Discussion on design of clinical trial scheme for doctor-patient co-construction of traditional Chinese medicine and Western medicine under concept of narrative medicine.
10.19540/j.cnki.cjcmm.20190620.502
- Author:
Yu XIN
1
;
Hao-Xin YANG
1
;
Xiu-Wen ZHANG
1
;
Guo-Zhen ZHAO
2
;
Yan-Yan DAI
1
;
Bo LI
3
Author Information
1. Dongzhimen Hospital, Beijing University of Chinese Medicine Beijing 100700, China.
2. Beijing Institute of Traditional Chinese Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University Beijing 100010, China.
3. Beijing Institute of Traditional Chinese Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University Beijing 100010, China Yanqing Hospital, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University Beijing 102100, China.
- Publication Type:Journal Article
- Keywords:
clinical trial;
doctor-patient co-construction;
narrative medicine;
parallel medical record;
project design
- MeSH:
Clinical Trials as Topic;
Humans;
Medical Records;
Medicine, Chinese Traditional;
Narrative Medicine;
Patient Participation;
Research Design
- From:
China Journal of Chinese Materia Medica
2020;45(5):1202-1208
- CountryChina
- Language:Chinese
-
Abstract:
With the continuous improvement of modern medical technology, medical practice has become more and more procedural. The medical process is often dominated by doctors, while the value orientation of patients is often ignored, lacking effective communication between doctors and patients. In response to this phenomenon, Charon R proposed the concept of narrative medicine, which has been recognized by all walks of life. In recent years, the value of medical humanism has attracted more attention, and the research on narrative medicine at home and abroad is increasing gradually. But at present, most of the research on narrative medicine is in terms of theory, lacking clinical research. How to make narrative medicine applied in the real world is the focus of current research. Following the concept of narrative medicine, and taking the study on doctor-patient parallel medical record to evaluate the real clinical efficacy of traditional Chinese medicine(TCM) and Western medicine(WM) in the treatment of digestive diseases as an example, this study is to explore the design contents and key points of the clinical trial scheme of doctor-patient co-construction of TCM and WM under narrative medicine, and discuss the activity form and clinical efficacy evaluation method under narrative medicine. Clinical trial design includes four aspects: medicine, ethics, statistics and trial management. This study explored the design of the doctor-patient co-construction clinical trial scheme under narrative medicine from both theoretical and practical aspects, providing reference for the design and research of future doctor-patient co-construction scheme, and expecting to establish a better efficacy evaluation method of TCM and WM.
