Lewis Bradley E
Gallatin School of Individualized Study, New York University, 1 Washington Place #609, New York, NY 10003, USA.
J Med Humanit. 2011 Mar;32(1):9-20. doi: 10.1007/s10912-010-9123-3.
Narrative medicine is one of medicine's most important internal reforms, and it should be a critical dimension of healthcare debate. Healthcare reform must eventually ask not only how do we pay for healthcare and how do we distribute it, but more fundamentally, what kind of healthcare do we want? It must ask, in short, what are the goals of medicine? Yet, even though narrative medicine is crucial to answering these pivotal and inescapable questions, it is not easy to describe. Many of its core claims go against the grain of common sense thinking about medicine. This article argues that the best way to understand narrative medicine is to tell a story that puts its emergence in historical context.
叙事医学是医学最重要的内部变革之一,它应该成为医疗保健辩论的一个关键维度。医疗保健改革最终不仅必须要问我们如何支付医疗费用以及如何分配医疗资源,更根本的是,我们想要什么样的医疗保健?简而言之,它必须要问医学的目标是什么?然而,尽管叙事医学对于回答这些关键且不可回避的问题至关重要,但却不容易描述。它的许多核心主张与关于医学的常识性思维背道而驰。本文认为,理解叙事医学的最佳方式是讲述一个将其出现置于历史背景中的故事。