Research On The Framework Construction Of Doctor-patient Crisis Management System

The Doctor-patient crisis refers to the crisis which occurred after the majormedical accident, the patients all organizede to make hospital crisis, or exaggeratedin the media hype, it has serious affect such as social reputation and normal operationon hospital, and it also brings serious damage such as reputation and health rights onmedical personnel. Since2005, the Doctor-patient relationship has present tensiontrend in our country. It brings seriously affect on the hospital and social normal order,even impacts on medical staff’s psychological. A article named “End the violence onChinese doctor” published in the world famous medical journal “The Lancet” in2012,it concluded that“Chinese doctor are facing with threat.” Doctor-patient crisis eventfrequent outbreak which put forward new requirements on the health administrator,hospital manager, medical staff and scholars. Doctor–patient relationship managework should combine the existed medical and health system reform in our country,with the new features of Doctor–patient relationship and foreign advanced experience,then build the Doctor-patient relationship management system which suitable forChina’s national conditions.This study from the following aspects to discuss the framework construction ofDoctor-patient crisis management system:First, review and summary the domestic and international literatures concerningcrisis management area, analyze and evaluate the research results from the theoreticalconstruction and practical application, and also work at the Data Mining and VisualAnalyzing of research hotspots and research fronts on Doctor-patient relationship athome and abroad. It can be found that crisis management is a multidisciplinary crossarea, Its practical application has already spread security management, businessmanagement, tourism management, hospital management, public health emergencyand other fields. Therefore, crisis management theory is solid theoretical foundationfor the construction of Doctor-patient relationship crisis management system. Second, this paper introduce Doctor-patient crisis management theory in detail. Itanalyze multidisciplinary basis of Doctor-patient crisis management combine with thecrisis management theory and based on connotations and features of crisis, crisismanagement, Doctor-patient crisis and Doctor-patient crisis management. The valueorientation of Doctor-patient crisis management research is focus on the content ofcrisis management, then analyze the process of Doctor-patient crisis management. Sothat we can improve the Doctor-patient crisis management level and promote theharmonious development of Doctor-patient relationship. Through introduced theDoctor-patient crisis management theory in detail in this chapter, it can providetheoretical background and knowledge for subsequent chapters.Third, the paper reviewed longitudinally the history of Doctor-patientrelationship management in our country, and analyzed the evaluation of Doctor-patient relationship management at different stages from multiple perspectives. Onthis basis. It prompt thinking in-depth and system perfect for health field, it also pavethe way for the following the survey of Hospital Doctor-patient crisis managementability, the study of Doctor-patient crisis causes mining and hazard evaluation, andconstruct of Doctor-patient crisis management system.Fourth, the evaluation system of Hospital Doctor-patient crisis managementability should be based on the classical Augustine crisis theory, then analyze theevaluation system by the AHP and FCE, so that we can have certain cognitive abilityof Doctor-patient relationship crisis management. We can not only know the overallsituation but also have a clear understanding about the indicators of Doctor-patientcrisis management. It can provide scientific and effective advice for the public healthadministrative department, and improve Doctor-patient crisis management abilitymaximumly. So we can make strategy of sustainable development which accord withour national conditions and the real situation of the Doctor-patient management.Fifth, on the basis of the survey of Hospital Doctor-patient crisis managementability, it is an important link to avoid Doctor-patient crisis. It established a set ofindex causes system by using Delphi method and VAS method which combinequalitative with quantitative analysis method to evaluate the occurrence probabilityand harm degree of Doctor-patient crisis. So we can find the regulation and correctways to solve the crisis. We can even also have means of scientific and effectivesupervision and management. Sixth, on the basis of the study of Doctor-patient crisis causes mining and hazardevaluation, elaborate the system principle and game principle in detail, as well asthe related principles, guiding ideology, the center frame and the auxiliary frame, thenoptimize the integration of Augustin crisis management theory and the PDCA cyclemanagement theory, and put the core framework of the “embedded” integratedmultistage circulation crisis management in “3U” Doctor-patient crisis managementsystem, explain the composition of “3U” Doctor-patient crisis management system.We should build “3U” Doctor-patient crisis management system, analyze theproblems and put forward the suggestions. It has great significance and promote theharmonious development of Doctor-patient relationship.In this paper, the main research results as follows:First, using nearly10years documents about Doctor-patient relationship fromWeb of Science and CNKI, and analyzing the knowledge base, research hotspots andresearch fronts on Doctor-patient relationship by operating Citespace with thepowerful Data Mining and Visual Analyzing functiongality.Second, review and summarize the history process and feature of theDoctor-patient relationship, and analyze the academic evaluation of the various stagesof Doctor-patient relationship.Third, establish Doctor-patient crisis management ability evaluation systembased on the classical theory of Augustine crisis management theory, evaluate theDoctor-patient crisis management ability. And also establish Doctor-patient crisisformation system. Assess the likelihood and consequences of Doctor-patient crisis.Provide a scientific basis to avoid Doctor-patient crisis.Fourth, on the basis of the study of Doctor-patient crisis causes mining andhazard evaluation, optimize the integration of Augustin crisis management theory andthe PDCA cycle management theory, put the core framework of the “embedded”integrated multistage circulation crisis management in “3U” Doctor-patient crisismanagement system, including the center frame and the auxiliary frame. It provide atheoretical basis for the Doctor-patient relationship management work in our country,in order to promote the Doctor-patient relationship and the social harmony andstability.There are several new breakthrough based on Doctor-patient crisis managementtheory and method research: First, investigate Doctor-patient crisis management ability base on the classicaltheory of Augustine crisis management theory, and evaluate the Doctor-patient crisismanagement ability. The result is Doctor-patient crisis management ability is better,but there is still insufficient. There is significant differences between differenthospitals about Doctor-patient crisis management ability and analyze the reasons.Second, establish Doctor-patient crisis formation system. Assess the likelihoodand consequences of Doctor-patient crisis. The hospital management is the factorswhich the most likely to occur Doctor-patient crisis and the most lead to seriousresults. It provide a scientific supervision and management by qualitative andquantitative research while have a certain theoretical and practical significance.Third, Doctor-patient crisis management is not the traditional hospitalmanagement. It is not a simply process. It is Doctor-patient crisis cycle management.It should integrated crisis management and the “PDCA” cycle management theoryand apply to the Doctor-patient relationship management, put the core framework ofthe “embedded” integrated multistage circulation crisis management in “3U”Doctor-patient crisis management system, put forward countermeasures andsuggestions to build the “3U” Doctor-patient crisis management system in our country,it is the unity of the subjective consciousness of crisis and crisis management action,the unity of the subjective consciousness and crisis management tools, and the unityof the crisis management operations and management tools, so we can take a targetedand comprehensive system management.Harmonious development of Doctor-patient relationship is the beautiful vision, isalso the goal of social development process. Build the Doctor-patient relationshipcrisis management system still need a lot of the follow-up research work, therefore ithas wide research space and development prospects.