為了取代醫師中心說所造成的醫病關係不平等與緊繃現象，臺灣跟隨世界浪潮，1986年頒布醫療法，強調以病人為中心的醫病關係建構模式，透過保障病人在醫療上的相關權利以期能更好地增進醫病關係的良性互動。但過度將權利偏重於關係中的某一方，卻容易產生關係失衡狀態。在醫病關係的第一次哥白尼轉向，我們用「病人中心說」取代「醫師中心說」以避免醫師專業性凌駕病人對身體的自主權；但是，當病人中心說過於強調病人權利以及醫師義務，反而沒辦法達到彼此信任。我們需要另一場哥白尼的轉向，改變主客體之間的關係與定位，以使醫病關係可以重新獲得建構。「互為主體性」的醫病關係強調醫師、病人的義務與權利都不可偏廢，彼此都應保持自身的完整性，如此將有助於醫病關係長久且穩定的建構。而要達成這種互為主體性的醫病關係，我們透過二個步驟來探討：一、重解醫病關係：以「醫師為中心」、「病人為中心」的醫病關係所會產生的問題。二、建基在「互為主體性」的醫病關係：從「我—他∕她∕它」轉變到「我—你」在醫病關係中具有的價值。

To improve the tenser and tenser physician-patient relationship arising from the inequity in terms of medical knowledge and social status, Taiwan government enacted the Medical Care Act in 1986, emphasizing a patient-centered medical care system. Over-emphasizing one end of this relationship may turn out unbalanced and detrimental to the overall relationship. In the first “Copernican Revolution” we replace physician-centeredness with patient-centeredness to avoid absolute physician’s professionalism harming patient’s autonomy. However, over-emphasizing patient’s right and physician’s obligation may be also detrimental to mutual trust and aggravate ‘burnout’ problem. Therefore, in Taiwan, we urgently need another “Copernican Revolution” to reform this physician-patient relationship. We therefore proposed an exposition as a solution. A philosophical concept proposed for the solution in this delicate relationship is “inter-subjectivity”. Inter-subjectivity emphasizes that both patients and physicians should have equal right and obligation and that both sides should maintain their autonomy and integrity. This is the way that a virtuous cycle in the physician-patient relationship can be stably established. Following two steps are essential for the establishment of this “inter-subjectivity”: 1. The problem of physician-centeredness and patient-centeredness. 2. The value of “inter-subjectivity”: from “I-It” to “I-Thou”