1 Reasons for tension between doctors and patients
The reasons for tension between doctors and patients are mainly social, medical, patients, media and other aspects: ① Social reasons. Due to the reform of the health care system is not in place, the medical security system is not sound, most of the people rely on out-of-pocket expenses for medical treatment, heartache, coupled with the failure to achieve the expected purpose of treatment, it may lead to disputes. ② high hospital charges. The high cost of drugs and various examination fees is the main reason for the current high medical costs. Medical costs rise faster than the growth rate of residents' income, the burden on patients is also the root cause of the conflict. ③ Poor environment. Weak technical force. Secondly, medical technology is also one of the main reasons affecting the doctor-patient relationship. ⑤ Poor service quality. Individual medical personnel are irresponsible for their work, have poor self-discipline, do not pay attention to their own image, speak casually, have a cold attitude, use hard language, and shirk each other. Therefore, poor communication between doctors and patients is also the primary cause of disputes. (6) Reasons in the media. Public opinion and media reports favor patients. To a certain extent, it has played a role in pushing and fanning the flames of the consequences.
2 Methods
From the above, first of all, it is necessary for the government, society, hospitals and patients, the media all parties to construct a harmonious relationship from the following aspects of the *** with the efforts to construct a harmonious relationship:
2.1 Strengthening of the government's functions The government should increase the investment in the public *** health care industry, the rational allocation of health resources, a sound health care insurance system, increase the financial investment in the health care insurance system, rationally decentralize medical insurance, reduce the medical institutions, and increase the financial investment. Reasonable decentralization of medical insurance, reduce the actual burden of medical institutions, medical staff, patients; strengthen the supervision of the field of pharmaceutical production, circulation, sales, rationalize the price of medical charges, so that the people enjoy the "relatively inexpensive cost, to get a more affordable service". Secondly, it is necessary to solve the problem of difficult and expensive access to medical care. Foreign countries rely on community hospitals and family doctors. Our country should also focus on revamping the operational processes of hospitals, providing patients with convenient and considerate medical services, and emphasizing the community. Triage patients to various communities to reduce the pressure on big hospitals. We should let the excellent doctors down a grassroots level, easy access to medical care, is not the patient grievances a little less?
2.2 The cost of medicines and various examination fees are too high Strictly prohibit large prescriptions to patients, large car medicines, as well as repeated examinations and unnecessary examinations, to combat red packets, kickbacks, billing commission to reduce the cost of medical care, so as to improve the quality of health care services also played a positive positive role. In addition, due to the continuous introduction of advanced medical equipment, the dependence of doctors in various specialties on equipment has increased significantly. The blind pursuit of high-end medical treatment by doctors has led to a constant surge in medical costs. The image of medicine in people's mind is becoming more and more like a business. Therefore, hospitals should also disclose the items and standards of charges to the society, improve the price announcement system, inquiry system and cost list system, and increase the transparency of charges. Provide patients with timely fee inquiry services, and timely handling of patient complaints about fees.
2.3 Lack of integrity is a fatal blow to the doctor-patient relationship The building of mutual trust in the doctor-patient relationship requires both parties to think differently and improve mutual understanding. However, some patients seeking medical treatment, if the disease fails to transform in the direction of good, it is difficult to accept psychologically, and easy to doubt the correctness of the medical diagnosis and treatment activities. Medical behavior is a high-risk work, there are still many unknown areas in medicine, and patients themselves have considerable individual differences. Therefore, there will be aggravation or death. Both doctors and patients must follow the objective laws of medical science. Due to the lack of medical professional knowledge, often the natural development of some diseases are also unjustifiably suspected of medical errors and accidents, and then forced the medical staff to suffer on behalf of the patient, instigating relatives and friends and even medical trouble to the hospital to pull banners, wreaths, smashing tables, hit the doctor, causing tensions between doctors and patients. This makes the doctor more and more small guts, for self-protection check more and more detailed, not only is not conducive to the development of medicine, but also aggravate the patient's treatment costs, but also chilled the hearts of health care workers. First of all, I hope that patients can correctly view the hospital and doctors. The hospital is a place to save lives, the doctor is the protector of life, no doctor, there is no continuation of life, respect for doctors, is to respect life. A patient who does not know how to respect and be grateful to the doctor's labor will not know the dignity and value of life. Between doctors and patients, respect each other, in order to **** win.
2.4 Strengthening media management The media for the relatively disadvantaged side of the patient advocate, is the duty of the Department, however, if the matter does not do the investigation or did not investigate clearly when to do unfair reporting, will become a doctor and patient contradictions and conflict catalysts. Therefore, the fairness of the media's coverage of the doctor-patient relationship is directly related to the harmony of the doctor-patient relationship. I hope the rumors will stop with the wise. I also hope that the state can strengthen the management of the media. Let it spread more positive energy and correctly report the medical environment. Medical and health units should also actively obtain the support of the news media, and publicize the excellent medical workers with high medical ethics, excellent medical skills and selfless dedication. Actively carry out easy-to-understand health education, through multi-faceted publicity, so that the general public fully understand the medical development and various diagnostic and treatment technologies, limitations, risks and the unpredictability of their disease regression, and increase the guidance of social hot issues, timely resolution of conflicts, so that the doctor-patient relationship to return to its original position [doctor-patient relationship should be a harmonious relationship]. Construction of honest hospitals to promote the harmonious progress of society.
Secondly, to reshape the healthy and harmonious doctor-patient relationship, health care workers also shoulder the responsibility. To this end, the majority of health care workers need to ① strengthen the theoretical knowledge to improve humanistic qualities. ② strengthen medical ethics education, establish the concept of service. ③ Learning doctor-patient communication skills, cultivate communication skills, wide to treat patients and other aspects of sustained efforts for the misbehavior of the doctor-patient relationship back to the correct and healthy track, to contribute their own strength.
3 Discussion
3.1 Improvement of medical ethics and medical style Although we have a low income, market economic conditions, people generally have the concept of money first, inevitably affecting the value orientation of medical personnel, psychological imbalance. But practicing medicine is not a transaction, but a mission, a dedication. So we are required to have good medical ethics, maintain a correct view of money, indifferent to the wealth other than honest labor in exchange for part of the wealth, not envious of other people's ill-gotten gains, do not covet, and to maintain a calm mindset in the work of passion, care, care, considerate of each and every patient, is where our profession. It is also the first step in reshaping the doctor-patient relationship.
3.1.1 Improve service consciousness and enhance the trust of doctors and patients. The doctor's profession is a big investment, big responsibility, high risk. Therefore, we are required to have a high degree of responsibility, compassion, and should take into account the needs of patients with empathy, such as in the examination, diagnosis, treatment process more for the sake of patients, to be humane, minimize the pain, shorten the treatment time, to achieve the best results. In the process of diagnosis and treatment, it is necessary to be more serious and meticulous, rigorous and thorough, seek truth from facts, and resolutely eliminate all delays, errors and accidents caused by the lack of a sense of responsibility, so as to gain the trust and respect of patients. 3.1.2 Improvement of business level With the development of medical classification science, hospitals are increasingly subdivided into fine-tuned specialties. Doctors' specialty level has improved significantly, but it has caused a decline in non-specialty level, so that there is a clear segregation of doctors' ability among various specialties. At the same time, due to the continuous introduction of advanced medical equipment, the dependence of doctors in various specialties on equipment has increased significantly. Therefore, it is necessary to strengthen the training of general medical knowledge for specialists so that they can master the diseases of other departments while mastering their professional knowledge, especially for doctors and young workers in the emergency department, and it is even more necessary to strengthen the training in this area so as to improve their ability to deal with various diseases. Improve their ability to cope with emergencies. With excellent technology to alleviate the patient's physical pain, with the maximum ability to quickly cure the patient. Reduce because of poor technology and cause patients to leave with regret.
3.2 Enhance the concept of law, improve self-protection awareness Medical disputes, once occurred, not only damage to the image of health care workers themselves, but also on the reputation of the hospital to bring about adverse effects, while affecting the normal medical order. Therefore, it is of great significance to strengthen the education of medical and health regulations. Through the regulation education, let the health personnel understand the law, abide by the law, according to the law, according to the law, the practice of medicine, the effective exercise of legal rights, consciously safeguard the authority of the rule of law, in the health industry to form a good environment of the rule of law, in order to prevent the occurrence of conflicts between doctors and patients, to provide a basic guarantee. In the usual work of medical care instruments should be recorded in a timely and accurate manner; once a medical dispute occurs, these instruments are important legal basis, with an inescapable role. Outpatient medical records should be recorded in a timely manner when the patient's treatment process and leave the hospital, to avoid once a medical dispute occurs due to record shortages, not detailed, not timely and put themselves in an unfavorable position. In addition, the medical and nursing paperwork records should be complete and error-free, and properly stored by specialized personnel.
3.3 Strengthening doctor-patient communication: factors affecting communication The 60 cases investigated were categorized into three aspects of influencing factors: 28 cases of the disease itself, 30 cases of psychological factors, and 2 cases of insufficient social support. It can be seen that the influencing factors are mainly psychological factors, followed by disease and social factors, and the three factors influence each other. There is a famous saying: "Sometimes to cure, often to comfort, always to help" Sometimes, the greatest value of medicine is not to cure, but to comfort and help patients. So when we communicate, we need to pay attention to the following points.
3.3.1 Enhance the trust between doctors and patients First of all, medical personnel and patients to communicate more, doctor-patient communication is a two-way communication bridge between doctors and patients. In the process of medical services, the psychological distance between doctors and patients is close, emotional harmony, the doctor-patient relationship is good. Respect for the patient's right to informed consent is a key part of the doctor-patient relationship. Medical personnel in the performance of certain treatment behavior, should first talk with the patient, including the condition, the basis of treatment, the principle of treatment, treatment of possible problems and so on should be informed of the patient, so that the patient according to their own choice of whether or not to do the treatment and examination, in order to obtain the patient's initiative to cooperate with the patient, and truly respect the patient, so that patients can fully enjoy the right to medical treatment. With sincere service to slow down the patient's frustration and helplessness of the mind, with respect for the attitude of the patient and medical staff feel in the same position, with humanized care for the patient to create a good medical environment.
3.3.2 Methods of communication between doctors and patients ① First of all, we must be sincere, but also have compassion and patience; ② Learn to listen, that is, pay attention to listen to the patient or family members to say a few words to grasp the patient's psychosocial situation; grasp the patient's emotional state; pay attention to the degree of education and the feelings of the communication; pay attention to the patient's degree of knowledge of the condition and the expectation of the communication; pay attention to the patient's own emotional reaction, learn to self-control. control. Keep smiling. Smile is the best communication. Smile can give people a warm feeling, so smile more. ④ Pay attention to the tone of voice to be calm and gentle, avoid using words and tone of voice that are easy to stimulate the patient's emotions; to appease the patient more.
3.4 Strictly implement the rules and regulations of the medical diagnosis and treatment responsibility, emergency relief responsibility, relieve the pain responsibility, so require health care workers to work in strict accordance with the operating procedures, strictly follow the operating procedures is to abide by the law. Stick to their jobs, strictly fulfill their duties, health care personnel is the protector of the patient's life, so we must always stick to their jobs, do not take off their posts, do not crosstalk, close observation of the patient's condition changes in a timely manner to be dealt with accordingly. To be the real savior of the patient.
4 Conclusion
The remodeling of the doctor-patient relationship is a gradual process, in which, first of all, our own health care personnel must strengthen their own quality, enhance the quality of service. In the work more specialized, humanized, holistic. There must be dedication to the work. And tolerant treatment of the patient side, for the construction of a harmonious doctor-patient relationship to make its due contribution. More need the whole society, the government and the efforts of the patient side, only everyone *** with unremitting efforts to solve the complexity of the doctor-patient relationship of the status quo, only to be able to establish a healthy and harmonious doctor-patient relationship.