医患博弈及其沟通调适

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1、中南大学博士学位论文医患博弈及其沟通调适姓名：彭红申请学位级别：博士专业：生命伦理学指导教师：李永国20081101博十学位论文摘要——医患沟通问题，并将医患沟通作为医患冲突调适的突破口。通过实际的案例分析论证，多学科多视角分析医患沟通的障碍。针对医患沟通障碍(噪音)的三大原因提出相应的对策：针对医患之间对“疾病”现象不同的认识，提出对话——在沟通中寻找理解之路，通过对话，医患之间达到“视域融合"和“效果历史”；针对信息不对称下利益冲突导致的医患信任危机，提出合作——重建医患信托关系，在病人权利的托付中实现“内在

2、价值的信任"；针对技术至上导致医学人文精神的“迷失"，提出教育——重塑医学人文精神，在医学教育与实践活动中培养医学人文精神，制订了国内首张《医学生医患沟通行为量表》，在本校实习医生中进行医患沟通能力的测量，并开展了医学生医患沟通能力的教育实践活动。试图通过对话、合作和教育等途径找到一条调适医患冲突之路。关键词医患关系，博弈，医患沟通，调适AbstractInthecourseofhumandevelopment，diseaseanddeaththreadthepeopleallalong．Someofthemem

3、bersbegantospecializeoutfromthegeneralsocialproductionstreamandtomakeuseoftheirskillsandmeansforspecializedmedicalpractice．Hence，thereformedthemedicalprofessionandgraduallydevelopedtherelationsbetweenthedoctorsandpatients．Eversincethenpeopleneverterminatethec

4、onsiderationofthisrelmionandpriorityitasoneofthecoretopicsintheirresearchtleldot●●。‘‘⋯^lifeethics．Fromtheinitialexplanation，therelationmeansthehumanrelationswithsocialethics．Asthedevelopmentofsocietyanditseconomy,therelationsbetweenthedoctorsandpatientshaveal

5、sodevelopedandchangedfromtheonelinerdimensionaltowardthecomprehensive，fromsinglefactortomultidiathesis，fromelementarytoadvancelevels．Astheadvancementsofmodemsciencesandtechnologiesaswellastheseinmedicinefield，thepresentrelationsbetweenthedoctorandpatientexhib

6、itthetrendsofmaterialization，multiplicity,complicationandsenseofgame．Thesechangeawayfromthetraditionallinerethicandmoralrelationsontheobligationoftherelationsandnolongerappearasthelegalrelationsbasedontheutilitarianisminthelaterandmodemperiod；thepresentrelati

7、onsbetweenthedoctorsandpatientsaretrustsandcreditsonesthatestablishedonthebasisofmorality,lawandeconomywiththefeatureofgame·Thegameeventuallyistheconflictandequilibriumoftherelations．Sincethe70mofthe20mcentury,theconflictsbetweenthedoctorsandpatientsaroseceas

8、elesslyintheareasoftheglobe，thetensionofmedoctorsandpatientsandtheconflictshavebecomethemajorsocialtroubleofthecountries．Nowadays，theconflictsbetweendoctorsandIII博士学位论文AbstractpatientsinC