摘要
目前我国医患冲突频发,普遍认为源于医患不信任。这难以解释患方选择大医院、对治疗持高期待等看似信任医方的行为。我国医患信任关系的最大问题是信任结构异化,即畸形的体系信任与脆弱的个体信任形成的信任结构扭曲。医学技术的繁荣强化了患方对医方的体系信任,而医学的技术化倾向遮蔽了医患之间的个体信任,一方面导致患方对诊疗存有过高期待,另一方面又导致患方将不良诊疗效果归咎于医生个体,医患冲突由此而生。应从重建合理期待、推行分级诊疗、提倡点对点医疗、推进自由执业等方面重建医患信任结构,从根源上消除医患冲突。
Doctor-patient conflict has happened in a high frequency in China nowadays. It is commonly believed that doctor-patient distrust is the root cause. However, it is difficult to explain these trust behaviors for patients like the preference for large hospitals and high expectation of diagnosis and treatment. The biggest problem of doctor-patient trust is the alienation of trust structure, namely the distorted trust structure of abnormal institutional trust and fragile interpersonal trust. Prosperity in medical technology strengthens institutional trust for patients, but the excessive focus and attention in medical technology covers the interpersonal trust. On the one hand, it causes patients to have high expectation for diagnosis and treatment. On the other hand, it easily causes the adverse effect being attributed to doctors, which results in the doctor-patient conflict. The author claimed that doctor-patient trust structure could be reconstructed from setting up reasonable expectation, implementing grading treatment, advocating a point-to-point medical care and promoting free practice so that doctor-patient conflict can be avoided and eliminated.
出处
《医学与哲学（A）》
北大核心
2016年第8期54-56,87,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
2015年度重庆市社会科学规划基金青年项目
项目编号:2015QNGL38
关键词
医患冲突
医患信任
信任结构异化
体系信任
个体信任
doctor-patient conflict, doctor-patient trust, alienation of trust structure, institutional trust, interpersonal trust
