scholarly journals 挑戰與應對——中國傳統哲學視角下AI時代的醫患關係

Author(s):  
Hanhui XU

LANGUAGE NOTE | Document text in Chinese; abstract in English only.AI physicians may replace human physicians in the foreseeable future. This, according to some philosophers, would maximize patients’ autonomy by helping to eradicate the paternalistic model of the doctor–patient relationship. In my view, however, this trend might pose a new threat to patients’ autonomy: the domination of machines. AI physicians would become dominant, depriving patients of their autonomy. This issue cannot be appropriately addressed until an alternative view of the doctor–patient relationship is available. The Confucian perspective on this relationship may be helpful. In Confucian thought, interaction between the physician and the patient is crucial. Thus, a better model would involve doctors, patients and AI devices, with AI-based diagnosis helping doctors to serve patients as efficiently as possible.DOWNLOAD HISTORY | This article has been downloaded 22 times in Digital Commons before migrating into this platform.

Author(s):  
Hongzhong QIU

LANGUAGE NOTE | Document text in Chinese; abstract in English only.Sun’s article is a useful exploration of the body ethics model of medicine. However, a body is not the equivalent of a person—the body is waiting to utter its meaning. This commentary, which adopts a phenomenological perspective, discusses different ways of treating the body and of interrogating the senses of the body understood by patients and doctors. Divergent such senses influence the doctor-patient relationship in quite distinct ways. To establish a new clinical model, this commentary holds that we need to pay greater attention to the epistemology and methodology of somatic phenomenology, which can inspire us to understand the comprehensive significance of the body for medicine.DOWNLOAD HISTORY | This article has been downloaded 35 times in Digital Commons before migrating into this platform.


Author(s):  
Li LIANG

LANGUAGE NOTE | Document text in Chinese; abstract also in English.以患者利益為重被視為醫學的傳統美德,也是醫生的職責。它的基本宗旨是將患者的利益放在首位。當醫生的利益不受其他因素干擾時,他們較能承擔“患者利益至上”這一責任。而當出現利益衝突時,醫生則會面臨特殊的挑戰,有時還有可能需要做出一定的自我犧牲。西方醫學倫理在強調醫師職業道德的同時也通過制度建設盡量避免利益衝突的發生,以更好維護患者和醫生雙方的利益。中國傳統醫學倫理中,“患者利益至上”雖然沒有作為具體道德原則予以規定,但在醫療實踐中卻常常可以體現出醫生“患者利益至上”的情懷。之所以如此,與儒家文化的影響密不可分。儒家“仁”的思想強調愛人,提出對待病人要“皆如至親之想”。儒家將愛親的情感擴展到病人身上,同時也將“博施於民而能濟眾”視為自己高尚的道德追求。在義利關係問題上,儒家提出了獲取利益的正當性問題,即“不以其道得之,不處也”。醫生受其影響,反對“恃己所長,專心經略財物”,強調維護病人健康利益的重要性。另一方面,儒家修身的實踐精神有助於“仁”、“義”等從一種自然情感上升為真正意義上的道德德性,而古代重視家庭親情的傳統對於醫生的品德修養也起到了重要作用。醫生在修德的同時注重自身專業技能的訓練和提高,良好品德和精湛的技藝為維護患者的利益提供了重要條件。目前,患者利益至上的職業精神正面臨著經濟、政治、科技等多方面的挑戰,中國傳統文化缺失帶來的個體道德情感的弱化使這一問題更為突出。The doctor-patient relationship in China is currently experiencing a crisis of trust brought on by the absence of traditional morals and values in healthcare. The Confucian doctrine of ren (benevolence) is based on the possibility of moral perfection in humanity, which in turn guides one how to treat others in family and non-family social relationships. Ren as a relational virtue is particularly important for the doctor-patient relationship. That is why the Confucian idea of “treating a patient like a family member” was popular in traditional medical practice. However, current medical practice is designed around the people who deliver the care, who happen to pay more attention to their own interests and benefits than those of their patients.The essay contends that although Confucian teaching does not exclude the pursuit of self-interest or self-benefit, it does emphasize virtue and personal character, especially for doctors. No doctor is expected to make a profit that is not within the scope of moral principles, even in a resource-constrained setting. It is thus time to realign the values of the Chinese healthcare system based on Confucian virtues so that the patient is again the center of attention. The essay puts forward suggestions for medical professionals to discipline themselves by ensuring good professional and interpersonal skills.DOWNLOAD HISTORY | This article has been downloaded 228 times in Digital Commons before migrating into this platform.


Author(s):  
Yonghui MA

LANGUAGE NOTE | Document text in Chinese; abstract in English only.The last few years have witnessed huge growth in the capabilities and applications of AI. The applications of AI in medical and clinical settings are also expanding at an unprecedented rate. AI is expected to help solve many medical and diagnostic problems and support well-being and health; however, concerns are also growing about the potential for AI doctors to undermine the traditional doctor–patient relationship. The article by Guobin Chen et al. provides a systematic analysis of this issue, to which the current paper is a response. The target article has two main parts. First, it seeks to determine whether the "significance" and "meaning" of the doctor–patient relationship will be eroded, or even eliminated, by AI technologies. Second, it discusses the difference between the Western emphasis on autonomous agents and the Chinese "Dao of completing and perfecting oneself" (cheng-ren zhi dao), and points out that it is very important to recognize this distinction when providing an alternative Chinese approach to the relationship between the AI doctor and patient.DOWNLOAD HISTORY | This article has been downloaded 21 times in Digital Commons before migrating into this platform.


Author(s):  
Jinzhou YE

LANGUAGE NOTE | Document text in Chinese; abstract in English only.Robert Sparrow's critical reflection on the growing enthusiasm for applying AI to medicine is timely and deeply thought provoking. Despite AI's apparent benefits, its potential to restructure medical practice, the doctor–patient relationship and, more generally, human values in the long term give us every reason to be cautious. Before AI is fully embraced, its potential perils should be carefully considered.DOWNLOAD HISTORY | This article has been downloaded 25 times in Digital Commons before migrating into this platform.


2001 ◽  
Vol 120 (5) ◽  
pp. A735-A735
Author(s):  
C STREETS ◽  
J PETERS ◽  
D BRUCE ◽  
P TSAI ◽  
N BALAJI ◽  
...  

1973 ◽  
Vol 131 (4) ◽  
pp. 604-605 ◽  
Author(s):  
R. W. Sherman

2019 ◽  
Vol 1 (1) ◽  
pp. 40-50
Author(s):  
Jose Luis Turabian

Psychology and sociology share a common object of study, human behaviour, but from different perspectives. Sociologists have focused on macro variables, such as social structure, education, gender, age, race, etc., while psychology has focused on micro variables such as individual personality and behaviours, beliefs, empathy, listening, etc. Despite the importance of interpersonal relationship skills, they depend on the community or social context in which communication takes place, and by themselves may have little relevance in the consultation. The purely psychological analysis of the doctor-patient relationship often leads to an idyllic vision, with the patient-centred consultation as the greatest exponent, which rarely occurs in real life. The purely sociological or community / social analysis of the doctor-patient relationship leads to a negative view of the consultation, which is always shown as problematic. But, the psychological system in the doctor-patient relationship cannot be neglected, and its study is of importance, at least as an intermediate mechanism that is created through socio-community relations. Although the same social causes are behind the doctor-patient relationship, when acting on psychological factors in the consultation, they act as an optical prism scattering socio-community relations that affect the doctor and the patient, giving rise to a beam of different colors of doctor-patient relationship. In doctor-patient relationship there is a modality of psychotherapy, where attitudes, thoughts and behaviour of the patient, can be change, as well as it can be extended on the way of understanding and therefore changing, his social context. Because of the distance between socio-community relations and the form of doctor-patient relations is growing in complex societies, under these conditions, the sociological factor gives the important place to the psychological factor. Given these difficulties of the doctor-patient relationship one may ask how general medical practice can persist with the usual model of doctor-patient relationship. Pain and the desire to relieve them are the basic reasons for the patient and the doctor, and they do not disappear due to the contradictions of the doctor-patient relationship. In this way, the confrontation between sociological and psychological vision is replaced by an alliance of both currents, and each of them takes on meaning only in the general vision.


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