I. Analysis of the reasons for the disharmonious doctor-patient relationship
1, the impact of the health care system
China's health sector reform lags behind the reform of other industries, health care has not reached the needs of the people, and its own appears to be unable to meet the demands of the people [1]. It is not adapted to the market economy of the various shortcomings can not be resolved in a timely manner, thus provoking more public dissatisfaction. This, especially the high price of medicines, many drugs are very low factory price, while the retail price is often ridiculously high, dealers, hospitals and doctors to obtain a high profit, while the patient is overburdened, so that the doctor-patient relationship is becoming increasingly tense.
2, medical own factors
Due to the uncertainty, development, randomness and complexity of the structure of the internal operation process of medical work, so that the medical work belongs to a high error rate industry [2]. The imperfection of medical insurance system and unsound risk-sharing mechanism are also one of the factors leading to the disharmony of doctor-patient relationship. Although the basic medical insurance system for urban workers and the new rural cooperative medical system have been developed significantly, they are still a drop in the bucket for the medical service needs of 1.3 billion people. The situation of "difficult to see a doctor, difficult to hospitalize, expensive to see a doctor" has existed for a long time, and the hospital itself does not get enough compensation, and its development is seriously lagging behind the people's needs, and this status quo deteriorates the doctor-patient relationship. Once a doctor-patient disputes, and the absence of a sound medical risk-sharing mechanism, there will be a siege of the hospital, beating the extreme events of medical staff [1].
3, the doctor and patient factors
In the market economic environment, some medical personnel disregard professional ethics, deviation from the value orientation, ask for kickbacks to accept red envelopes and induce patients to medical consumption phenomenon exists objectively. This phenomenon, although not mainstream, but let the medical staff in the hearts of ordinary people's image greatly reduced. Some doctors in order to avoid medical risks, too formal and defensive medical behavior, avoiding the admission of critically ill patients and high-risk surgery, avoiding the use of high-risk diagnostic tests or treatments, and even shirking the patient, the patient's illness, the timing of the treatment is delayed. Patients as the object of medical services, the demand for medical services also tends to diversify with the improvement of living standards, in addition to technical needs, but also need humanized medical services, which inevitably results in the patient's high expectations of the hospital, coupled with the increasing awareness of the patient's legal rights, the hospital's objective conditions and the limitations of the medical itself can not meet the patient's expectations, which also leads to the doctor-patient relationship is not harmonious factors One of them [1].
4, the impact of the news media
Some of the news media's inappropriate reports, resulting in poor public opinion guidance, mainly manifested as: (1) the tendency of the patient groups, so that the news media overkill; (2) the results of light process, the analysis of medical disputes and accidents is biased; (3) out of their own interests, a few media and journalists on medical disputes and conflicts of (3) out of their own interests, a few media and journalists report on medical disputes and conflicts with the suspicion of news speculation and claptrap. It should be said that the media has played a role in promoting the white-hot relationship between doctors and patients [3].
Two, improve the doctor-patient relationship countermeasures
1, to create a good social environment
In the market economy, the inheritance of the Chinese nation's fine traditional virtues, carry forward the socialist morality, to improve the ideological and moral quality of the whole nation, the quality of science and culture, and to create a good social environment, there is no doubt that the medical staff to speak of medical ethics, the patient to speak of the ethics of medical care, improve the doctor-patient relationship has important practical significance. The relationship between doctors and patients has important practical significance.
2, deepen the reform of the health system
Gradually increase the investment in health funds, to solve the medical and health sector of the shortage of professional and technical personnel, shortage of funds, equipment and other contradictions. At the same time, strengthen scientific management, broaden the way, establish and improve the management system and various regulations, deal with the relationship between social and economic benefits, adhere to the social benefits in the first place, correct the direction of the hospital; quality management, the implementation of standardized quality control, and constantly improve the quality of medical care and level of service; to encourage and support the majority of medical staff to learn professional knowledge, study the medical profession, and constantly improve medical technology level. The company's quality of service, to improve the doctor-patient relationship to create favorable conditions.
3, strengthen the construction of medical ethics
In the deepening of health reform, strengthen the construction of the socialist market economy under the new situation, to strengthen the construction of medical ethics, to deal with the choice of utilitarianism and ethical choices, economic benefits and indicators of responsibility, short-term behavior and the contradiction between long-term interests, and the resulting tendency to commercialization of medical services and the dilution of the doctor-patient relationship, "we must establish a self-development and self-restraint of the dual mechanism, in hospitals, and to improve the quality of service. Development and self-restraint of the dual mechanism, self-development mechanism is to improve the doctor-patient relationship, quality service for the purpose of enhancing self-compensation, incentives for power; self-restraint mechanism, including the spirit of self-discipline, regulatory control, legal and disciplinary supervision, social supervision, etc., aimed at the implementation of the code of ethics, improve the relationship between doctors and patients, and to promote the construction of medical ethics and medical style.
4, focus on quality management
Quality is the basis for survival, for the hospital is not too much. Without high quality how to win the trust of the people, and how to talk about the development. Therefore, the hospital to strengthen the three basic training, improve the level of diagnosis and treatment, pay close attention to the quality control of medical documents, promote the overall care, and effectively implement the infection quality control efforts. The quality control indicators, can not only stay at the level of standards to meet the requirements of the higher level, but also to break through the standard requirements, and strive to achieve four more: higher, more accurate, more precise, more scientific, to make their own brand, for a better foothold in the highly competitive health care market to create a unique fist product.
5, to create a good public opinion guidance
The news media should be more publicity medical achievements and the performance of medical personnel, as little as possible to speculate on medical accidents, medical negligence news, so as to avoid the negative impact on the doctor-patient relationship, "the medical profession should take the initiative to communicate with the news media, and actively cooperate with the media interviews, so as to ensure that the news coverage of the comprehensive and impartial, so that the news media can be more impartial, comprehensive position on the medical care. The medical community should take the initiative to communicate with the media and actively cooperate with them to ensure that the news coverage is comprehensive and fair, so that the news media can take a more impartial and comprehensive stance on medical disputes and conflicts to report and comment on them objectively, and truly become a bridge to communicate between doctors and patients.
6, strengthen the exchange of doctors and patients, change the concept of medical
Doctors and patients should pay attention to the exchange, more transposition of thinking, more understanding of each other's needs. At the same time, efforts should be made to adapt to the new situation, and actively change the medical concept. Smooth communication channels is the key to a close doctor-patient relationship. In practice, we insist on the following: First, establish a follow-up system at the hospital and department levels. Provide for the follow-up rate of discharged patients by the physician in charge, and establish a follow-up register in the department, which is regularly included in the hospital's overall quality management assessment [4]. Secondly, patient symposiums are held regularly. In written or oral form to the hospital or medical staff to put forward comments and suggestions to help analyze and find the existing problems. Third, the discharge of patients questionnaire-based collection of feedback and suggestions, patient forums and questionnaires collected information into categories, carefully find and analyze the reasons, and develop feasible measures to correct the shortcomings. Fourth, open channels for letters and visits [5]. The establishment of the Office of Letters and Visits, a person in charge of letters and visits. The implementation of one-day settlement system for letters and visits. That is, the patient put forward the problem request, do the same day to solve, really can not be solved on the same day, to give the petitioner a satisfactory reply in a timely manner, and promised to solve the time.
Third, summary
The construction of a harmonious doctor-patient relationship is one of the prerequisites for the survival and development of the hospital, medical administrators and the general medical staff to realize the importance and necessity of this issue. Today's society is a legal system gradually improved society, medical institutions and medical personnel only to do "four strict" and "a for this", that is, strictly follow the laws of medical science, strict medical procedures, strict implementation of the state and the government at all levels to formulate Strictly follow the laws of medical science, strict medical procedures, strict implementation of national and government regulations at all levels, strict three-level inspection, adhere to the principle of people-oriented to patient satisfaction as the highest standard of work, so as to build a harmonious doctor-patient relationship to lay a solid foundation" at the same time, medical staff to learn and master the "Regulations on the Treatment of Medical Accidents" and other relevant documents, so as to be prepared for any problems. In addition, as a patient, if the conditions permit, should also be familiar with some common sense through various channels of learning disease prevention and treatment, care and other knowledge, know the medical profession of high technology, high risk and unpredictability, etc., may be able to medical staff of the medical care work more understanding and support, so that can make the construction of a harmonious doctor-patient relationship from the passive maintenance to active cooperation. For the society as a whole, some damage to the normal doctor-patient relationship, interfere with the normal conduct of the medical process, as well as disregard for the law and unreasonable, assault on medical personnel, smash and grab the hospital's behavior and events, there must be a strong public opinion to be condemned, and to be the necessary legal sanctions. Only in this way can the doctor-patient relationship in the new situation to get a fundamental improvement.