The doctor-patient relationship runs through the whole process of medical treatment, and it is formed with the occurrence of medical events, which is a pair of contradictions that are both opposing and unified. We should not avoid and cover up the objective existence of this contradiction. The reasons for this are mainly the following.
Inadequate laws applicable to the settlement of medical disputes Medical and health care has its own particularities, and the socialist health law system established for its particularities, to a large extent, failed to really work to solve the reality of doctor-patient disputes. The current higher requirement for health legislation is that it must be adapted to the establishment of the socialist market economic system. However, the establishment or sound vacuum period, resulting in some disputes in the handling of can not be relied upon, no target.
The complexity of medicine The field of medicine is full of unknowns and variables, for the complexity of the individual patient, medical personnel on the cognition of the disease and the use of medical technology there will be more or less differences, even in the rapid development of medicine today, domestic and foreign unanimous recognition of disease diagnosis rate is only 70%, a variety of emergency resuscitation of the success rate of only 70% to 80%. Therefore, no hospital or doctor can cure all diseases, and there are always two possibilities of success and failure in the process of disease treatment. The patient's high expectations of medical results is one of the major causes of tension between doctors and patients.
The professionalism of a small number of medical personnel is not good A small number of units and a small number of medical personnel in the existence of unethical and poor service attitude, low level of professional ethics and other issues. Although medical malpractice is a small probability event in the whole medical and health care business, it is difficult to eliminate, while it is 100% for the parties involved. The patient's dissatisfaction with the medical side, coupled with unanticipated grief, it is inevitable that the tension between doctors and patients escalated.
Part of the public on the reform of the health care system is not adapted With the establishment of the health insurance system, the medical costs from the past all-inclusive public funds into a part of the personal responsibility. Some patients are still not used to paying for their own medical treatment, and their psychological tolerance is reduced, often venting their dissatisfaction on medical services.
Institutional problems Institutional problems are problems that cannot be avoided in the reform process. The original health care system in the market economy today, there are obvious anachronisms. In the old system of reform process, the doctor-patient relationship to analyze, it is not difficult to find: do not adapt to the times of the old system components, in the constraints of the reform process at the same time, but also become a doctor-patient relationship tensions hidden trouble. Strengthen medical ethics education, improve the constraints of the mechanism, to find the balance of the doctor-patient relationship Medical ethics and medical style with the same medical technology, its advantages and disadvantages will be directly related to the patient's physical health and even life safety. Medical ethics is the sum of the relationship between medical personnel and patients, society and medical personnel. Practice shows that most of the conflicts between doctors and patients are caused by medical ethics. Therefore, it is necessary to strengthen the medical ethics education and improve the constraint mechanism, so as to find the balance of the doctor-patient relationship. First, the medical staff should persistently carry out the wholeheartedly for the people's service purpose of education, so that the medical staff firmly establish the spirit of dedication, fully understand the reciprocal relationship between the medical side and the patient, and improve the medical staff to establish a good medical ethics and medical ethics of self-consciousness. Second, improve medical ethics and medical style constraint mechanism. According to the actual unit, the establishment of strengthening professional ethics construction system. The establishment of a clean medical system, social supervision system, inspection and evaluation system and medical ethics reward and punishment system, through the constraints and incentives to promote the medical staff to establish a good medical ethics.
Change the concept of service, enhance the service consciousness, coordinate the relationship between doctors and patients Due to the transformation of the medical model, expanding the clinician's work scope, the medical staff put forward higher requirements, so it is necessary to change the concept of concepts and knowledge updating. Medical personnel in addition to mastering medical professional knowledge, but also to master the knowledge of marginal disciplines related to medicine. As a medical personnel, can not be limited to medical advice, prescription, according to the development of medicine, as soon as possible by the scope of pure medicine to expand to the social scope, from only pay attention to physiological changes to pay attention to both physiological changes and to pay attention to psychological changes, only know what patients suffer from is not enough, but also should know what is sick, what circumstances are susceptible to disease, to use the systematic concept of analyzing the study of medicine It is necessary to use a systematic concept to analyze and study medical issues to meet the needs of medical treatment, prevention and health care of various patients. At the same time to broaden the scope of service functions, to carry out commitment services, convenient services, medical guide services, consulting services, etc., to adapt to the needs of patients, close doctor-patient relationship.
Because of the monopoly of the doctor-patient service, in the doctor-patient relationship, the doctor is in a dominant position, the doctor and the patient are usually in the unequal position of command and obey. One of the classification and management of infectious patients, more mandatory, which is required for medical services. This relationship, and civil law and regulations of the subject-object relationship there are obvious differences, and therefore it is not appropriate to civil law and regulations to regulate the doctor-patient relationship. In improving the quality of medical personnel, strengthen the premise of medical management, the targeted introduction of foreign advanced management model, the existing health laws and regulations in China to deal with disputes between doctors and patients in the application of the degree of continuous improvement and enhancement, will help to the increasingly complex relationship between doctors and patients to deal with the appropriate, so as to alleviate the contradiction between doctors and patients to a large extent.