主体间性视域下构建和谐医患关系的生成机理、现实困境与推进路径OA

Building a harmonious doctor-patient relationship reflects the people's expectations and society's aspirations.It is an important factor related to the well-being of the population and the implementation of the healthy China strategy.The theory of intersubjectivity focuses on responding to the relationship between subjects.Based on the principles of interactivity,liveliness,and dialogue rationality,it highlights equal interaction,mutual understanding,and effective dialogue between subjects.Applying the intersubjectivity theory to the construction of a harmonious doctor-patient relationship can help to break the behavioral paradigm of the doctor-patient subject-object dichotomy,highlighting the true freedom of the doctor-patient dual subjects.From the perspective of intersubjectivity,a harmonious doctor-patient relationship is generated from intersubjective behavior,facilitated by pre-understanding between subjects,and realized through effective dialogue between subjects.In the real world,the obfuscation of subjective rationality,the division of cognitive structure,and the uneven demands of interest between doctors and patients eliminate the inherent mechanisms of a harmonious doctor-patient relationship.This leads to multiple practical dilemmas,such as a"subject-object"one-dimensional thinking mode,a"professional-life"structural cognitive difference,and"reason-sensibility"dislocation dialogue styles presented between doctors and patients.Promoting the transformation of doctor-patient interactive thinking form,the integration of their communication perspectives,and the enhancement of dialogue skills can help to achieve mutual understanding in cognition,mutual trust and empathy in emotions,and harmonious alignment in actions.Therefore,to address these dilemmas,this paper proposed a path by embedding intersubjectivity theory,strengthening bidirectional doctor-patient interaction,emphasizing doctor-patient illness narratives,bridging doctor-patient cognitive differences,focusing on improving subjective competencies,and enhancing doctor-patient humanistic care.