患者与医生的关系. 叙事医学:一种同情,反思,专业和信任的模式
1Division of General Medicine, College of Physicians and Surgeons of Columbia University, PH 9-East, Room 105, 630 W 168th St, New York, NY 10032, USA. rac5@columbia.edu
JAMA
|October 26, 2001
概括
叙事医学通过培养医生来增强医疗保健.
科学领域:
- 医学人文学科 医学人文学科
- 定性研究是指质量研究.
- 卫生社会学 卫生社会学
背景情况:
- 有效的医疗实践需要叙事能力.
- 叙事能力包括理解和响应患者的故事.
- 当前的医疗模型可能缺乏足够的关注叙事方面.
研究的目的:
- 提出叙事医学作为人道和有效实践的模式.
- 检查医学中的关键叙事情况.
- 探索叙事能力如何改善医生和患者之间的关系以及更广泛的医疗保健互动.
主要方法:
- 使用诸如仔细阅读文学等方法.
- 使用反思性的写作技巧.
- 分析叙事情境,包括医生-病人,医生-自己,医生-同事和医生-社会动态.
主要成果:
- 具有叙事能力的医生可以在疾病期间更好地与患者建立联系.
- 它使医生能够理解他们的个人和职业旅程.
- 它促进了与同事和社会改善的关系.
结论:
- 叙事医学在医生,患者,他们自己,同事和社会之间架起了桥梁.
- 它提供了更多尊重,同情和滋养医疗护理的机会.
- 发展叙事能力对于提高医疗保健提供质量至关重要.
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