论商谈理论视域下医患关系的改良

Reconstruction therelationshipof physician-patientby Discourse Ethics

医患关系并非是纯粹的契约关系,其还裹挟法律、伦理、价值等特殊因素。父子式的家长主义模式、平等式的消费主义模式以及医患信托模式并不能缓解当前日益紧张的医患关系。商谈理论注重医患间主体性的凸显,强调医患双方通过语言的真实性和真诚性,从而达到双方对病患认识及其诊疗方式的"重叠共识"。在商谈理论视域下,医患关系的改良应该集中于目的理性引领工具理性的商谈观的塑造、医患双方应采用有效语言进行沟通对话以及对医疗独白式方式的克服。

The relationship of physician-patient is not a purely contractual relationship. It also include special factors, such as law, ethics and value. The current model of dispose does not alleviate the current increasingly tense question. The Discourse Ethics pay attention to the highlight of subjectivity between patient and physician, empha- sizing both doctors through the authenticity of the language and sincerity which achieve the humorous relationship. It is important improving relationship of physician-patient that should focus on the concept of rational purpose, using language effectively communicate dialogue and overcoming the monologue communication.