新医学模式下的医患合作式决策诊疗辨析

Analysis on Shared Decision Making of Diagnosis and Treatment under New Medical Model

在新医学模式下的医疗服务领域中,对医患合作式决策模式仍存在着一定争议,其焦点在于医疗的决策权由谁来主导的问题。实际上,这个问题本身就是问题,单纯强调任何一方都是片面的,是从一个极端走向另一个极端,其结果是没有结果。医患合作模式涉及的重点不是技术问题,而是人文问题。医学模式决定着服务方式的形态,医患合作模式探讨的不是医疗决策权的归属问题,而是如何将两者有机结合在一起。其中,理念转变是转型的关键,信任是医患合作的基础,语言是医患协调的桥梁,道德是模式运行的核心。

In the medical service system of new medical model ,there are still some disputes on shared decision model by doctor and patient ,which focus on the question of who dominates the medical decision‐making authority .In fact ,this problem itself is a problem .Simply emphasizing on any one party is one‐sided thinking ,and is from one extreme to the other extreme .The result will be without any results .The key point involving shared mode is not a technical problem ,but human problems .Medical model determines the medical service form .The discussion on the cooperation mode is not the ownership of medical decision making ,but how to combining the two together .The key to the transformation is the change of ideas .Trust is the foundation of the cooperation of doctors and patients .Language is a bridge of doctor‐patient coordination and morality is the core of program running .