全科临床思维中的社会学解释

Sociological interpretation in general practice clinical thinking

基于全科门诊有大量不典型症状和未分化疾病的实际情况,将社会学因素纳入临床思维,从患者的社会生活角度探索疾病的解释方法,丰富全科医疗多学科、全人照顾的医学模式。本文通过典型病例分析与临床经验分享,结合社区门诊疾病谱的实际情况,探索从患者在社会生活中社会角色和行为特征的角度,对临床上难以用生物医学或心理学解释的复杂症状,建立一种新的解释途径。并对于其临床意义和构建方法提出初步设想。

There are a large number of atypical symptoms and undifferentiated diseases in general practice,in which sociological factors are deeply involved.So to incorporate social factors into clinical thinking and to interpret disease from the perspective of the patient′s social life will enrich the multidisciplinary medical model and holistic care in general practice.This article shares author′s clinical experience through introducing typical cases,in which the patient′s social life and behavior characteristics played certain roles in disease development.The article also explores a new way from the sociological perspectives to interpret the complex symptoms that are difficult to be explained clinically by biomedicine or psychology.