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常人疾病观及其对医患关系的影响

Lay theories of illness and their influences on doctor-patient relationships

中文摘要英文摘要

常人疾病观是普通人对于某一疾病的认知、解释和态度的集合。与专业医务人员相比,普通人更关注心理、家庭和社会因素而非生物学因素的致病作用,就医选择多元而并不遵循标准化的就医模式,同时更愿意将疾病体验视为个人生活的特殊问题加以建构性理解。常人疾病观与科学医学观之间的不一致性可能降低患者的就医满意、对医信任和医嘱依存性,从而影响治疗效果。立足中国社会的医学文化与医疗制度,研究中国人的常人疾病观,并探讨其对医患关系的影响作用与社会心理机制,可为改善当下中国医患关系紧张现状提供有益建议。

Lay theories of illness are a collection of lay peoples knowledge, explanations, and attitudes toward a particular disease. Compared with medical professionals, lay people are more concerned with the pathogenic effects of psychological, family and social factors than biological factors. They choose diverse medical treatments rather than follow the standardized medical model; they are more willing to treat the disease experience as a special issue of personal life and develop a constructive understanding. The discrepancies between lay theories of illness and scientific medical theories can lower patients satisfaction with medical care, trust in medical practitioners, and adherence to doctors advice, thereby affecting treatment outcomes. It is believed that studying Chinese lay theories of illness, their impact on doctorpatient relationships and the social psychological mechanism thereof, in the context of the Chinese medical culture and medical system, will provide useful suggestions for reducing the current tension between doctors and patients in China. "

10.12074/201811.00083V2

医药卫生理论

常人理论常人疾病观医患关系医患沟通

lay theorieslay theories of illnessdoctor-patient relationshipsdoctor-patient communication

.常人疾病观及其对医患关系的影响[EB/OL].(2018-11-16)[2025-08-02].https://chinaxiv.org/abs/201811.00083.点此复制

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