Analysis of the current situation of the doctor-patient relationship
There is currently a lack of good communication between doctors and patients. Most patients believe that communication between doctors and patients is average or basically non-existent; most medical staff believe that communication between doctors and patients is average or basically non-existent. To a certain extent, this shows that there is a lack of basic trust between doctors and patients, and that medical staff have not fulfilled their obligation to inform and care well, which is attributed to the main reason for the decrease in trust between both parties. Both patients and medical staff believe that the doctor-patient relationship is disharmonious to varying degrees.
The main manifestations of disharmony in the doctor-patient relationship are:
1. Frequent conflicts between doctors and patients. In recent years, conflicts between doctors and patients have frequently occurred due to rising medical costs, improper diagnosis and treatment, unsatisfactory curative effects, and inadequate services. The proportion of doctor-patient conflicts that frequently occur between doctors and patients continues to rise. It is unrealistic to completely eliminate medical accidents and medical disputes. However, the frequent occurrence of medical disputes also illustrates the significant changes in the doctor-patient relationship. .
2. Lack of trust between doctors and patients. Some doctors prescribe unnecessary examinations and large prescriptions to patients during the diagnosis and treatment process in order to make a profit, causing a lack of trust between patients and doctors. They are more wary of the examination items and treatment plans prescribed by doctors; some patients use illegal means to deal with disputes, which also makes doctors afraid of getting involved in disputes, so they consciously avoid medical risks and practice defensive medicine. As a result, trust and collaboration between doctors and patients, who were supposed to fight the disease together, gradually evolved into vigilance, prevention, and in serious cases, even confrontation.
3. Doctor-patient conflicts cause other problems. Doctor-patient conflicts have gradually become the focus of society. Some doctor-patient conflicts continue to escalate due to difficulty in reaching consensus, causing other problems from doctor-patient conflicts. And it develops into public security issues and even criminal cases. This situation seriously interferes with the normal order of the hospital, threatens the personal safety of medical staff, and also affects other patients' medical treatment.
The disharmonious doctor-patient relationship appears on the surface to be disharmony between doctors and patients, but in fact it is caused by many factors such as the system, medical security, and social changes. The main ones are:
1. The medical security system is not perfect. After the reform of the medical system, the corresponding medical security system did not keep up. Even if the security system was implemented later, the medical security system was not sound. The medical security system is imperfect, but its coverage is limited and it fails to play a social coordinating role. Insufficient medical security increases the burden of medical treatment on individuals, aggravates the poverty situation in poor areas, and makes the poor even poorer.
2. The generalization of social conflicts caused by the social transformation period in hospitals. Social transformation is a historical change in social structure. Social changes in developed countries The social conflicts caused by the period of social transformation are generalized in hospitals. The generalization of social contradictions caused by the period of social transformation in hospitals is a "gradual" process, while social change in developing countries is a process of aggregation of contradictions. As a developing country, our country will inevitably have conflicts and frictions in the process of transition, transition, and coexistence between the planned system and the market system. In addition, in the process of transitioning to a market economic system, a considerable number of people mistakenly "translated" the principles of market economy into the field of social life, resulting in confusion and imbalance in ideological concepts and moral orientations. The various inadaptations and chaos in people's lives and psychology brought about by the profound changes in society can easily be concentrated and intense in the form of doctor-patient conflicts caused by various factors in the special environment of the hospital. manifested.
3. Inadequate understanding of the limitations of medical technology. In recent years, the advancement of medical technology and the upgrading of medical equipment have improved the level of diagnosis and treatment, but there is a lack of awareness of the limitations of medical technology. Insufficient awareness of the limitations of medical technology also makes doctors' diagnosis more dependent on instruments, resulting in the "materialization" and "alienation" of the doctor-patient relationship. The hospital's service targets downplay the patient, highlight the disease, and ignore the patient's overall and psychological needs. On the other hand, patients have a low level of knowledge about the disease and a relatively high subjective expectation. Some patients have a strong awareness of medical consumption and believe that good treatment results will be achieved by paying the cost.
In short, the reasons for the disharmony in the doctor-patient relationship are relatively complex, including political, economic, and social factors in the long-term national development process, as well as factors related to hospitals and medical staff, as well as patient's own factors.
Since the factors that constitute a disharmonious doctor-patient relationship are complex and diverse, building a harmonious doctor-patient relationship must also be structured from multiple aspects.
The necessity of building a harmonious doctor-patient relationship
In recent years, the increasingly tense doctor-patient relationship has not only seriously impacted the medical service market, but has also become a factor of social disharmony. At present, the harmonious doctor-patient relationship is receiving more and more attention. Medical staff simultaneously assume multiple roles such as managers, communicators, caregivers, spokespersons, protectors and educators. Therefore, medical workers must not only have good political and psychological qualities, but also have profound professional qualities and broad humanistic qualities. Informedness, consent, freedom, non-harm, and optimization are the most basic principles of medical ethics recognized by the international community. We should adopt concepts that adapt to the development of the new era, strengthen the cultivation of humanistic qualities of medical staff, create a good humanistic atmosphere, strengthen the study of humanistic knowledge and apply it in doctor-patient activities, so as to achieve the purpose of building a harmonious doctor-patient relationship.