病人在量化中走向何方?质量无法衡量

J. Hemza
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摘要

在奥古斯都时代,由于奥古斯丁瘟疫,以当时罗马的希腊人为代表的医学成为所谓的艺术职业之一。起初,在罗马人的职业观念中,律师、教师和测量员是一体的,他们既是建筑师又是建造者。这些职业在其操作中代表着一定的艺术,具有显著的内在、主观积淀的高学历、知行能力。多亏了科技,当代世界,因为它是一个技术领域,倾向于移动一切,试图测量一切。这一趋势也显著影响了艺术专业领域,这是当今测量形式的一个例外。在医学中,主观成分的重要性开始消失。有一种倾向于客观化,即测量。这导致了一个系统,医生已经失去了检查病人的能力,以牺牲临床旁的检查为代价,这些检查是成像方法,化学实验室方法。医生很难用他的感官——听、看、感觉、感知心理问题——来感知病人的困难。
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Where Does the Patient Go in Quantification? Quality Cannot be Measured
At the time of Augustus, thanks to the augustinian plague, medicine, represented mainly by the Greek people in Rome at that time, is among the so-called artes professions. Originally there belonged a lawyer, teacher and surveyor, in the concept of the Roman profession, who was both an architect and a builder. These professions represented a certain art in their operation, a significant internal, subjective deposit with a high degree of education, the ability to know. Thanks to technology, the contemporary world tends, because it is a technical area, to move everything to try to measure everything. This trend also significantly instemlines the field of artes professions, an exception to today’s form of surveying. In medicine, the importance of the subjective component begins to disappear. There is a tendency towards objectification, i.e., measurement. This leads to a system where the doctor already loses the ability to examine the patient at the expense of paraclinical examinations – these are imaging methods, chemical laboratory methods. The doctor has trouble perceiving the patient’s difficulties with his senses – to hear, to see, to feel, to perceive psychological problems.
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