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医学工程化人文困惑问题研究

The Study of Humanism Puzzle Problems in Medical Engineering

作者: 专业:科学技术哲学 导师:刘霁堂 年度:2015 学位:硕士  院校: 广州中医药大学

Keywords

Medical Engineering, Humanism puzzle, Medical humanistic care

        随着科学技术的高速发展和医学的不断进步,生命科学、物理学、化学和工程科学相互渗透,互相结合,愈来愈呈现出工程化的趋势。科学技术广泛应用于医学当中,医学工程化大大提高了人类的医学水平,对改善人类生活质量,提高人类的健康状况、延长人类寿命起到巨大的推动作用。医学技术工程化趋势促成医学水平快速提升。医学技术的发展在一定程度上促进了人类战胜疾病的能力,但也滋生了医生过分依赖技术、工具和崇信技术、技术主体化现象。事实上,随着疾病谱的变化,大量慢性病的出现,医学的人文价值越发突出,单单依靠工程化的技术因素已无法达到医学目标。医学工程化的发展在弱化医生的主体地位,促成医学技术主体化,医学人文精神在丧失,医学异化在加快,医学工程化促发人文困惑。本文研究内容主要是:医学工程化的相关理论,医学工程化构成、特征及发展,医学工程化人文困惑的概念、特征、构成、表现、原因及解决之道探讨。医学工程化促进了高新技术广泛应用于医学临床实践的同时,呈现出经济效益至上、医疗成本增高、医疗资源分配不平衡、医患关系、医医关系及医护关系技术化等诸多问题。本文通过对医学工程化的特征、构成、表现进行深入分析,通过医学工程化的历史与发展现状、医学人文困惑的表现和构成进行归纳总结,探寻医学工程化人文困惑的消解途径。笔者通过诸如此类问题的研究,梳理医学工程化与医学人文价值的矛盾,从技术理性、医学还原论与技术主体化思维、医学功利主义、医学人文精神缺失等方面剖析医学工程化人文困惑的根源。医学的发展不仅是技术层面的进步,也应该是人文价值的彰显。通过对医学工程化人文困惑问题的研究,重新审视医学本质,从人文价值主导医学工程化、优化医学工程化主体结构、加强医学人文教育、道德约束和制度管制等方面消解人文困惑,从而达到医学科学技术与医学人文价值的融合贯通,发挥医学应有的价值意义,真正造福于人类,服务于社会。
    With the continuous progress of science and technology and the rapid development of medicine, life sciences, physics, chemistry and engineering sciences mutual penetration, combined with each other, more and more showing engineered trend. Science and technology which is widely used in medicine, medical engineering has greatly enhanced the level of human medicine, to improve the quality of human life, enhance human health and prolong human life has played a huge role in promoting. Trends in medical technology engineered to promote the rapid increase of medical standards. Development of medical technology to some extent, contributed to the human ability to overcome the disease, but also the breeding ground for the doctor over-reliance on technology, tools, and in thrall to technology, technical body phenomenon. In fact, with changes in disease spectrum, the emergence of a large number of chronic diseases, medical humanistic value more prominent rely solely on technical factors engineering has been unable to achieve the medical objectives. Medical engineering development in weakening the dominant position of doctors, led the main body of medical technology, medical humanities at the loss, alienation accelerating medical, medical engineering Humanities trigger confusion. The main contents of this paper are:the theory of the medical engineering, medical engineering structure, characteristics and development, medical engineering humanistic confused concept, characteristics, composition, performance, causes and solutions of the road to explore.Medical engineering is widely used in the promotion of high-tech medicine in clinical practice at the same time, showing economic supremacy, increased health care costs, uneven distribution of medical resources, the doctor-patient relationship, medical doctors and health care relationship between technology and many other issues. Based on the characteristics of the medical engineering, configuration, performance-depth analysis by the history and current situation of the development of medical engineering, medical humanities confused performance and composition digestion summarized way, exploring medical engineering humanistic confusion. Through studies such as these issues, carding contradictory medical engineering and medical humanities value, analyze the root causes of medical engineering humanistic confusion from technical rationality, medical and technical subject of reductionist thinking, medical utilitarianism, lack of medical humanities and so on.Development of medicine is not only the technical aspects of progress, but also highlight the value of the humanities should be. By confusing the issue humanistic medical engineering research, re-examine the medical nature, the leading medical engineering from the humanistic value, optimization of medical engineering body structure, strengthen medical humanities education, moral constraints and institutional aspects of regulatory confusion and so digestion humanities to achieve Medicine integration of science and technology and medical humanistic value through play due value medical significance, the real benefit of humanity, service to society.
        

医学工程化人文困惑问题研究

摘要3-4
Abstract4-5
引言8-10
第一章 绪论10-14
    第一节 选题背景10-11
    第二节 研究现状综述11
    第三节 研究意义和研究思路11-14
第二章 医学工程化及其人文困惑问题的再考虑14-32
    第一节 医学工程化概述14-21
        一、医学工程化概念及特征14-18
        二、医学工程化的构成和分类18-19
        三、医学工程化的历史和现状19-21
    第二节 医学工程化人文困惑的解读21-26
        一、何谓医学工程化人文困惑21-22
        二、医学工程化人文困惑的构成22-24
        三、有关医学工程化人文困惑的一些观念24-26
    第三节 医学工程化与医学人文价值的矛盾26-29
        一、医学技术化加剧了医患关系的恶化26-27
        二、医学技术化带来人文关怀的缺失27-28
        三、医学技术化导致医学主体性的失落28-29
    第四节 医学工程化人文困惑的表现29-32
        一、经济效益至上29-30
        二、医疗成本增高30
        三、医疗资源分配不平衡30-31
        四、医患关系、医医关系、医护关系技术化31-32
第二章 医学工程化人文困惑的成因分析32-39
    第一节 技术理性泛滥32-33
        一、技术理性定义32-33
        二、技术理性对现代医学技术的影响33
    第二节 医学还原论与技术主体化思维33-35
        一、还原论思维是医学工程化的哲学基础33-35
        二、技术主体化削弱了人的主体地位35
    第三节 医学功利主义35-37
        一、医学的市场化36
        二、非理性的健康需求36-37
    第四节 医学人文精神缺失37-39
        一、医学人文教育滞后37
        二、医学人文精神与科学精神失衡37-39
第四章 医学工程化人文困惑消解途径39-45
    第一节 人文价值主导医学工程化39-40
        一、增强医患沟通交流,提倡人文关怀39-40
        二、继承和发扬以人为本的医学人文传统40
    第二节 优化医学工程化主体结构40-41
        一、完善医疗体制、整合卫生资源40-41
        二、转变医学模式、创建医药民主机制41
    第三节 加强医学人文教育41-43
        一、坚持科学精神与人文精神统一的教育理念41-42
        二、完善医学人文教育课程设置、拓宽人文教育结构42
        三、营造医学人文环境、实现学校育人与医院用人目标的统一42-43
    第四节 道德约束和制度管制43-45
        一、加强社会舆论、弘扬道德良知43
        二、资本服务于医学、人文精神合理规范资本43-45
结语45-46
参考文献46-49
研究生在学期间发表论文情况49-50
致谢50
        下载全文需50


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