医学人文精神和医学科学精神的融通

医学人文精神和医学科学精神都是人类医学必不可少的内在组成部分,要达到两者的融通与共建,其前提便是在对医学人文和医学科学的全面理解中塑造当代医学精神,促进医学人文精神与医学科学精神的健康互动与协调发展。     

医疗实践中的医学与科学

人们对事物观测的角度不同,对医学与科学问题也是众说纷纭。面对医学的现代性困境,医学是否是科学已不是问题,问题是医学将走向何处。因此,从实际出发,捋顺医学与科学的关系对医学发展至关重要。抛开诸多概念或定义上的困惑,医学与科学应该是珠联璧合与相互促进的关系。虽然现代医学有很多非科学成分,正起着十分重要的作用,但医学发展仍然要以科学为主导,并与医学心理和医学社会相结合,重视整体医学理念,加强医学人文渗透,推进医学在更高层面上发展。     

向人文医学注入科学精神

医学科学与人文的结合,既包括向医学科学注入人文精神,还包括向人文医学注入医学科学精神,以科学精神充实、丰富人文医学,使人文医学具有扎实的生活基础和现实针对性,摆脱那种脱离实际的空洞说教.当前在加强人文学科建设的呼声中,我们人文学者似乎忽视了这一点,因而影响人文学科的建设及其作用的发挥.2012年6月30日～7月1日,由医学与哲学杂志社与北京大学医学人文研究院、中国自然辩证法研究会医学哲学专业委员会于北京联合举办的“医学人文社会科学实证研究研讨会”,是一次向人文医学注入科学精神的有益尝试,它意味着我国人文医学迈开了新的重要一步,并将对我国人文医学的建设产生深远影响.     

向人文医学注入科学精神

医学科学与人文的结合,既包括向医学科学注入人文精神,还包括向人文医学注入医学科学精神,以科学精神充实、丰富人文医学,使人文医学具有扎实的生活基础和现实针对性,摆脱那种脱离实际的空洞说教。当前在加强人文学科建设的呼声中,我们人文学者似乎忽视了这一点,因而影响人文学科的建设及其作用的发挥。     

人文精神是医学科学的旗帜

人文精神是人类文明的精华,是医学科学的旗帜,主导和把握着医学科学的发展方向。在现代社会各种复杂的因素影响下,医学与人文的关系受到严峻挑战,出现了医学脱离人文的倾向。纠正这种倾向,重新建立医学与人文之间和谐互动的关系,实现人文对医学的引领和把握,是现代医学面临的重要课题。     

人文精神是医学科学的旗帜

人文精神是人类文明的精华,是医学科学的旗帜,主导和把握着医学科学的发展方向.在现代社会各种复杂的因素影响下,医学与人文的关系受到严峻挑战,出现了医学脱离人文的倾向.纠正这种倾向,重新建立医学与人文之间和谐互动的关系,实现人文对医学的引领和把握,是现代医学面临的重要课题.     

医学科学数据共享的伦理问题研究

医学科学数据既是医学科学研究的成果,又是一种重要研究资源.针对医学科学数据共享所面临的伦理学问题,如医学科学数据的所有权、医学科学数据共享与知识产权保护等,提出相应的举措,对促进和规范医学科学数据的共享、最大化科学数据的价值具有现实和长远的意义.     

论医学科学的现代性构建——也谈医学与科学

现代化与现代性是两个有联系但性质又不相同的概念。现代医学的困境,来自以基于构成性整体形成的还原方法研究人体生命这一特殊的生成性整体。构建医学的现代性,就是要用现代性的精神,修正医学沿着传统科学理念前进中的缺陷与不足,在追求医学的普遍性、确定性、必然性、可通约性的同时,以宽容和开放的态度对待医学,承认医学研究中的多样性、差异性、不确定性和不可通约性,正确处理客观性与主体性的统一,始终保持批判和自我反思的精神,以新的科学理念看待医学。     

技术医学时代与高扬科学,人文精神

由于医学主导技术的革命,医学已进入技术医学新时代。技术医学时代中的技术主义思潮及其市场经济外部环境的某些负面影响,导致人文精神的一度衰落,因此而促成人文医学的复兴。未来医学必须高扬科学精神与人文精神,实现科学文化与人文文化的融会,方能维系技术医学与人文医学在２１世纪的高速、健康发展。     

关于医学与理工科学的比较及其结合

生物医学工程是医学与理工科学之间的一门交叉学科,近年发展十分迅速,但理工科学与医学具有非常不同的学科特点,充分认识其间的差异是非常必要和重要的。本文从认识论与方法论的角度讨论了医学研究与理工科学的不同特点及相应的问题,分析了医工结合的主要困难,提出了加强与改进医学与理工科学结合的途径。     

循证医学与人文关怀

本文从循证医学发展和应用过程的角度分析了循证医学所包涵的人文精神和人文关怀。文章介绍了循证医学的人文底蕴,针对医学实践中人文关怀的缺失,着重探讨了循证医学的发展对医学人文关怀内涵的丰富和发展。文章最后就怎样在循证医学的实践中更好地实现人文关怀提出几点建议。     

Laying medicine open: understanding major turning points in the history of medical ethics

At different times during its history medicine has been laid open to accountability for its scientific and moral quality. This phenonmenon of laying medicine open has sometimes resulted in major turning points in the history of medical ethics. In this paper, I examine two examples of when the laying open of medicine has generated such turning points: eighteenth-century British medicine and late twentieth-century American medicine. In the eighteenth century, the Scottish physician-philosopher, John Gregory (1724-1773), concerned with the unscientific, entrepreneurial, self-interested nature of then current medical practice, laid medicine open to accountability using the tools of ethics and philosophy of medicine. In the process, Gregory wrote the first professional ethics of medicine in the English-language literature, based on the physician's fiduciary responsibility to the patient. In the late twentieth century, the managed practice of medicine has laid medicine open to accountability for its scientific quality and economic cost. This current laying open of medicine creates the challenge of developing medical ethics and bioethics for population-based medical science and practice.     

Medicine as business and profession

This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.     

"以病人为中心"医疗服务模式的理念与发展

纵观20世纪医疗服务的发展历程,医疗服务的发展经历了“以疾病为中心”的传统医疗服务模式到“以病人为中心”的新的医疗服务模式的转变;目前,以“以病人为中心”的医疗服务模式已经成为我国现代医院改革与发展的主题。因此,在阐述医疗服务模式变革与发展的基础上,系统论述了“以病人为中心”的医疗服务模式的内涵与特点,新的理念、新的认识,也带来了新的希望,新的医疗服务模式将不断地改善与提高人们的健康状况与生活质量。     

Bio-X: Removing Bodily Contingency in Regenerative Medicine

This paper addresses the social, cultural, and ethical dynamics of research in regenerative medicine. The author turns to both science fiction and recent developments in regenerative medicine for clues about the future of the body and medical practice, suggesting that regenerative medicine uses the body as its own resource for the purposes of preserving life, and that by attempting to remove the body from the limitations of both mortality and contingency, regenerative medicine fundamentally alters the meaning of “human.”     

Notions of Healing and Transcendence in the Trajectory of African Traditional Religion: Paradigm and Strategies

This paper examines the import of transcendence in illnesses and misfortunes as well as the place of healing in African traditional religion. The belief in medicine among Africans is the art of using available forces of nature to prevent disease and to restore and preserve health. It occupies a prominent position in the religious lives of African people. This article draws attention to the practice of several healing activities in African traditional religion in its attempts to restore health, exploring the indigenization of health care procedures and the role and function of God in African medicine and healing. This work shows that the concept of God is central in African religion and plays a prominent role in its healing ministry. The paper concludes with a suggestion about what could constitute a collective synergy for Western orthodox and African traditional medicine.     

Spiritual Care: Define and Redefine Self

Spiritual care is deep rooted in the traditional ancient system of medicine. However, due to lack of high grade evidences, practitioners of modern system of medicine are hesitant to inculcate spirituality in their clinical practice. This paper is an attempt to basic understanding of spiritual care therapy, current evidences for it and the challenges for incorporation in the allopathic system of medicine.

     

Patient Co-Participation in Narrative Medicine Curricula as a Means of Engaging Patients as Partners in Healthcare: A Pilot Study Involving Medical Students and Patients Living with HIV

Journal of Medical Humanities - This paper describes a pilot study of a new model for narrative medicine training, “community-based participatory narrative medicine” (CBPNM), which...     

中医药对牙周病的研究和治疗思路

中医药对牙周病的研究和治疗已有悠久的历史,它与牙周基础治疗结合可以获得良好的治疗效果,可弥补单纯西医在治疗牙周病时偏重局部的缺陷。对中医药对牙周病研究和治疗的历史和进展情况作了简要综述,并就中医药对牙周病的治疗思路和中西医结合治疗牙周病的科学合理性进行了探讨。     

医学阐释学--医学哲学研究新视角

医学阐释学是哲学阐释学在医学领域的应用,是医学与哲学交叉的一个新领域.简述哲学阐释学的发展以及其主要观点,并集中讨论了医学阐释学研究的范畴,其中包括:人体的现象学、健康和病患的意义、医患关系、生命伦理学、医学的目的.指出医学阐释学对医学哲学、医学人文科学研究的影响.