摘要
采用质性研究中的现象学研究方法,对X市某三级甲等综合性医院的10位内科医生进行了深度访谈,旨在从临床医生的角度分析治疗负担的不同内涵以及其对患者(和家属)的影响,并根据国外学者的相关前期研究成果以及此次深度访谈的调研结果,总结出能够代表治疗负担的相互关联的5个主题,分别为经济负担、药物负担、时间负担、获得健康照护负担以及心理负担。从叙事的角度出发,分别阐述治疗负担5个主题背后的深层含义,以此为促进医患关系的和谐,提高医患共同决策的质量,最终减轻慢性病患者的治疗负担打下坚实的理论基础。
In this paper,10physicians in a third-grade A hospital in X city were interviewed and the aim was to analyze different connotations of treatment burden and their influence on patients(and their family members)from the perspective of clinicians.According to the previous research results of foreign scholars and the results of this in-depth interview,five interrelated topics could represent the burden of treatment.They were summarized as follows:economic burden,drug burden,time burden,health care burden and psychological burden.From the point of view of narration,the author expounded the deep meaning behind the five themes of treatment burden,so as to lay a solid theoretical foundation for promoting the harmony of doctor-patient relationship,improving the quality of common decision-making between doctors and patients,and finally reducing the treatment burden of patients with chronic diseases.
作者
郑琛
张习禄
ZHENG Chen;ZHANG Xi-lu(College of Humanities Management,Shaanxi University of Chinese Medicine,Xianyang 712046,China)
出处
《医学与哲学》
2019年第21期46-49,共4页
Medicine and Philosophy
基金
2019年陕西省教育厅重点科学研究计划(哲学社会科学重点研究基地)(19JZ028)
关键词
叙事医学
慢性疾病
治疗负担
质性分析
narrative medicine
chronic disease
treatment burden
qualitative analysis
