医学健康领域的人文范式转变  

The Transformation of Humanistic Paradigm in the Field of Medical Health

作　　者：段志光 DUAN Zhi-guang(Health Humanity Research Center,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学健康人文研究中心,山西太原030001 [2]山西中医药大学医学/健康人文研究中心,山西太原030024

出　　处：《医学与哲学》2023年第11期1-6,共6页Medicine and Philosophy

基　　金：2021年教育部首批新文科科研与改革项目(2021020012)。

摘　　要：随着社会发展,医学经历了“以疾病为中心”、向“以患者为中心”、再向“以健康为中心”的转向,在这个过程中,医学人文既成为常规科学,又出现越来越多的反常,狭义的健康人文问世不久即面临局限性的约束,健康的社会决定因素和健康融入万策呼唤着大健康人文的到来。全球和我国健康治理的理论与现实需求,都提示在全球健康和国家健康的人文治理中,人文范式不仅面临着医学人文向健康人文、再向大健康人文的转变,也因范式的可通约性使得三者可以成为并存的一组范式,还意味着库恩的不可通约性只限于自然科学。With the development of society,medicine has experienced a shift from"disease-centered"to"patient-centered",and then to"health-centered".In this process,medical humanities have become both a conventional science and a growing anomaly.Soon after the introduction of health humanities in a narrow sense,it faces the constraints of limitations.The social determinants of health and the integration of health into all policies call for the arrival of one health humanities.The theoretical and practical needs of global and national health governance suggest that in the humanistic governance of global and national health,the humanistic paradigm is not only facing the transformation from medical humanities to health humanities and then to one health humanities,the incommensurability of the paradigm also allows the three to become a set of paradigms that can coexist,which also means that Kuhn's incommensurability is limited to the natural sciences.

关 键 词：医学 健康 医学人文 健康人文 大健康人文 范式 

分 类 号：R-02[医药卫生]