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叙事医学在基层医疗中的实践:基于全科医生视角

Discussion on the Practice of Narrative Medicine in Primary Care from the Perspective of General Practitioners

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全科医学提供的初级卫生保健是实现全民健康的重要保障.随着新医改的不断深入,我国基层医疗机构的数量、全科医生的数量及门诊人次数均较十年前大幅提升.全科医生作为全科医学的实施主体,在以患者为中心、同时关注患者的心理和社会因素方面与叙事医学理念不谋而合,叙事医学是由具有叙事能力的临床工作者所实践的医学,目前在我国存在理论强、实践弱的情况.本文在全科医生视角下,以平行病历的形式展现叙事医学在基层医疗中的实践对全科医生的积极影响.
Primary health care provided by general practitioners is an important safeguard for the achievement of universal health coverage.With the continues progress of new medical reform,the number of primary care settings,general practitioners and outpatient visits have increased significantly compared with one decade ago.General practitioners,as the main body of implementation of general practice,coincides with the concept of narrative medicine in terms of patient-centeredness and attention to both psychological and social factors of the patients.Narrative medicine is medicine practiced by clinical workers who have narrative ability,with strong theory and weak practice in our country at present.From the perspective of general practitioners,this paper presents the positive influence of narrative medicine practice in primary care on general practitioners in the form of parallel medical records.

General practiceNarrative medicineParallel medical recordsPrimary health care

王林、王以新、陈婷燕、林绍海、张永辉

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102206 北京市昌平区沙河高教园区社区卫生服务中心全科

100029 北京市,首都医科大学附属北京安贞医院全科

350000 福建省福州市,福建医科大学附属第一医院消化内科

100034 北京市卫生健康人力资源发展中心

100088 北京市海淀区花园路社区卫生服务中心全科

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全科医学 叙事医学 平行病历 基层医疗

2024

中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
年,卷(期):2024.27(24)
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