Chinese General Practice ›› 2024, Vol. 27 ›› Issue (24): 3057-3060.DOI: 10.12114/j.issn.1007-9572.2023.0181

Special Issue: 全科医生最新文章合辑

• Community Medical Practice • Previous Articles     Next Articles

Discussion on the Practice of Narrative Medicine in Primary Care from the Perspective of General Practitioners

  

  1. 1. Department of General Practice, Community Health Service Center of Shahe Higher Education Park, Changping District, Beijing 102206, China
    2. Department of General Practice, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
    3. Department of Gastroenterology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350000, China
    4. Beijing Health Human Resource Development Center, Beijing 100034, China
    5. Department of General Practice, Huayuan Road Community Health Service Center, Haidian District, Beijing 100088, China
  • Received:2023-02-20 Revised:2023-04-15 Published:2024-08-20 Online:2024-05-08
  • Contact: WANG Yixin

叙事医学在基层医疗中的实践:基于全科医生视角

  

  1. 1.102206 北京市昌平区沙河高教园区社区卫生服务中心全科
    2.100029 北京市,首都医科大学附属北京安贞医院全科
    3.350000 福建省福州市,福建医科大学附属第一医院消化内科
    4.100034 北京市卫生健康人力资源发展中心
    5.100088 北京市海淀区花园路社区卫生服务中心全科
  • 通讯作者: 王以新
  • 作者简介:

    作者贡献:

    王林进行文章的构思与设计,撰写论文,提供平行病历;王以新负责文章的质量控制及审校,对文章整体负责;陈婷燕、林绍海、张永辉参与文章修订。

Abstract:

Primary health care provided by general practitioners is an important safeguard for the achievement of universal health coverage. With the continues progress of new medical reform, the number of primary care settings, general practitioners and outpatient visits have increased significantly compared with one decade ago. General practitioners, as the main body of implementation of general practice, coincides with the concept of narrative medicine in terms of patient-centeredness and attention to both psychological and social factors of the patients. Narrative medicine is medicine practiced by clinical workers who have narrative ability, with strong theory and weak practice in our country at present. From the perspective of general practitioners, this paper presents the positive influence of narrative medicine practice in primary care on general practitioners in the form of parallel medical records.

Key words: General practice, Narrative medicine, Parallel medical records, Primary health care

摘要:

全科医学提供的初级卫生保健是实现全民健康的重要保障。随着新医改的不断深入,我国基层医疗机构的数量、全科医生的数量及门诊人次数均较十年前大幅提升。全科医生作为全科医学的实施主体,在以患者为中心、同时关注患者的心理和社会因素方面与叙事医学理念不谋而合,叙事医学是由具有叙事能力的临床工作者所实践的医学,目前在我国存在理论强、实践弱的情况。本文在全科医生视角下,以平行病历的形式展现叙事医学在基层医疗中的实践对全科医生的积极影响。

关键词: 全科医学, 叙事医学, 平行病历, 基层医疗

CLC Number: