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基于叙事的医学和全科医疗咨询:叙事医学 2.

Narrative-based medicine and the general practice consultation: Narrative-based medicine 2.

机构信息

GP, a medical educator, and Senior Medical Advisor, Education Progression with the Royal Australian College of General Practitioners in Melbourne.

出版信息

Can Fam Physician. 2018 Apr;64(4):286-290.

Abstract

OBJECTIVE

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.

SOURCES OF INFORMATION

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.

MAIN MESSAGE

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.

CONCLUSION

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.

摘要

目的

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。

信息来源

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。

主要信息

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。

结论

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。

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