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首页> 外文期刊>Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz >The doctor-patient relationship against the backdrop of patient-centered medicine. The conclusions of dialogical ethics
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The doctor-patient relationship against the backdrop of patient-centered medicine. The conclusions of dialogical ethics

机译：在以病人为中心的医学背景下的医患关系。对话伦理学的结论

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"Health"and"illness"are multilayered terms. The understanding of human health depends, apart from scientific aspects, on people's individual perceptions as well as on aspects of culture and world view. The ideal of patient-centered medicine requires that a physician does not merely have to establish an objectifiable diagnosis. Rather, a physician should also respect the patients' right to self-determination, their personal values, and their subjective view of health and illness. The philosophy of dialogue, which developed in the twentieth century, offers a conceptual background for this ideal. On an empirical basis, the successful communication between doctor and patient can be interpreted as a useful placebo phenomenon. Alternativemedicine puts great emphasis on the doctor's attentive care. This also explains why the alternative branch of medicine has appealed to many patients.Therefore, science-oriented medicine should review methods in which the doctor's empathy and dialogue ability are crucial to treatment success. It is part of the physician's responsibility to appreciate the personal perspectives of patients, to respect them and, if necessary, to engage with them critically.
机译：“健康”和“疾病”是多层术语。除了科学方面，对人类健康的理解还取决于人们的个人看法以及文化和世界观的方面。以患者为中心的医学理想要求医师不仅必须建立客观的诊断。相反，医生还应尊重患者的自决权，个人价值以及对健康和疾病的主观看法。对话哲学在20世纪发展，为这一理想提供了概念背景。根据经验，医生与患者之间的成功交流可以解释为一种有用的安慰剂现象。替代医学非常重视医生的细心护理。这也解释了为什么替代医学分支吸引了许多患者的原因。因此，以科学为导向的医学应审查医生的同理心和对话能力对治疗成功至关重要的方法。欣赏患者的个人观点，尊重患者以及必要时与患者进行批判性接触是医师的责任之一。

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