Patients legal awareness gradually increased patients and their families and so on correctly and incorrectly exercise the rights granted by law. The law provides for the patient's right to information, so many patients often exercise this right, some exercise correctly, due to our medical staff leads to conflicts, there are also patients do not correctly exercise the right to information, for medical personnel's reasonable refusal is very dissatisfied, and often leads to conflicts. There are also some patients or their families and other people, the medical expectations are too high, that I spent money in the hospital, the hospital must give me a good cure, so when the medical results are not the results they expect, will be complaints, anger vented on the medical staff, that is, the medical staff infringed on their interests, out of emotional factors or economic considerations, the conflict will be intensified, the formation of disputes, and in some cases, also legal The lawsuit.
Patients' economic awareness is gradually increasing with the reform of the health care system and the impact of the abnormal economy, the rapid growth of medical costs beyond the public's ability to bear, resulting in patient dissatisfaction. Most of the people are not very clear about the current health care reform of the service system, or by the mass media's misinformation is always difficult to see a doctor, see a doctor is expensive contradiction to the medical institutions. Unbeknownst to them, high drug prices are the result of multiple departments and organizations. First of all, the high and low prices of drugs and manufacturers. At present, most of the pharmaceutical companies operating difficult, in order to survive, have to choose to produce high value, good economic efficiency of the drugs. Secondly, the circulation of drugs through a number of links layer after layer of wholesale, layer after layer of price increases, which inevitably leads to high drug prices. More importantly, hospitals are still welfare, drug prices are still set by the state price department, hospitals do not have the right to set prices. Another due to the development of science and technology in recent years, diagnostic and treatment technology with the development of inspection and treatment means increased, the cost also increased [2].
(ii) the reasons for the medical staff
Medical ethics and medical style is not correct "to treat the sick to save lives" is the doctor's duties, but a few medical personnel in violation of the rules and regulations and operating routines, medical instruments are not written in a standardized manner, the patient inspection is not comprehensive. Work responsibility is not strong, the technical level is not high, some of the medical staff driven by economic interests, for the treatment of patients, prescription, take drug rebates, and even let the patient for unnecessary tests, these abnormal behavior corrupted the image of the doctor in the eyes of the patient, so that the patient has a sense of distrust of the doctor.
The lack of communication between doctors and patients, medical personnel service consciousness is not strong because the doctor-patient relationship is reflected in the medical activities in a variety of asymmetric roles, especially on the understanding of medicine and related knowledge of the possession of the advantages and disadvantages of the obvious differences. It is the existence of these differences affect the communication between doctors and patients. Therefore, the individual medical personnel service attitude is not correct, service consciousness is indifferent, lack of empathy for patients, in the work of answering patients' questions, impatient, simple and hard, lack of communication skills with patients, a serious constraint on the development of doctor-patient relationship, which in turn led to the occurrence of medical disputes.
Hospital management is backward, the system is not sound due to the hospital system is not sound, the duties are not clear, the department of their own, without regard to the interests of patients and the overall interests; management means backward, the reception of visitors to deal with the unfavorable, so that can be calmed down the contradiction between the escalation of medical disputes. Such as: inspection is not serious, can not fulfill the obligation to inform, case management, medical quality management and other measures are not in place, the medical data can not be well preserved, do not pay attention to the protection of patients' privacy, the quality of medical materials are defective, the fee bookkeeping registration error, there are many weak links, leaving easy to cause medical defects of the prone to departments, prone to factors, prone to time, these are the main reasons for the increase in disputes.
Public opinion is biased, pushing the medical profession, like other industries, there are deficiencies in technology and services. A few personnel have accepted red packets, kickbacks and other disciplinary phenomena, but that is by no means the mainstream. Journalists may not be familiar with medical expertise, making some media reports on medical disputes somewhat one-sided, misleading the public and deepening doctor-patient conflicts to a certain extent. The results of 1950 questionnaires returned by China Medical Association show that: the media's reports on medical disputes are only 1.64% objective and comprehensive, 17.7% relatively objective, and 80.66% non-objective, which seriously affect the image and reputation of hospitals. News media inappropriate reports and some social factors of interference, participation in the occurrence of medical disputes also played a contributing role.