Department of internal medicine, Montpellier university hospital, Montpellier, France.
Comité des travaux historiques et scientifiques - Société de l'histoire de France, Paris, France.
Rev Med Interne. 2021 Jan;42(1):58-60. doi: 10.1016/j.revmed.2020.10.007. Epub 2020 Oct 23.
Since Hippocrates, the cornerstone of medical practice has been the doctor-patient relationship. The question here is whether these basic principles are still compatible with this unusual COVID-period. This pandemic represents a serious threat to human health, leading to profound changes in behavior in daily life but also in health care. Because of limited resources, health-managers must choose well-balanced solutions able to protect patients and citizens on the one hand and to provide maximal benefit for the society on the other hand. We are going through a moment of rupture that we must acknowledge. Here, we discussed how the doctor-patient relationship could be compromised. Doctors are focused on cares whereas patients are focused on scare. Profound changes occur presently, from the way we present ourselves to each other (including the masks), the poor conditions for physical examination, the mental suffering of both patient and caregiver until sometimes terrible end-of-life conditions. The historical point-of-view helps us to keep in mind previous experiences, and the philosophical perspective helps to contextualize this unedited situation. We should stop briefly our daily rush to put these considerations into perspective to overcome these challenges. Nothing is as effective as trust: let's rebuild it.
自希波克拉底以来,医学实践的基石一直是医患关系。这里的问题是,这些基本原则是否仍然与这个不寻常的新冠时期相适应。这场大流行对人类健康构成了严重威胁,导致日常生活和医疗保健行为发生深刻变化。由于资源有限,卫生管理者必须选择平衡良好的解决方案,一方面能够保护患者和公民,另一方面为社会提供最大利益。我们正在经历一个必须承认的断裂时刻。在这里,我们讨论了医患关系可能受到的影响。医生关注治疗,而患者则关注恐惧。目前正在发生深刻的变化,从我们彼此之间的交流方式(包括口罩)、体检条件不佳、患者和护理人员的精神痛苦,甚至有时是可怕的临终状况。历史观点有助于我们记住以往的经验,哲学观点有助于将这种未经编辑的情况置于上下文中。我们应该暂时停止日常的忙碌,将这些考虑因素纳入视角,以克服这些挑战。没有什么比信任更有效:让我们重新建立它。