从医师视角构建主体间性原则在医患沟通中运用

doi:10.3969/j.issn.1004-583X.2021.07.012

临床荟萃 ›› 2021, Vol. 36 ›› Issue (7): 632-636.doi: 10.3969/j.issn.1004-583X.2021.07.012

从医师视角构建主体间性原则在医患沟通中运用

刘云章^a(), 丁之光^a, 崔章国^a, 杨金涛^b

a.河北医科大学社会科学部,河北石家庄 050017
b.河北医科大学研究生学院,河北石家庄 050017

收稿日期:2021-06-24 出版日期:2021-07-20 发布日期:2021-08-02
通讯作者: 刘云章 E-mail:liuyz2712@sina.com
基金资助:
河北省社会科学基金项目——“医患命运共同体”的价值理念与治理路径研究(HB20SH011)

Application of the principle of inter-subjectivity in doctor-patient communication from doctor's perspective

Liu Yunzhang^a(), Ding Zhiguang^a, Cui Zhangguo^a, Yang Jintao^b

a. Department of Social Sciences, Hebei Medical University, Shijiazhuang 050017, China
b. Graduate School, Hebei Medical University, Shijiazhuang 050017, China

Received:2021-06-24 Online:2021-07-20 Published:2021-08-02
Contact: Liu Yunzhang E-mail:liuyz2712@sina.com

摘要/Abstract

摘要：

医患沟通实质上是医患双方在主体性展开基础上形成主体间性的过程,主体间性补充、丰富与发展了主体性,并维系着医患关系的存在与发展。基于医师视角,医患沟通过程中的主体间性集中体现在三个层面,即疾病认知上患者疾病感受与医师检测结果之间的主体间性、医疗决策上患者生活视角与医师知识视角之间的主体间性、满意度评价上患者评价与医师评价之间的主体间性。医患遵循共同价值目标,秉持主体间性原则,通过有效沟通达成主体间性,构建医患命运共同体。

关键词: 主体间性, 医患沟通, 医患命运共同体

Abstract:

The essence of doctor-patient communication is the process of forming intersubjectivity on the basis of the development of subjectivity, replenishing intersubjectivity, enriching and developing subjectivity, and it maintains the existence and development of doctor-patient relationship. Based on the doctor's perspective, the intersubjectivity in the process of doctor-patient communication is mainly reflected in three levels, namely, the intersubjectivity between the patient's disease perception and the doctor's test results in the aspect of disease cognition, the intersubjectivity between the patient's life perspective and the doctor's knowledge perspective in the aspect of medical decision-making, and the intersubjectivity between the patient's evaluation and the doctor's evaluation in the aspect of satisfaction evaluation. Doctors and patients should follow the common value goal, adhere to the principle of intersubjectivity, achieve intersubjectivity through effective communication, and build doctor-patient fate community.

Key words: intersubjectivity, doctor-patient communication, doctor-patient fate community

中图分类号:

R197.3

刘云章, 丁之光, 崔章国, 杨金涛. 从医师视角构建主体间性原则在医患沟通中运用[J]. 临床荟萃, 2021, 36(7): 632-636.

Liu Yunzhang, Ding Zhiguang, Cui Zhangguo, Yang Jintao. Application of the principle of inter-subjectivity in doctor-patient communication from doctor's perspective[J]. Clinical Focus, 2021, 36(7): 632-636.

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https://huicui.hebmu.edu.cn/CN/Y2021/V36/I7/632

参考文献 13

[1]	唐金陵, 韩启德. 对现代医学的几点反思[J]. 医学与哲学, 2019,40(1):2.
[2]	刘虹. 论患者感受[J]. 医学与哲学, 2017,38(8):6-7.
[3]	吴家睿. 临床指南在精确医学时代面临的挑战[J]. 医学与哲学, 2020, 42(3):6-9; 李建国, 郭慧, 宋津晓. 临床指南的选择与患者的个体化医疗 [J]. 医学与哲学, 2021,42(2):1-5.
[4]	[美]图姆斯. 病患的意义[M].邱鸿钟, 陈蓉霞, 李剑等译. 青岛: 青岛出版社, 2000: 3.
[5]	杜治政. 临床判断: 基于病人的真实世界[J]. 医学与哲学, 2017,38(8):5.
[6]	[美]卡伦. 叙事医学:尊重疾病的故事[M].郭莉萍, 主译. 北京: 北京大学出版社, 2015: 35.
[7]	薛史地夫编著. 整合医学与康复[M].王一珂, 译. 北京: 中医古籍出版社, 2018: 47.
[8]	[美]黛博拉. 乐普顿著. 医学的文化研究:疾病与身体[M].苏静静, 主译. 北京: 北京大学医学出版社, 2016: 125.
[9]	[美]约翰. 伯纳姆. 什么是医学史[M].颜宜葳, 译. 北京: 北京大学出版社, 2010: 37.
[10]	冯磊. 知识图景VS.生活世界:关系空间内的医患沟通及其启示[J]. 医学与哲学, 2018,39(2):2.
[11]	国务院办公厅关于加强三级公立医院绩效考核工作的意见[Z]. 国办发〔2019〕4号.
[12]	何权瀛. 现代医学的有限与无奈[J]. 医学与哲学, 2002,23(1):9.
[13]	[美]阿图. 葛文德著. 医生的修炼——在不完美中探索行医的真相[M].欧冶, 译. 杭州: 浙江人民出版社, 2015: 3.

从医师视角构建主体间性原则在医患沟通中运用

Application of the principle of inter-subjectivity in doctor-patient communication from doctor's perspective

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