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从平行病历到平行医疗--关于叙事医学的十个问题和一个设想 被引量:31
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作者 杜治政 《医学与哲学》 北大核心 2021年第23期1-7,共7页
应当从当代医学全局出发认识和评估叙事医学,充分发挥叙事医学的潜力;逐步将叙事医学融入现行常规医疗程序,从体制外进入体制内;促成将平行病历扩展为与科学实证为支撑的循证医学相对应的,以理解患者对病痛的体验、感受及其对诊治的感... 应当从当代医学全局出发认识和评估叙事医学,充分发挥叙事医学的潜力;逐步将叙事医学融入现行常规医疗程序,从体制外进入体制内;促成将平行病历扩展为与科学实证为支撑的循证医学相对应的,以理解患者对病痛的体验、感受及其对诊治的感触为依托的,重视影响生命和健康的非生物学因素为主体的平行医疗线;促成医学既反映疾病同时也反映患者主体诉求,既有生物学层面的个体化也有心理、社会、人文层面的个体化的全人医学,使叙事医学成为现代临床医学的重要组成部分,为患者提供更为满意的医疗服务。 展开更多
关键词 叙事医学 共情 平行病历 平行医疗 全人医疗
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“以患者为中心”的医疗照护的发展及国内实践路径 被引量:19
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作者 冉虎 《中国医学伦理学》 2019年第4期497-501,共5页
以患者中心的照护模式在国内外广泛应用于临床护理,受到患者的欢迎,提高了护理质量。简要梳理以患者为中心的照护模式的背景、历史和重要发展阶段,重点探索其在国内的实践路径:理论层面包括需要层次理论与以患者为中心的医疗照护和在临... 以患者中心的照护模式在国内外广泛应用于临床护理,受到患者的欢迎,提高了护理质量。简要梳理以患者为中心的照护模式的背景、历史和重要发展阶段,重点探索其在国内的实践路径:理论层面包括需要层次理论与以患者为中心的医疗照护和在临床决策中纳入患者意愿;操作层面包括成立患者资源中心、在护理部下设患者体验部、叙事医学模式介入、将护士的人文执业胜任力纳入绩效考核及加强专科护士培训。 展开更多
关键词 临床护理 人文护理 全人医疗照护
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论当代医学发展的若干新态势 被引量:4
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作者 杜治政 《医学教育探索》 2006年第7期583-588,共6页
必须从多维角度观察医学的变化。当今,医学在许多方面正在发生重要的变化,一些方面令人欣喜,而一些方面又令人忧虑。医学面临的这些变化,实质是医学价值目标的变化,是医学价值目标从一元走向多元的变化。
关键词 疾病管理模式 全人医疗 富人医疗 医学生活化
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Psychosocio-economic impacts of COVID-19 on gastroenterology and endoscopy practice
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作者 Jing-Jing Shen 《Gastroenterology Report》 SCIE EI 2021年第3期205-211,I0001,共8页
Beyond posing a major health crisis,the COVID-19 pandemic has inflicted profound psychological,social,and economic impacts on populations worldwide.Mass quarantines and social isolation have affected the mental health... Beyond posing a major health crisis,the COVID-19 pandemic has inflicted profound psychological,social,and economic impacts on populations worldwide.Mass quarantines and social isolation have affected the mental health of the wider population,exacerbating other stressors,including fear of the virus and its repercussions,general uncertainty,and financial insecurity.The pandemic has challenged the broader delivery of healthcare––ranging from the need to triage limited hospital resources to balancing risk mitigation with maintaining medical care.Specific to gastroenterology,severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)has not only been associated with complicating extant medical conditions of the gastrointestinal(GI)tract,but has also forced a shift in the practice of gastroenterology by patients,families,and healthcare providers alike.The gastroenterology field has been required to adapt its practices to minimize the possibility of viral spread while still upholding patient care.Healthcare practitioners in GI have helped to treat COVID-19 patients,stratified inpatient and outpatient visits and procedures,and shifted to telemedicine.Still,as is the case with much of the general population,healthcare providers working in GI practice or endoscopy have faced personal and professional stressors,mental health difficulties,social isolation,financial pressures,and familial burdens––all of which can take a toll on practitioners and,by extension,the provision of GI care overall.This article will highlight how the COVID-19 pandemic has affected the psychological wellbeing,social engagement,and economic conditions of the public,healthcare providers,and GI professionals specifically.Recommendations for strategies that can continue GI services while maintaining safety for both caregivers and patients are put forth to help uphold critical GI care during this worldwide crisis. 展开更多
关键词 COVID-19 SARS-CoV-2 psychosocial impact social impact economic impact GASTROENTEROLOGY ENDOSCOPY healthcare professionals/providers stress TELEMEDICINE
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