GP, a medical educator, and Senior Medical Advisor, Education Progression with the Royal Australian College of General Practitioners in Melbourne.
Can Fam Physician. 2018 Apr;64(4):286-290.
To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patient and doctor.
Principally, this article draws on the perspectives of 2 of NBM's key proponents, John Launer and Rita Charon, and which are complemented by the perspectives of several other authors.
This article examines NBM in relation to patient-centred care and the particular skills that are required to practise NBM. Narrative-based medicine brings together skills from other fields of practice-skills that are not beyond the capabilities of GPs-conferring benefits on patient and doctor. Narrative-based medicine's skills enhance the patient-centred method and an evidence-based approach.
The literature speaks very loudly about the importance of narrative and of understanding the illness experience. What makes NBM stand out is the fact that it is a collaborative and mutually beneficial process, having the power to create a new narrative-a narrative that heals and transforms the patient and the doctor.
提高叙事医学(NBM)作为一种有价值的咨询方法的认识,如果由全科医生更广泛地实践,将为患者和医生带来巨大的益处。
主要是,本文借鉴了 NBM 的两位主要支持者 John Launer 和 Rita Charon 的观点,并辅以其他几位作者的观点。
本文考察了 NBM 与以患者为中心的护理以及实践 NBM 所需的特殊技能之间的关系。叙事医学将来自其他实践领域的技能结合在一起——这些技能并非全科医生所不能及——为患者和医生带来益处。叙事医学的技能增强了以患者为中心的方法和循证方法。
文献非常强调叙事和理解疾病体验的重要性。叙事医学的独特之处在于它是一个协作和互利的过程,具有创造新叙事的力量——一种能够治愈和改变患者和医生的叙事。