有限游戏还是无限游戏:一个医患冲突的哲学解读

Finite Game or Infinite Game: A Philosophical Interpretation of Doctor-patient Conflict

运用游戏理论解读医患关系的本质,揭示医患冲突机制是一种新尝试。借助詹姆斯·卡斯的有限与无限游戏的哲学理论,应用组成有限游戏与无限游戏的四要素:“目标—参与者—规则—界限”,结合游戏理论四要素对医患关系进行系统解读,建构有限游戏和无限游戏的演化模型。经过论析,认为理论上医患关系的本质是一种无限游戏,现实中的医患关系本质是有限游戏,医患冲突是医患关系有限游戏演化的结果。基于有限游戏演化模型,在具体的医患冲突叙事中分析了医患冲突的成因,提出医患双方需要转换“游戏观”才能解决医患冲突,实现医患关系从有限游戏到无限游戏的超越。

It is a new attempt to interpret the essence of doctor-patient relationship and reveal the mechanism of doctor-patient conflict by using game theory. According to James Cass’ s philosophy theory of finite and infinite games, this paper applies the four elements of finite and infinite games: “goal-actor-rule-boundary”.Combined with the four elements of game theory, the doctor-patient relationship was systematically interpreted, and the evolution model of finite games and infinite games was constructed. This paper held that the essence of doctor-patient relationship is an infinite game in theory, the nature of doctor-patient relationship is a finite game in reality, and doctor-patient conflict is the result of the evolution of the finite game of doctor-patient relationship. Based on the finite game evolution model, this paper analyzed the causes of doctor-patient conflict in the specific narrative of doctor-patient conflict, and pointed out that the doctor-patient relationship can only be resolved by changing their “game view”, so as to achieve the transcendence of the doctor-patient relationship from finite game to infinite game.