【摘要】 全科医学提供的初级卫生保健是实现全民健康的重要保障。随着新医改的不断深入，我国基层医疗机构的数量、全科医生的数量及门诊人次数均较十年前大幅提升。全科医生作为全科医学的实施主体，在以患者为中心、同时关注患者的心理和社会因素方面与叙事医学理念不谋而合，叙事医学是由具有叙事能力的临床工作者所实践的医学，目前在我国存在理论强、实践弱的情况。本文在全科医生视角下，以平行病历的形式展现叙事医学在基层医疗中的实践对全科医生的积极影响。

    【关键词】 全科医学；叙事医学；平行病历；基层医疗

    【中图分类号】 R 749.08 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2023.0181

    Discussion on the Practice of Narrative Medicine in Primary Care from the Perspective of General Practitioners

    WANG Lin1，WANG Yixin2*，CHEN Tingyan3，LIN Shaohai4，ZHANG Yonghui5

    1. Department of General Practice，Community Health Service Center of Shahe Higher Education Park，Changping District，Beijing 102206，China

    2. Department of General Practice，Beijing Anzhen Hospital，Capital Medical University，Beijing 100029，China

    3. Department of Gastroenterology，the First Affiliated Hospital of Fujian Medical University，Fuzhou 350000，China

    4. Beijing Health Human Resource Development Center，Beijing 100034，China

    5. Department of General Practice，Huayuan Road Community Health Service Center，Haidian District，Beijing 100088，China

    *Corresponding author：WANG Yixin ......