本文拟论证一个观点,现代医学模式从专科向全科的转变与哲学从现代向后现代转变二者之间存在着内在的关联。在分析、还原为特点的现代哲学影响下产生的是专科医学,在后现代哲学影响下产生的是全科医学。后现代哲学思维成为影响医学思维的主流,其发展的结果是全科医学的"全科思维",这种思维逻辑的特征是注重生活世界,强调主体间性,强调"效果历史",重视差异性、反对科学"元叙事"等。本文从后现代维度对全科医学的目的和方法、医学效果、医学的主体和医患关系以及医学文化等6个方面进行理论建构。The view point of this paper is that there is inner correlation between the transformation from special medicine to general medicine in modern medical model and the transformation from modernity to post-modernity in philosophy.The special medicine is produced under the influence of modern philosophy characterized by analysis and reduction,while the general medicine is produced under the influence of post-modern philosophy.The post-modern philosophical thinking has become the mainstay to influence the medical thinking.Its development results in thinking from general medicine.The features of this thinking are paying attention to living world,emphasizing inter-subjectivity,emphasizing the history of effect,preferring difference and combating scientific "meta-narration".This paper proposes the reconstruction of general medicine in the view of post-modern philosophy from six angles of the purpose and method,effect,subject,relationship between patient and doctor,and medical culture
