医患叙事共同体的临床意义和价值体现

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[中图分类号]R-05 [文献标志码]A [文章编号]1001-8565（2025）08-1009-07

DOI：10.12026/j.issn.1001-8565.2025.08.08

The clinical significance and value manifestation of the doctor-patient narrative community

WANG Zixu1，LIUYipin1，LI Jie²，ZHAO Jingjing³，WANG Yongyan1 （1. Institute of Basic Research in Clinical Medicine， China Academy of Chinese Medical Sciences ， Beijing 100700，China; 2. Department ofIntegrated Traditional Chinese and Western Medicine for Hepatology， Baoding People's Hospital，Baoding O71Ooo，China; 3.Department of Traditional Chinese Medicine，the Sixth Medical Center ofPLAGeneral Hospital，Beijing1OO853，China）

Abstract： This paper explored the significance and value of building a doctor-patient narrative community in clinical practice.Itwas clarified thatclinical practice guided by evidence-basedmedicine thinking is essentially a“narrative” process： patients narrate their ilness stories，and doctors，through a series of humanistic narrative practices，strengthen trust and empathy between patients and doctors on an emotional and ethical level，while bridging cognitive gaps，enhancing diagnostic and treatment outcomes，and ultimately fostering a harmonious and effcient doctor-patient narative community relationship.The realization of a doctor-patient nartive community not only optimizes the treatment process but also enhances patients’self-efficacy and doctors’ professional satisfaction，which is conducive to saving medical costs，optimizing public health governance，and highlighting a harmonious social atmosphere.

Keywords： narrative medicine； narrative practice;doctor-patient narrative community

“narration”一词在英文中是指讲述故事的行为或过程。（剩余10077字）