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以生活世界为导向的医疗保健:重新审视一种融合新趋势的人性化理念。

Lifeworld-led healthcare: revisiting a humanising philosophy that integrates emerging trends.

作者信息

Todres Les, Galvin Kathleen, Dahlberg Karin

机构信息

Institute of Health and Community Studies, Bournemouth University, First Floor, Royal London House, Christchurch Road, Bournemouth, Dorset, BH1 3LT, UK.

出版信息

Med Health Care Philos. 2007 Mar;10(1):53-63. doi: 10.1007/s11019-006-9012-8. Epub 2006 Jul 18.

Abstract

In this paper, we describe the value and philosophy of lifeworld-led care. Our purpose is to give a philosophically coherent foundation for lifeworld-led care and its core value as a humanising force that moderates technological progress. We begin by indicating the timeliness of these concerns within the current context of citizen-oriented, participative approaches to healthcare. We believe that this context is in need of a deepening philosophy if it is not to succumb to the discourses of mere consumerism. We thus revisit the potential of Husserl's notion of the lifeworld and how lifeworld-led care could provide important ideas and values that are central to the humanisation of healthcare practice. This framework provides a synthesis of the main arguments of the paper and is finally expressed in a model of lifeworld-led care that includes its core value, core perspectives, relevant indicative methodologies and main benefits. The model is offered as a potentially broad-based approach for integrating many existing practices and trends. In the spirit of Husserl's interest in both commonality and variation, we highlight the central, less contestable foundations of lifeworld-led care, without constraining the possible varieties of confluent practices.

摘要

在本文中,我们阐述了以生活世界为导向的护理的价值和理念。我们的目的是为以生活世界为导向的护理及其作为调节技术进步的人性化力量的核心价值提供一个哲学上连贯一致的基础。我们首先指出在当前以公民为导向的、参与式医疗保健方法的背景下,这些关切的及时性。我们认为,如果这种背景不想屈从于纯粹消费主义的话语,就需要深化其哲学内涵。因此,我们重新审视胡塞尔生活世界概念的潜力,以及以生活世界为导向的护理如何能够提供对医疗实践人性化至关重要的重要理念和价值。这个框架综合了本文的主要论点,并最终体现在一个以生活世界为导向的护理模型中,该模型包括其核心价值、核心视角、相关的指示性方法和主要益处。该模型作为一种潜在的基础广泛的方法,用于整合许多现有的实践和趋势。本着胡塞尔对共性和差异的关注精神,我们突出了以生活世界为导向的护理的核心、较少有争议的基础,而不限制可能出现的融合实践的多样性。

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