首页|叙事医学视域下现代病历的人文反思

叙事医学视域下现代病历的人文反思

Humanistic Reflections on Modern Medical Records from the Perspective of Narrative Medicine

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在对反思概念深入理解基础上,聚焦于病历书写实践,强调了叙事医学对现行病历功能缺失的审视.以临床实践的病历书写为路径,借由叙事医学的视角对病历的功能、价值和意义进行分层次的阐释,亦可能对叙事医学的临床落地作出重要贡献.通过焦点小组访谈和专家访谈等形式,围绕临床实践中的现行病历书写经验,考量医学人文属性在制度化空间流转的可能路径等主题.病历书写实践被裹挟于多重影响因素中,病历书写和流转过程存在一定的矛盾和张力.研究借鉴人类学的"整体性"概念,对病历书写实践进行不同层次的反思,旨在进一步确立起方法论意义,为引导医学界形成叙事医学临床路径的一般性框架和多种可能性作出贡献.
Based on an in-depth understanding of the concept of reflection,this paper focuses on the medical records writing practice,emphasizing narrative medicine's examination of the lack of reflective function of the current medical record.Based on the path of medical records writing in clinical practice,a hierarchical interpretation of the function,value and meaning of the medical record through the perspective of narrative medicine may also make an important contribution to the clinical implementation of narrative medicine.Focus group interviews and expert interviews were conducted to examine the current experience of medical record writing in clinical practice,and to consider the possible pathways for the circulation of medical humanities within institutionalized spaces.The practice of writing medical records is influenced by many factors,and there are certain conflicts and tensions in the writing and circulation process.Drawing on the anthropological concept of"holism",it is possible to reflect on the practice of medical record writing at various levels.The research aims to establish a methodological framework that guides the medical community in developing a general framework for narrative medicine clinical pathways and explores multiple possibilities for its application.

narrative medicinenarrative medical recordsnarrative palliative careparallel medical records

李飞、宁晓红、李乃适、王剑利、周家欣、何仲

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北京协和医学院人文和社会科学学院 北京 100730

北京协和医院缓和医学中心 北京 100730

北京协和医院病案科/内分泌科 北京 100730

中国社会科学院世界宗教研究所 北京 100005

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叙事医学 叙事病历 叙事缓和医疗 平行病历

2022年中央高校基本科研业务费专项资金资助项目2022年北京协和医学院本科精品教材项目2020年国家社会科学基金后期资助项目2024年北京协和医学院通用项目2024年中国人口福利基金会健康中国背景下的安宁疗护与医疗服务人文关怀相关课题资助项目

33320221772022zlgc050920FSHB002WH10022024069

2024

10.12014/j.issn.1002-0772.2024.18.10

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(18)
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