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患者参与与医患冲突纾解实践反思OA

Reflection on Patient Participation and Doctor-Patient Conflict Resolution Practices

中文摘要英文摘要

临床医疗实践的主体地位,决定了患者具有参与医患沟通、医患共情和医患共同决策实践的权利和责任.然而,患者在医患沟通中的"失语"、在医患共情和医患共同决策实践中的不当参与与医患冲突存在内在关联,制约着临床医疗实践的稳步推进.毋庸置疑的是,患者参与不当往往是医患沟通机制缺失、医疗信息不对称、医疗资源分配不均等因素作用的结果,而非患者的主观恶意.为此,有必要通过加强医患沟通规章制度建设,培育医患沟通文化氛围;推进医患互信实践,增强医者共情能力;平衡区域医疗资源,优化医患共同决策智能辅助平台等方式,以优化患者参与推进医患冲突纾解的实践进程.

The dominant position in clinical medical practice determines that patients have the right and responsibility to par-ticipate in doctor-patient communication,doctor-patient empathy and the practice of joint decision-making.However,the "silence"of patients in doctor-patient communication,improper participation in the practice of doctor-patient empathy and joint decision-making,and doctor-patient conflicts are intrinsically related,which restricts the steady progress of clinical medical practice.There is no doubt that improper patient participation is often the result of factors such as the lack of doctor-patient com-munication mechanisms,asymmetry of medical information,and uneven distribution of medical resources,rather than the subjec-tive malice of patients.So it is necessary to cultivate a cultural atmosphere of doctor-patient communication by strengthening the construction of doctor-patient communication regulations and systems,promote the practice of mutual trust between doctors and patients and enhance the empathy ability of medical practitioners,balance the regional medical resources and optimize the intelli-gent auxiliary platform for doctor-patient joint decision-making,which can optimize the practical process of patient participation in promoting the resolution of doctor-patient conflicts.

房志敏;缑一鸣

南方医科大学马克思主义学院,广东 广州 510515广东技术师范大学马克思主义学院

医药卫生

医患冲突患者参与医患沟通医患共同决策医患共情

doctor-patient conflictpatient participationdoctor-patient communicationdoctor-patient joint decision-makingdoctor-patient empathy

《中国卫生事业管理》 2026 (3)

263-267,5

广东省哲学社会科学规划项目"教育信息化背景下中华优秀传统文化融入高校外语教育研究"(GD22WZX02-01)

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