Английская Википедия:Humanistic medicine
Шаблон:For Humanistic medicine is an interdisciplinary field in the medical practice of clinical care popular in the modern health systems of developed countries.
Problems facing healthcare
In many countries with modern healthcare systems, healthcare systems are facing enormous difficulties in meeting demands given limited healthcare budgets. Healthcare professionals often experience high levels of stress and burnoutШаблон:Ref. Health professionals facing a large number of patients are not giving individual patients the care they want, resulting in a very high number of patients seeking alternative treatmentsШаблон:Ref and rejecting vaccinations for their children. The rising costs of medical services and medication are becoming unaffordable for many patientsШаблон:Ref, preventing these individuals from receiving adequate healthcare without spending a large percentage of their disposable income. Studies have shown that poor doctor-patient relationships result in frequent lawsuits against healthcare providers.[1] These lawsuits have become a major burden to medical personnel and have risen in both number and cost in developed nations.Шаблон:Citation needed
Practice
Among the approaches used to encourage the practice of a more humane medicine are narrative medicine and patient empowerment. Narrative medicine is a way of educating physicians, nurses and other providers that uses storytelling (and active listening) to emphasize the humanity of patient and provider, enabling the "physician to practice medicine with empathy, reflection, professionalism, and trustworthiness."Шаблон:Ref Patient empowerment seeks to create an equal partnership between doctors and their patients, placing values at the center of the healthcare encounter.[2][3] Both of the practices emphasize the importance of the human experience in the practice of medicine, and help to ensure that the humanity of the patient is not obscured in a morass of lab results, patient charts, and insurance regulations. Humanistic medicine strives to create ideal and balanced care that sacrifices neither cutting-edge science nor the gentle art of creating a caring relationship. Various health professional schools across the U.S. have begun to integrate humanistic medical teaching into their curricula in an effort to offset what some view as an over-emphasis on medical technology to the detriment of individual patient care.
Criticism
It is not widely accepted that "humanistic medicine" refers to a belief or set of practices that differ significantly from the biopsychosocial model of care. Further, many of the terms used by its advocates such as "soul" and "spiritual" are not well defined or specifically explored experimentally as much as these approaches contribute to patient welfare beyond those employed by the biopsychosocial model.
References
- Шаблон:Note Patz JA, Jodrey D. Occupational health in surgery: risks extend beyond the operating room. Aust & NZ Journal of Surgery 1995; 65: 627–629.
- Шаблон:Note Bombardieri D, Easthope G. Convergence between orthodox and alternative medicine: a theoretical elaboration and empirical test. Health 2000; 4: 479–494.
- Шаблон:Note Little M. Healthcare rationing: constraints and equity. Medical Journal of Australia 2001; 174: 641–642.
- Шаблон:Note Remen, Rachel Naomi. Kitchen Table Wisdom. 2001. 55–58.
- Шаблон:Note Charon R. Narrative medicine: A model for empathy, reflection, profession, and trust. The Journal of the American Medical Association 2001; 286: 1897.
- Шаблон:Note Little, J Miles. Humanistic medicine or values-based medicine...what's in a name? Medical Journal of Australia 2002; 177: 319–321.
External links
- The Bravewell Collaborative
- Literature, Arts & Medicine Database
- The Arnold P. Gold Foundation for Humanism in Medicine
