家庭醫學中的醫病關係與人性關懷

The Doctor-Patient Relationship and the Humanity in Family Medicine

張榮哲(Jung-Che Chang) ； 林耀盛(Yaw-Sheng Lin)

《台灣醫學》 16卷6期 (2012/11) Pp. 660-666

https://doi.org/10.6320/FJM.2012.16(6).11

摘要

家庭醫學強調全人醫療，家醫科醫師與其他專科醫師不同之處在於：足以勝任處理任何主訴的廣泛醫學知識，願意承擔照顧病患整體健康的責任，並致力維持親密、信任的醫病關係。本文探討醫病關係在家庭醫學專業中扮演的角色，醫病關係對病患預後的影響，以及如何促進良好的醫病溝通。文中並討論「病痛」與「疾病」的差別，以病人為中心的醫療模式，以及巴林小組在家醫科醫師訓練上的應用。期待透過不同觀點，促進家庭醫學專業中人性關懷的再思考。

關鍵字

醫病關係 ； 病人為中心醫療 ； 醫病溝通 ； 巴林小組

並列摘要

The importance of holistic care in family medicine can't be overemphasized. The differences between family physicians and specialists lie in not only the pervasive medical knowledge owned by family physicians competent in dealing with any chief complaint brought up by patients, but also the will to take the responsibilities of the patients' whole health and the dedication to keep an intimate and trusty doctor-patient relationship. In this article, we explored the role of doctor-patient relationship in family medicine practice, the impact of doctor-patient relationship on outcome of patients, and the ways to facilitate doctor-patient communication. We also discussed the differences between ”illness” and ”disease”, patient-centered medicine, and the application of the Balint group in family physician training. We expect to rethink the significant meaning of humanity in family medicine through different points of view.

並列關鍵字

physician-patient relationship ； patient-centered medicine ； communication ； Balint group