基础医学与临床 ›› 2025, Vol. 45 ›› Issue (12): 1688-1691.doi: 10.16352/j.issn.1001-6325.2025.12.1688

• 医学哲学 • 上一篇    下一篇

浅析医学模式的演变及哲学思考

陈罡1, 邓雅方1, 羽思1, 刘安雷2, 吴海婷1, 孙轶飞4*, 吴东3*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1.肾内科; 2.急诊科; 3.消化科, 北京 100730;
    4.河北医科大学 医教协同与医学教育研究中心, 石家庄 050017
  • 收稿日期:2025-07-14 修回日期:2025-09-19 出版日期:2025-12-05 发布日期:2025-11-25
  • 通讯作者: *sunyifei1983@sina.com;wudong061002@aliyun.com
  • 基金资助:
    2023年协和医学院教改项目(2023zlgl043);协和人才培育支持计划c类(UBJ10245);北京协和医学院青年医学教育骨干培训项目(2025mesp005)

A brief discussion on the evolution of medical models and the philosophical reflections

CHEN Gang1, DENG Yafang1, YU Si1, LIU Anlei2, WU Haiting1, SUN Yifei4*, WU Dong3*   

  1. 1. Department of Nephrology; 2. Department of Emergency; 3. Department of Gastroenterology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730;
    4. Medicine-Education Coordination and Medical Education Center, Hebei Medical University, Shijiazhuang 050017, China
  • Received:2025-07-14 Revised:2025-09-19 Online:2025-12-05 Published:2025-11-25
  • Contact: *sunyifei1983@sina.com;wudong061002@aliyun.com

摘要: 从古希腊自然哲学医学模式至现代生物-心理-社会医学模式的建立,医学模式的演进始终受到哲学的影响。古典时代,医学与哲学相互交融,以希波克拉底为代表的自然哲学模式强调人体的整体性。文艺复兴时期,实验科学的发展挑战传统哲学体系,促使医学转向实证研究。20世纪后期,生物-心理-社会医学模式弥补了生物医学模式的局限。21世纪,随人工智能的发展,医学领域正经历着新变革,也不断促进人们思考医学模式的走向及哲学意义。

关键词: 医学模式, 医学教育, 哲学, 人工智能

Abstract: From the natural-philosophical model of medicine in ancient Greece to the modern bio-psycho-social paradigm, the evolution of medical models has always been shaped by philosophy. In classical antiquity, medicine and philosophy were closely intertwined; the natural-philosophical model, exemplified by Hippocrates, emphasized the human body as an integrated whole. During the Renaissance, the rise of experimental science challenged traditional philosophical systems and pushed medicine toward empirical investigation. In the late twentieth century, the bio-psycho-social model emerged to address the limitations of the purely biomedical approach. In the twenty-first century, the advent of artificial intelligence is driving a new transformation in medicine and continually prompting reflection on the future direction of medical models and their underlying philosophical significance.

Key words: medical model, medical education, philosophy, artificial intelligence

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