奥斯勒的医生观与叙事医学中的医者叙事素养

[关键词]奥斯勒；医生观；叙事医学；叙事素养

[中图分类号]R-05 [文献标志码]A [文章编号]1001-8565（2026）03-0399-06

DOI：10.12026/j.issn.1001-8565.2026.03.17

Osler's view of the physicianand physician’snarrative literacy innarrativemedicine

CHENHuihui，CAO Wenhua²，TAO Yanling¹，ZHAO Ying³，YANG Xiaolin4 （1.Shenzhen Clinical School ofMedicine， Guangzhou University ofChinese Medicine/Department of Nursing，Shenzhen Longgang Central Hospital，Shenzhen 5180oo， China; 2. Narrative Medicine Research Center，Shunde Hospital ofSouthern Medical University，Foshan 52800O，China; 3.Shenzhen Pingshan Maternal and Child Health Hospital， Shenzhen 5180oo，China; 4.Department of General Education， Southern Medical University，Guangzhou 5lO5l5，China）

Abstract： In the era of evidence-based medicine，the progress of medical science and technology has enriched medical diagnostic tools and treatment methods，but it has also led to the loss of medical warmth and the alienation of the doctor-patient relationships.Wiliam Osler emphasized that while medical technology advances，，attention should also be paid to the practice of narrative medicine and the development of physician's narrative literacy.Theview of the physician headvocated reminds us that thecore of medicine stillies n the narrative connection between doctors and patients，as well as a deep understanding of human nature.By exploring the relationship between Osler's view of the physician and narative medicine as wellas physician's narrative literacy，this paper analyzed the methods of cultivating physician's narrtive literacy，providing references for modern medical education and practice，and assisting in the harmony and unity of science and technology and humanity.

Keywords： Osler;view of the physician;narrative medicine;narrative literacy

在现代医疗环境下，医患之间信息不对称、患者对于治疗结果的期望过高和社会舆论等因素的存在导致医患之间的关系变得愈发紧张，医患之间沟通的不足和缺失，也加剧了医患之间信任连接的断裂，而社会信任感的缺失进一步导致医患信任缺位成为一种社会现象。（剩余9041字）