社会医学化影响下医患关系的转变  

The Transformation of Doctor-patient Relationship under the Influence of Social Medicalization

作　　者：晏英[1] YAN Ying(School of Political and Public Administration,Shanxi University,Taiyuan 030006,China)

机构地区：[1]山西大学政治与公共管理学院,山西太原030006

出　　处：《医学与哲学》2024年第3期43-48,共6页Medicine and Philosophy

基　　金：2022年四川医事卫生法治研究中心-中国卫生法学会联合项目(YF22-Y02)。

摘　　要：社会医学化主要体现在两个领域,一是身体的医学化,带来各种身体配件修复术;二是生活的医学化,导致大量“疾病制贩”。身体的医学化将原本的社会问题病理化、个人责任化,而健康问题的个人责任化又促进了身体的解家庭化。“疾病制贩”运动将有可能导致社会进入“无人健康、人人有病”的境地。对于社会医学化现象,在防止过度医学化的同时,应该改变“物化”的医患关系,把家长制医疗模式转变成民主制医疗模式:一是要适应权力向患者转移的趋势,二是要构建医患间平等关系,三是要满足患者情感慰藉的需要。The medicalization of society is primarily manifested in two domains:the medicalization of the body,which brings various bodily repair procedures,and the medicalization of life,resulting in the proliferation of"disease mongering".The medicalization of the body pathologizes and individualizes social problems,while the individualization of health issues further promotes the de-familialization of the body.The"disease mongering"movement may lead to a situation where society enters a state of"eventually every well person would be labeled sick".In response to the phenomenon of the medicalization of society,while preventing excessive medicalization,the"commodification"of the doctor-patient relationship should be prevented.This involves shifting from a paternalistic medical model into a democratic medical model,adapting to the trend of transferring power to patients,establishing equal doctor-patient relationships,and addressing the emotional needs of patients.

关 键 词：社会医学化 身体配件修复术 疾病制贩 家长制医疗模式 民主制医疗模式 

分 类 号：R-05[医药卫生]