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明清医病信任问题再思考

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随着医疗社会史书写视角的转变,明清医病关系史渐成学界新的研究热点.现有研究根据史料中病家频繁换医现象,认为病家对医家缺少信任是中国古代医病关系的基本格局.在对史料"重新发现"的基础上,加入阶层等变量,拟对这一论断进行重新审视:这一论断并不具有代表性,中下阶层的病家对医家是颇为信任的,甚至到了唯唯听命的地步;医病关系更深层次的心理机制在于由于医学理论和疗效的不确定性,病家利用所能触及的一切机会寻找解决问题的办法.
Reconsidering the Issue of Trust between Doctors and Patients in the Ming and Qing Dynasties
With the shift in the writing perspective of the social history of medicine,the study of doctor-patient relationships in the Ming and Qing dynasties has become a new research focus in academia.Existing studies,based on historical evidence of patients frequently changing doctors,suggest that a lack of trust between patients and doctors was a fundamental aspect of doctor-patient relationships in ancient China.By revisiting historical sources and incorporating variables such as social class,this paper aims to re-examine this assertion:the conclusion may not be universally applicable,as patients from lower social strata generally displayed considerable trust in their doctors,often to the point of unquestioning obedience.The deeper psychological mechanism in doctor-patient relationships lies in the uncertainty of medical theory and efficacy,leading patients to explore every possible avenue to solve their health problems.

doctor-patient relationshipdoctor-patient trustThe Ming and Qing Dynastiesmedical uncertainty

董晓艳、韩雨杰

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皖南医学院马克思主义学院 安徽芜湖 241002

皖南医学院临床医学院 安徽芜湖 241002

医病关系 医患信任 明清时期 医学不确定性

2024年安徽省高校科研项目

2024AH030085

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(17)
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