基于医话类文献的清代医患关系模式探究

Discussion on Doctor-patient Relationship Mode Based on Medical Records in Qing Dynasty

探究清代医患关系模式,为当今医患矛盾缓解提供参考。基于清代医话类文献,构建医患关系分类评价方法,包括三个要素及若干评价等级,每一则纳入的医话均用三个要素联合评价。患者对医者的信任度及其二者间私交好坏是影响医患关系的重要因素,且信任度呈动态特点。清代医患关系模式分为亲友型、普通型和特殊型。亲友型分为医患双方本是亲戚、朋友及经过治疗转变为朋友;普通型分为信任度高和信任度低;特殊型分为信任度提高和信任度降低。

This paper is to explore the mode of doctor-patient relationship in Qing Dynasty, so as to provide reference for the alleviation of doctor-patient contradiction. Based on medical records in Qing Dynasty, this study constructs a classification and evaluation method of doctor-patient relationship, which includes three elements and several evaluation grades. Each of the included medical records is evaluated jointly by three elements. It found that patients' trust in doctors and their interpersonal relationship were important factors affecting doctor-patient relationship, and the degree of trust was dynamic. The mode of doctor-patient relationship in Qing Dynasty was divided into relative-friend mode, common mode and special mode. Relative-friend mode can be divided into doctors and patients became friends before treatment or after treatment. Common mode and special mode can be divided into high trust and low trust between doctors and patients.