以病人為中心的醫病關係

Patient-Centered Doctor-Patient Relationship

10.29904/JAF.201104.0003

郭素珍(Su-Chen Kuo)

以病為中心的照護 ； 醫師病人關係 ； 照護品質 ； Patient-centred care ； Physician-patient relations ； Quality of health care

應用倫理評論

50期（2011 / 04 / 01）

73 - 90

繁體中文

一個「以病人爲中心」的做法正日益被醫師視爲提供高品質照護的關鍵。本文有別於以往的以「生物醫學模式」而以「以病人爲中心」來看醫病關係，它包括五個面向，每一個面向都代表了特殊的醫師與病人之間的關係。這五個概念面向是：生物心理社會角度、「病人是一個個體」、分享權力與責任、治療性的聯盟及「醫師是一個個體」。最後提出以病人爲中心在醫病關係中的展現。

A ”patient-centred” approach is increasingly regarded as crucial for the delivery of high quality care by doctors. This paper proposes that ”patient-centred” medicine differs from the ”biomedical model” in terms of five key dimensions, each representing a particular aspect of the relationship between doctor and patient. Five conceptual dimensions are identified: biopsychosocial perspective; ”patient-as-person;” sharing power and responsibility; therapeutic alliance; and ”doctor-as-person.” Finally, the display of ”patient-centred” in the doctor-patient relationship is raised.

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