论回归患者的本然  

Return to the Patient's Nature

作　　者：孟烨湘 吕任婕 崔瑜 刘文硕 赵丽娟 燕娟[1] MENG Yexiang;LYU Renjie;CUI Yu;LIU Wenshuo;ZHAO Lijuan;YAN Juan(School of Humanities and Social Sciences,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学人文社会科学学院,山西太原030001

出　　处：《中国医学伦理学》2023年第9期952-959,共8页Chinese Medical Ethics

基　　金：山西省教育科学“十四五”规划2021年度课题“叙事医学视域下医学人文影视教育实践研究”(GH-21196);2021年度山西省研究生教育教学改革课题“叙事医学视域下医学人文影视教育实践研究”(2021YJJG113)。

摘　　要：医学本质上是一门人学,患者角色具有整体性和主体性的特征,随着科学技术的进步和社会发展,当前的患者角色出现了异化。从四个层面剖析患者角色异化的具体表现,有社会学意义上患者角色的客体化和患者边界的模糊化,技术意义上患者角色的物化和患者疾痛的指标化,法学意义上患者生命健康权的挑战和知情同意权的异化,经济学意义上患者角色的工具化和患者主体性的脆弱化。进而提出技术与人文相协调,回归患者的本然、关切患者的需要是现代医学发展的应有之义。Medicine is essentially an anthropology,and the patient role is characterized by integrity and subjectivity.With the progress of science and technology and social development,the contemporary patient role has become alienated.The specific manifestations of patient role alienation were analyzed from four aspects,including the objectification of the patient role and the blurring of the patient boundaries in sociology,the objectification of the patient role and the indexing of patients' pain in technology,the challenge of patient life and health rights and the alienation of informed consent rights in law,and the instrumentalization of patient role and the fragility of patient subjectivity in economics.This paper proposed that the coordination of technology and humanities,the return to the nature of patients,and the concern for the needs of patients are essential in the development of modern medicine.

关 键 词：医患关系 患者 整体性 主体性 异化 

分 类 号：R-052[医药卫生]