differences in the medical process is the basis for doctor-patient communication.Striving to achieve“fusion of horizons”is the key to doctor-patient communication.

关 键 词：医生病人关系 阐释学 医患沟通 视域融合 

分 类 号：R192.3[医药卫生—卫生事业管理]