医学学术英语-课本主要概念-内容.docxVIP

医患关系 U1 （医生繁忙的工作性质导致了医生和病人之间的相互误解,对病人来说，需要理解医生的工作） Mean idea: It’s really common to read or hear about the complaints of doctor’s be impatient and careless. Although there are probably a few doctors who truly are tone-deaf, most are reasonably empathic human beings, and I wonder why even these doctors seem prey to this criticism 为什么会有这种误解： Neuron overload on the doctor side that leads to the problem. Sometime, one stray request（一个冷不丁的问题） from a patient- even one that is quite relevant- might interrupt doctors’ thinking（might catch one of the doctors’ neurons in mid-fire) Patients’ high expectation Mistrust and misunderstanding between the patients and physician U7/主要是讨论病人自主，但可以在医患关系里提及生了/ （医学伦理学在解决医患关系时需要注意的，对医生来说，需要顾及到病人的情况） Respect for the patient, especially the patient’s autonomy(自主权) Mean idea: In an era of fast advancing medical technology, rapidly changing medical ethics, and in increasingly litigious society, good physician-patient relationship is critically important for effective health care delivery. 医生和患者需要做出哪些艰难的决定： Decide whether life-support system should be continued or withdrawn Decide whether a new therapy should be tried Decide whether surgery should be the first choice or the last resort Decide whether transfer or referral（转介） is needed Decide whether euthanasia（安乐死） should be considered 什么是paternalistic decision-making（家长式决策） A doctor play the role of an exclusive decision maker while his patient is considered as the participant without little say in the final choice. 什么是patient-center care(病人中心式照顾) The Patients are the decision maker based on the information provided by the doctor. 为什么不可以全以医生为主或全以病人为主 Doctors are very much cautious about committing some kind of ethical transgression （医生都非常谨慎以免犯下某种侵犯道德的罪名） When it came to medical decisions, almost all the respondents wanted their doctors to offer choices and consider their opinions. 我们应该怎么做 Shouldering responsibility together with the patient may be better than having the patient make decision