“健康中国2030”背景下和谐医患关系的提升路径——叙事医学对不合理医疗的纠偏  

Improving path of harmonious doctor⁃patient relationship in the context of“Healthy China 2030”:correction of irrational medical treatment by narrative medicine

作　　者：赵婷 骆庆萍 郭莉萍 ZHAO Ting;LUO Qingping;GUO Liping(School of Humanities and Social Sciences,Center for Narrative Medicine Research,Guangxi Medical University,Nanning 530021,Guangxi,China;School of Medical Humanities,Peking University,Center for Narrative Medicine Research,Peking University Health Science Center,Beijing 100191,China)

机构地区：[1]广西医科大学人文社会科学学院、广西医科大学叙事医学研究中心,广西南宁市530021 [2]北京大学医学人文学院、北京大学医学部叙事医学研究中心,北京市100191

出　　处：《广西医学》2024年第9期1293-1299,共7页Guangxi Medical Journal

基　　金：广西高等学校千名中青年骨干教师培育计划人文社会科学类立项课题(2023QGRW014)。

摘　　要：叙事医学是叙事学、文学与现代医学的交叉学科,提倡通过细读文学作品、撰写平行病历等方式来培养医务人员倾听、解释和回应故事的能力,从而促使医学人文真正走入临床实践。不合理医疗包括医疗过度与医疗不足,其原因可纳入知识、经济和关系3个领域。本文主要总结叙事医学在知识、经济和关系3个领域中对不合理医疗的纠偏作用,即在知识领域形成对循证医学的补充作用、在经济领域对医疗消费主义的修正作用、在关系领域对医患共同体的重塑作用,并探索在新形势下叙事医学如何赋能医院管理及构建和谐医患关系,从而为促进医院高质量发展提供新的思路。Narrative medicine is an interdisciplinary subject of narratology,literature and modern medicine,it advocates methods such as perusing literary works and writing parallel medical records to cultivate the abilities of medical personnel to listen,interpret and respond to stories,so as to promote medical humanities actually into clinical practice.Irrational medical treatment includes over medical treatment and inadequate medical treatment,and its causes can be divided into three domains:knowledge,economy and relationship.This paper mainly summarizes the role of narrative medicine in correcting irrational medical treatment in three fields of knowledge,economy and relationship,namely,to complement evidence-based medicine in the knowledge field,to revise medical consumerism in the economic field,and to reshape the doctor-patient community in the relationship field.It also explores how narrative medicine can empower hospital management and how to build a harmonious doctor-patient relationship in the new situation,so as to provide novel ideas for promoting high-quality development of hospitals.

关 键 词：叙事医学 不合理医疗 知识领域 经济领域 关系领域 医患关系 医院管理 

分 类 号：R-052[医药卫生]