Research on the value of narrative medicine in bridging differences in shared decision-making
10.12026/j.issn.1001-8565.2025.06.01
- VernacularTitle:叙事医学在医患共同决策中弥合分歧的价值研究
- Author:
Shan LUO
1
;
Dabin WANG
2
;
Jiawen ZHANG
3
;
Fang XIE
4
;
Hong LIU
1
Author Information
1. School of Nursing， Southwest Medical University， Luzhou 646099， China
2. Pain Department Luzhou People’s Hospital， Luzhou 646000， China
3. Xiamen University Tan Kah Kee College， Zhangzhou 363123， China
4. Exercise and Health Promotion Center， Chang’an University， Xi’an 710064， China
- Publication Type:Journal Article
- Keywords:
shared decision-making;
narrative medicine;
doctor-patient relationship;
doctor-patient communication
- From:
Chinese Medical Ethics
2025;38(6):679-686
- CountryChina
- Language:Chinese
-
Abstract:
Shared Decision-Making （SDM） is a crucial concept in modern medicine， emphasizing the joint participation of doctors and patients in the medical decision-making process. However， the authoritative position of doctors and the passive role of patients in traditional medical models often overlook the personal wishes and needs of patients， leading to tense doctor-patient relationships and medical disputes. By listening to and understanding their stories， narrative medicine helps doctors gain a more comprehensive understanding of patients’ situations and balances medical advice with patient needs in the decision-making process. Through systematic literature analysis and theoretical exploration， this paper investigated the application effects and mechanisms of narrative medicine in different medical contexts， as well as analyzed its specific role in the process of SDM. The aim is to explore the value of narrative medicine in bridging differences in SDM， revealing its role in promoting doctor-patient communication， enhancing decision-making participation， and improving medical outcomes. Researches had found that narrative medicine enhanced doctors’ “narrative ability”， promoted emotional communication and trust between doctors and patients， reduced conflicts and misunderstandings in decision-making， and improved patients’ sense of participation and trust， thus playing an important role in SDM. Therefore， by enhancing doctor-patient communication and understanding， promoting SDM and treatment selection between doctors and patients， personalized care and treatment optimization， advocating for doctor-patient co-construction， improving consultation efficiency， restoring the patient’s subject position， and other methods， it can bridge doctor-patient differences， promote communication and enhance decision-making participation， and improve medical outcomes and patient satisfaction.
