Curlin Farr A, Roach Chad J, Gorawara-Bhat Rita, Lantos John D, Chin Marshall H
Section of General Internal Medicine, Department of Medicine, Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA.
South Med J. 2005 Aug;98(8):761-6. doi: 10.1097/01.SMJ.0000163299.94352.A8.
Despite expansive medical literature regarding spirituality and medicine, little is known about physician beliefs regarding the influence of religion on health.
Semistructured interviews with 21 physicians regarding the intersection of religion, spirituality, and medicine. Interviews were transcribed, coded, and analyzed for emergent themes through an iterative process of qualitative textual analysis.
All participants believed religion influences health, but they did not emphasize the influence of religion on outcomes. Instead, they focused on ways that religion provides a paradigm for understanding and making decisions related to illness and a community in which illness is experienced. Religion was described as beneficial when it enables patients to cope with illness but harmful when it leads to psychological conflict or conflict with medical recommendations.
Empirical evidence for a "faith-health connection" may have little influence on physicians' conceptions of and approaches to religion in the patient encounter.
尽管有大量关于灵性与医学的医学文献，但对于医生关于宗教对健康影响的信念却知之甚少。
对21名医生进行半结构化访谈，内容涉及宗教、灵性与医学的交叉点。访谈内容经转录、编码，并通过定性文本分析的迭代过程对浮现的主题进行分析。
所有参与者都认为宗教会影响健康，但他们并未强调宗教对结果的影响。相反，他们关注宗教为理解疾病及做出与疾病相关的决策提供范式的方式，以及一个经历疾病的社群。宗教在使患者能够应对疾病时被描述为有益，但在导致心理冲突或与医疗建议冲突时则被描述为有害。
“信仰 - 健康联系”的实证证据可能对医生在患者诊疗过程中对宗教的观念和处理方式影响甚微。
