PATIENT-PHYSICIAN RELATION--DISCOURSE BY CARE ETHICS

• Main Authors: Jui-Chi Liao, 廖瑞琪
• Other Authors: Shui Chuen Lee
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/75496078030958876779

碩士 === 國立中央大學 === 哲學研究所碩士在職專班 === 98 === In Taiwan, medical treatments are basically based on rational consideration with technological fix as the basic principle and first priority. Hence, humanity is largely neglected. Physician seems to forget that the patient is a person and not just a conglomeration of genetic organisms. Under such professional attitude, the core of patient-physician relation is degenerated into a kind of technological examination of the biological body. The psychological needs of the patient as well as the true value and role of the medical professionals are neglected. In this dissertation, I take confrontations between the patient and physician as the starting point to show how the way patient-physician relation has been degenerated and need be treated itself. Care is a human characteristic and everybody has certain capability to care. In this thesis, I argue how caring relation in care ethics could bring an alternative perspective to the patient-physician relation. The introduction of care into the bio-technological medical context could soften the mechanical operation and could provide in time the concern and response to the need of the patient. This will help not only to establish a caring relation but also transcend the cold separation of patient-physician relation embedded in the main stream ideology of principlism. I try to argue how a caring relation could improve the quality of medical treatment and interaction between the patient and physician. The cultivation of caring capability and ideal for medical professionals is the key to improvement and in the last part of this paper I propose to inject a dose of care education in medical training so as to make medicine more humanistic. To facilitate the building of caring relation and trust of the patient, a course in the training in bedside consultation in medical program is necessary. For it could help patient and patient family to understand their situation, solve their puzzles and make their decisions. With caring and consultation, we could help to rebuild the patient-physician relation upon a deep caring concern with empathy and mutual trust.