叙事医学实践对医患关系重构的机制研究
[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2025）08-1016-06
DOI：10.12026/j. issn.1001-8565.2025.08.09
Research on the mechanisms of narrative medicine practice in reconstructing doctor-patient relationships
SUI Xiaodan1，YANG Ziyao²，DONGYan³
（1. Department of Hepatobiliary and Gastroenterology， the Afiliated Hospital to Changchun Uniersity of Chinese Medicine，Changchun l30021，China;2. DepartmentofMedical Affairs，the Afliated Hospital to Changchun University ofChinese Medicine， Changchun130o21，China;3.Outpatient Office，the Affiliated Hospital to Changchun University ofChinese Medicine，Changchun 13o021，China）
Abstract：With the widespread promotion of patient-centered care models，narative medicine，as a medical practice that emphasizes patients’personal stories and experiences，has garnered increasing attention in the medical field.Through a systematic literature review and field observations，this paper analyzed the ethical challenges faced by narrative medicine in reconstructing doctor-patient relationships，which mainly include information asymmetry and uneven distribution of medical resources，insuficient informed consent and privacy protection of patients，and dificulties in ensuring the authenticity and completeness of narrative content. In response，this paper proposed strategies such as enhancing patients’ understanding of their rights and narrative medicine，promoting continuous ethical evaluations of narrative medicinepractices，and exploring interdisciplinary colaborations to foster harmonious doctor-patient relationships.It also emphasized the importance of establishing multidisciplinary coperation mechanisms and strengthening ethical training for medical personnel，as well as the necesity of ensuring information security through technological means， aiming to promote harmonious doctor-patient relationships，better realize the ethical practices of narrative medicine，optimize doctor-patient relationships，and improve the quality of medical services.
Keywords： narrative medicine;doctor-patient relationship；medical ethics; information asymmetry
随着以患者为中心的护理模式的逐步推广，叙事医学已受到国内外学者的广泛关注[1]。（剩余10324字）