中国叙事医学语境下深度人性化医疗与人机价值共生的实现  

Realization of deeply humanized medicine and human-machine value symbiosis in the context of Chinese narrative medicine

作　　者：杨晓霖 李钊 张广清 施培瑶 YANG Xiaolin;LI Zhao;ZHANG Guangqing;SHI Peiyao(Narrative Medicine Research Center,Shunde Hospital of Southern Medical University,Foshan 528000,China;Department of General Education,Southern Medical University,Guangzhou 510515,China;Department of Development and Operation,Shunde Hospital of Southern Medical University,Foshan 528000,China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Southern University of Science and Technology Yantian Hospital,Shenzhen 518081,China)

机构地区：[1]南方医科大学顺德医院叙事医学研究中心,广东佛山528000 [2]南方医科大学通识教育部,广东广州510515 [3]南方医科大学顺德医院发展运营部,广东佛山528000 [4]南方医科大学南方医院,广东广州510515 [5]南方科技大学盐田医院,广东深圳518081

出　　处：《中国医学伦理学》2024年第9期1073-1079,共7页Chinese Medical Ethics

基　　金：2021年度国家社科后期资助项目“生命健康与叙事生态研究”(21FSHB007);2021年广东省研究生教育创新计划项目“新时代研究生党支部建设的创新机制研究”(2021JGXM023)。

摘　　要：随着人工智能的发展,人工智能伦理已成为各界讨论和研究的核心议题之一。从人工智能在医学应用过程中可能触发的伦理问题和人性危机出发,论述叙事医学所倡导的医患人际叙事连接的重要性,提出为了保证人工智能应用的伦理性、深度人性和深度情感连接,人工智能在基础数据库建模过程中,应在“人体生命数据库”的基础上创建“生命叙事库”。同时,也揭示中国叙事医学在助力医者职业叙事能力提升,实现深度人性化医疗的同时,积极促进人机价值共生,为人工智能的深度人性化贡献叙事力量。将中国叙事医学理念与未来医学人工智能的开发与应用前景结合起来,一方面旨在唤起更多人对人际叙事连接和叙事性数据对于医疗质量重要性的关注;另一方面呼吁为了更好地实现大健康所注重的生命伦理和人文价值,无论是真人医生,还是未来人工智能医生都应该积极培养临床叙事思维。With the development of artificial intelligence(AI),AI ethics has become one of the core topics of discussion and research.Starting from the ethical issues and human crises that may be triggered by AI in the process of medical application,this paper discussed the significance of the interpersonal narrative connection between doctors and patients advocated by narrative medicine.It was proposed that to ensure the ethicality,deep humanity,and deep emotional connection of AI applications,AI should create a“life narrative database”based on the“human life database”in the process of basic database modelling.Meanwhile,it also revealed that Chinese narrative medicine helped to improve the professional narrative ability of medical doctors and realise deeply humanized medicine,while actively promoting human-machine value symbiosis and contributing narrative power to the deep humanisation of AI.Combining the concept of narrative medicine in China with the future development and application prospects of medical AI,on the one hand,aims to raise awareness among more people about the importance of interpersonal narrative connection and narrative data for medical quality,on the other hand,calls for active cultivation of clinical narrative thinking by both real doctors and future intelligent doctors to better realize the bioethical and humanistic values emphasized by big health.

关 键 词：中国叙事医学 深度人性化医疗 人机价值共生 

分 类 号：R-05[医药卫生]