摘要
通过叙事医学的三要素:关注、再现和归属来分析一医疗纠纷调解事例,阐述叙事医学技能对医疗纠纷解决所产生的显著影响。这三个要素表现在医疗纠纷调解中,就是要不预设立场地全盘接纳患者诉求,引导双方将诊疗过程和事件叙事化以及修复受损的医患关系。在目前的医疗纠纷解决中,正是由于这三个要素的缺失,所谓的纠纷"解决"也只能是息事宁人,受损的医患关系没有修复,调解的中立性也因此深受影响。
This paper analyzed a medical dispute mediation case through three main elements of narrative medicine including attention, representation, and affiliation. It discussed the significant impact of narrative medical skills on medical dispute resolution. The three elements reflected in the mediation of medical disputes are to adopt patients' all requests without preset positions, guide both sides to narrative the treatment process, and remedy the impaired doctor - patient relationship. In the process of current medical dispute mediation, the resolution of medical disputes keeps at a superficial level, causes the incomplete restoration of impaired doctor - patient relationship, and therefore influences the neutrality of mediation, just because of the lack of those three elements.
作者
晏英
YAN Ying(School of Politics and Public Administration, Shanxi University, Taiyuan 030006, Chin)
出处
《中国医学伦理学》
2017年第9期1080-1084,共5页
Chinese Medical Ethics
基金
2016年度山西省哲学社会科学规划课题"建立院内促进式医疗纠纷调解模式研究--以山西大医院为例"(项目编号:2016054015)
2016年度四川医事卫生法治研究中心课题"促进式调解模式下医院内医疗纠纷调解程序的构建--以广东省第二人民医院为例"(项目编号:YF16-Y12)
山西大学第十五期本科生科研训练计划资助项目的阶段性成果
关键词
叙事医学
医疗纠纷
关注
再现
归属
Narrative Medicine
Medical Disputes
Attention
Representation
Affiliation