基于叙事的医患视域差异融合的机制探讨

The Mechanism of the Fusion of Doctors and Patients’ Horizon-difference Based on Narrative Medicine

医患视域差异是当前造成医疗纠纷频发的主要原因之一,医患知识结构差异、疾病认识差异以及对病痛感知差异是医患视域差异的主要表现。作为医学与人文结合的临床诊疗模式,叙事医学目前在我国已广泛应用并取得了一定成效,具备叙事能力的医生能够通过对话和共情帮助患者找寻疾痛的意义,架起医患间沟通的桥梁。叙事医学可以弥合技术与人性的鸿沟,是实现医患视域差异融合的有效途径,对改善当前紧张的医患关系,促进医患和谐具有重要意义。

The horizon difference between doctors and patients is one of the main causes of frequent medical disputes. Differences in knowledge structure and disease perception, differences in perception of pain, and differences in communication are the main causes of horizon differences between doctors and patients. As a clinical diagnosis and treatment model combining medicine and humanities, narrative medicine has been widely used in China and has gained certain achievements. Doctors with narrative ability can help patients find the meaning of pain through dialogue and empathy, thus establishing a bridge between doctors and patients. Narrative medicine can bridge the gap between technology and human nature, and is an effective way to achieve the fusion of doctors and patients' horizons. It is of great significance to improve the current tense doctor-patient relationship and promote the harmony between doctors and patients.