Inspired by some literary references, the essay aims at outlining the main features of narrative medicine, such as the development of the cultural trend that suggests a constructive dialogue between medicine and literature. Specifically, the author attempts to define the differences in approach and the overlaps between Narrative Based and Evidence Based Medicine. Under this perspective, the work seeks to illustrate what kind of contribution narrative medicine may offer to the debate concerning some key aspects of the medical liability field, in particular with regards to the contents of medical guidelines and patients’ informed consent. Thus, the paper explains how the narrative approach to medical practice could raise the quality standards of the health care service by means of driving toward a full therapeutic alliance between physicians and patients. Among the positive aspects of such a trend, the author highlights how the narrative method put a brake on the spread of medical practitioners’ defensive practices.

Traendo spunto da alcuni riferimenti letterari, il lavoro mira a introdurre gli aspetti più significativi della medicina narrativa, quale sviluppo del filone culturale che suggerisce un confronto costruttivo tra medicina e letteratura. In particolare, si delineano le differenze di approccio e i punti di incontro tra la Narrative Based e la Evidence Based Medicine. In questa prospettiva il saggio si propone di illustrare quale apporto la medicina narrativa possa offrire al dibattito attorno ad alcune questioni centrali in tema di responsabilità medica: l’ossequio ai contenuti delle linee guida e la rilevanza del consenso informato del paziente. L’approccio narrativo alla pratica medica, da un lato, sembra poter innalzare gli standard qualitativi della prestazione sanitaria, dall’altro, anche favorendo la realizzazione di una piena alleanza terapeutica tra il medico e il paziente, garantisce un freno alla diffusione di pratiche difensivistiche.

Rotolo, G., Profili di responsabilità medica alla 'luce' della medicina narrativa, <<RIVISTA ITALIANA DI MEDICINA LEGALE>>, 2014; (3): 873-885 [http://hdl.handle.net/10807/64954]

Profili di responsabilità medica alla 'luce' della medicina narrativa

Rotolo, Giuseppe
2014

Abstract

Inspired by some literary references, the essay aims at outlining the main features of narrative medicine, such as the development of the cultural trend that suggests a constructive dialogue between medicine and literature. Specifically, the author attempts to define the differences in approach and the overlaps between Narrative Based and Evidence Based Medicine. Under this perspective, the work seeks to illustrate what kind of contribution narrative medicine may offer to the debate concerning some key aspects of the medical liability field, in particular with regards to the contents of medical guidelines and patients’ informed consent. Thus, the paper explains how the narrative approach to medical practice could raise the quality standards of the health care service by means of driving toward a full therapeutic alliance between physicians and patients. Among the positive aspects of such a trend, the author highlights how the narrative method put a brake on the spread of medical practitioners’ defensive practices.
2014
Italiano
Rotolo, G., Profili di responsabilità medica alla 'luce' della medicina narrativa, <<RIVISTA ITALIANA DI MEDICINA LEGALE>>, 2014; (3): 873-885 [http://hdl.handle.net/10807/64954]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/64954
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