Patients' excessive dependence on hospitals.
1, the lack of trust between doctors and patients is an important reason for the contradiction between doctors and patients. There is a lack of trust and understanding between doctors and patients, and it is impossible to put yourself in others' shoes. Some medical staff can't put themselves in the patient's shoes, but pay more attention to the medical residue inspection institution and their own interests. Moreover, some patients also lack understanding of medical staff and medical complexity.
2. The lack of communication between doctors and patients and the increase of medical disputes are important factors for the disharmony between doctors and patients. Statistics show that in the medical disputes that have occurred, disputes caused by disharmony between doctors and patients account for about two-thirds of the total.
3. The lack of humanistic care in the medical process aggravates the disharmony between doctors and patients. Treating diseases and saving lives is one, but some doctors only pay attention to "disease" and not people; In some medical institutions, medical activities only emphasize relying on instruments and equipment, ignoring the communication between doctors and patients.
4. Patients' complaints and rights protection are the direct reasons that affect the doctor-patient relationship. Although China implemented the new Regulations on Handling Medical Accidents a few years ago, after a medical accident, the cost of accident identification alone is as high as several thousand yuan, and the cost of patient rights protection is too high. It is still difficult to safeguard rights and interests through normal channels.
5. China's current medical security system and related laws and regulations have not kept pace with the market economy in time, and the imperfection of the national medical insurance system is the most fundamental reason for the sharp contradiction between doctors and patients. According to the data, many countries have a perfect national medical insurance system, and all people participate in medical insurance. Most medical expenses are borne by insurance companies, individuals will not pay high medical expenses, and there are few contradictions between doctors and patients.
Second, there are three basic modes of technical doctor-patient relationship.
1, active and passive: the doctor is completely active and the patient is completely passive; There is no doubt about the authority of doctors, and patients will not raise any objections.
2. Guidance and cooperation: Both doctors and patients have the initiative. Respect the doctor's opinion, but patients can have questions and seek explanations.
3.* * * Participation: Both doctors and patients have equal initiative, and * * * participates in medical decision-making and implementation. Doctors' opinions at this time often involve the adjustment of patients' living habits, ways and interpersonal relationships, so it is particularly important for patients to cooperate and complete treatment on their own.