医患共享决策的理论建构与临床应用  

Theoretical Construction and Clinical Application of Doctor-patient Shared Decision-making

作　　者：张振煦 ZHANG Zhenxu(Fuding No.6 Middle School of Fujian,Ningde 355200,China)

机构地区：[1]福鼎市第六中学,福建宁德355200

出　　处：《中国医学伦理学》2023年第7期754-759,共6页Chinese Medical Ethics

基　　金：福建省教育科学规划课题“大单元视角下思政课议题式教学设计与实施研究”(Fjjgzx21-268)。

摘　　要：在对医患共享决策相关文献梳理反思的基础上,从理论层面提出了探讨共享决策伦理基础的必要性,并尝试分析以亚里士多德“友爱”思想作为此伦理基础的适宜性。在实践层面,从罗波尔的技术伦理思想出发,建议建立共享决策责任分担体系,为共享决策的临床应用提出方法论的指引。On the basis of combing and reflecting on the literature related to doctor-patient shared decision-making,this paper proposed the necessity of discussing the ethical basis of shared decision-making from a theoretical perspective,and attempted to analyze the suitability of Aristotle's friendship ideology as its ethics basis.At the practical level,starting from Ropohl's technical ethics,it was recommended to establish a shared decision-making responsibility sharing system,providing methodological guidelines for the clinical application of shared decision-making.

关 键 词：医患关系 共享决策 医疗改革 亚里士多德“友爱”思想 罗波尔技术伦理思想 

分 类 号：R-052[医药卫生]