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|本期目录/Table of Contents|

医疗风险观念的文化浅析及其对医患沟通的启示

《医学争鸣》[ISSN:1000-2790/CN:61-1060/R]

期数:
2018年03期
页码:
51-54
栏目:
观点与视角
出版日期:
2018-06-30

文章信息/Info

Title:
A cultural analysis of medical risk perception and its inspiration for physician-patient communication
作者:
朱 玉1胡 俊2
1同济大学医学院,上海 200092; 2莞南医学院附属弋砚山医院,安徽 芜湖 241000
Author(s):
ZHU Yu1 HU Jun2
1School of Medicine, Tongji University, Shanghai 200092, China; 2Blood Purification Center, First Affiliated Hospital, Wannan Medical College, Wuhu 241000, China
关键词:
医疗风险医学本质医疗纠纷
Keywords:
medical risk essence of medicine medical disputes
分类号:
R197
DOI:
10.13276/j.issn.1674-8913.2018.03.016
文献标识码:
A
摘要:
研究表明,在东西方都存在大量的医疗纠纷,但其严重程度有着明显的差异。西医,作为登录中国 最早的科学技术之一,给中国带来了强烈的文化碰撞,这也许是医疗纠纷席卷东方多年的原因。本文因此以医疗 纠纷为出发点,探讨东西方文化价值观的显著差异。本文从风险观念的来源出发,比较了中西医界对医疗风险概 念的分歧,分析了医疗的两面性,以求对医学有深刻本质的理解,从全球角度提出医疗纠纷的观点。因此我们需 要专门为医生和患者建立一个讨论问题、辩论矛盾和解释原因的网络社区。随后新的医生和患者将会学习如何相 处的经验,这样他们在见面前就可以了解对方。这个想法的灵感来自IBCT,即整合行为的夫妇疗法,如果我们能 放弃改变别人的念头,理想的行为似乎是自然发生的,从而建立一个更亲密的和令人满意的关系。类似于暴露疗 法:双方提前对后续冲突脱敏,所以一旦矛盾发生,它可能成为一个策略性的、可协商的问题而避免过多第三方 的介入。
Abstract:
Many researches show that whether in the east or west there are numerous medical disputes, but the severity is very different. Western medicine, as one of the earliest scientific technology that logged in China, brought the violent collision of east and west cultures, which may give the reason why the medical dispute has widely swept over the east land for years. This article, with the medical dispute as the starting point, discussed the remarkable different cultural values between the east and west. Based on the source of risk perception, this article compared Chinese and western divergence in the perception of medical risk and analyzed the two sides of the medical treatment in order to obtain the deep understanding of the medical essence, and offered a view on medical dispute from a global perspective. We need to establish a webcommunity especially for doctors and patients to talk about problems, debate contradiction and explain why. The following new patients and doctors will learn experiences on how to get along, thus they may know each other before meeting. This idea is inspired by IBCT, that is, the integrative behavioral couple therapy. If we can give up wishes to change the others, the ideal behavior seems to occur naturally, so as to establish a more intimate and satisfactory relationship. It is similar to exposure therapy: both sides are allowed to be desensitized to subsequent conflict, so once it happens, it’s a negotiable issue with more acquired strategies and less third party intervention.

参考文献/References

[1] 宋书杰,郭长升,张立新. 非医疗过失性医疗纠纷产生 的原因及对策[J]. 实用医药杂志, 2012, 29(1):91-92.
[2] 国务院. 医疗事故处理条例[Z]. 2015.
[3] 方 洁. 中国侵权法免责事由的完善——从美国侵权法 自愿承担风险原则角度[J]. 法制博览, 2015(19):120-121.
[4] 黄立嵘. 论美国侵权法“行为人自担风险”规则——兼 论我国侵权责任原则的完善[J]. 中国社会科学院研究生 院学报, 2014(6):81-85.
[5] Baldini M. Epistemiology of Karl R. Popper and the history of science[J]. Med Secoli, 1974, 11(2):155-176.
[6] Hecht A. The contribution of modern biology to a better understanding of disease[J]. Wien Med Wochenschr, 1991, 141(11):252-256.
[7] 范 贞,张云林,韩学军, 等. 北京市、山西省、英 国和德国医疗纠纷发生水平比较[J]. 中国医院, 2012, 16(12):2-3.
[8] 卢光明, 范 贞, 张云林, 等. 德国医疗纠纷非诉讼解决 机制[J]. 中国医院, 2012, 12(16):7-9.
[9] Crisler WJ. 2010 Humanism in medicine essay contest: first place: bricks of indifference[J]. Acad Med, 2010, 85(12):1872-1873.
[10] Kumagai AK. A conceptual framework for the use of illness narratives in medical education[J]. Acad Med, 2008, 83(7):653-658.
[11] Gurman AS. Behavioral couple therapy: building a secure base for therapeutic integration[J]. Fam Process, 2013, 52(1):115-138.
[12] Ersoy Callioglu E, Tuzuner A, Demirci S, et al. The effect of inlay butterfly cartilage tympanoplasty technique on compliance[J]. Acta Otolaryngol, 2016, 136(7):669-672.
[13] Baucom BR, Shenqe E, Christensen A, et al. Behaviorallybased couple therapies reduce emotional arousal during couple conflict[J]. Behav Res Ther, 2015, 72:49-55.
[14] Baucom KJ, Baucom BR, Christensen A. Changes in dyadic communication during and after integrative and traditional behavioral couple therapy[J]. Behav Res Ther, 2015, 65:18-28.
[15] Christensen A, Atkins DC, Yi J, et al. Couple and individual adjustment for 2 years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy[J]. J Consult Clin Psychol, 2006, 74(6):1180-1191.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81670623);芜湖市科技局科技惠民项目计划(2014hm29);莞南医学院重点科技项目培育基金 (K2016ZF05);弋砚山医院引进人才科研基金(YR201303) 通信作者:胡 俊。Tel:15255368108,E-mail:917871468@qq.com 作者简介:朱 玉。硕士生(导师庄守纲)。研究方向:肾脏病学。Tel:13918083628,E-mail:306507779@qq.com
更新日期/Last Update: 2018-06-30