Kushner T
J Med Ethics. 1981 Sep;7(3):128-31. doi: 10.1136/jme.7.3.128.
Philosophical concerns cannot be excluded from even a cursory examination of the physician-patient relationship. Two possible alternatives for determining what this relationship entails are the teleological (outcome) approach vs the deontological (process) one. Traditionally, this relationship has been structured around the 'clinical model' which views the physician-patient relationship in teleological terms. Data on the actual content of general medical practice indicate the advisability of reassessing this relationship, and suggest that the 'clinical model' may be too limiting, and that a more appropriate basis for the physician-patient relationship is one described in this paper as the 'relational model'.
即使是对医患关系进行粗略的审视，也无法排除哲学层面的考量。确定这种关系内涵的两种可能的方法是目的论（结果）方法与道义论（过程）方法。传统上，这种关系是围绕“临床模式”构建的，该模式从目的论角度看待医患关系。关于一般医疗实践实际内容的数据表明，重新评估这种关系是可取的，并表明“临床模式”可能过于局限，而本文所描述的“关系模式”才是医患关系更合适的基础。
