The Study On The Construction Of The Doctor-patient Relationship

The doctor-patients relationship is of the most fundamental, and important and active Interpersonal relationship. Its pattern of manifestation and connotation is constantly developing and changing with the alteration of social regulation and the developing medicine From the reforming and opening on, with the transconformation of social structure, the transition of planned economy to market economy, in particular the promulgation of the noval medical treatment management and the regulation of the malpractice treatment, the doctor-patient relationship at present time shows the new characters, that is, the time so far is the most serious and vulnerable time for the doctor-patient relationship since our country foundation. Such that the constant increasing medical cases, the conctant reported hospital violence, the appearance of high cost compensation, the crisis of doctor-patient confidence, the doctors with no responsibility, and the medical defending presence, etc. Following the development of the concepts of health and the disease, the phenomena of medicine socialiation and life medicination have become obvious in some advanced countries. The works of doctor are being involved in more and more other fields. Between the enlargement of medicine task and the doctor occupation, between the developing level of the modern medicine and the medicine expectation, between national economic investment the gradual increasing demonds to health, there appeared more and more certain thing out of step. The solution ways have been far beyond the restriction with moral principles simply. Eventually, people track back from the sacred medical behaviors to the social laws, and further to the multi-factors concerned with the society. From the 20th on, the development of advanced medical technology made it more and more for the doctor-patient relationship materialized , the medical behavior commercialized, and the medical treatment goal unpersonalised. The doctor-patient relationship is of alienation situation. As long as there is the medical movement, there is the two aspects of doctor and the patient; As long as there is the two aspects of doctor and the patient occurs, there are the contradicts of doctor and patient. All the contries are like this. With the different legislations, economic levels and cultures, the patterns of manifestation are not similar. Face to the gradual worse doctor-patient relationship, this article elucidate the nature of those phenomona from the standpoints of hospital, patient and society in order to analylize corretly the doctor-patient contradict through various theories of the doctor-patient relationships. Aiming to congnizing correctly, and offer the good thought for solving these problems creatively. Further solving the doctor-patient relationship in the time of society transconformation through the combination of self-discipline and disciplining others. The first part: The summarizationon the relationship between the doctor and the patient.To expound the relationship between the doctor and the patient from the connotation and the nature is the most foundational Interpersonal relationship in the medical treatmentm, this will be improved and changed constantly with the development of society and the medical model. the nature of the relationship between the doctor and the patient is of a social relationship, and is being developed to the tendencies of of indirection, economization, interesting, pluralism, equalization at present. The second part: The current situation of the relationship between the doctor and the patient.The general situation is good.For example, in the duration of the SARS prevalence,the style and features of the angels in white and the medical worker were present sufficiently, such that the medical workers defended the health service with their own lives and blood, and composed the moved Psalms in that warwithout smoke. However, from the current situation, for the reason that the hysteretic effects of laws and regulations, and the different people moral standard. The phenomenon of the out of step even strained doctor-patient relationship is still popular. Some crytic doctor-patient contradicts have not been solved validly, such that the events of violence in hospital are becoming more and more, the medical treatment compensation is are becoming high and high, and the medical treatment disputations are becoming more and more, the doctors do not work wholeheartly, and the medical defendation appeared, etc. The third part: The main factors concerned with the relationship of doctor and patient include the factors of the social, the medical and the patient. 1)the direct reasons include the unreasonable allocation of medical treatment and health sources, and the worse impartiality. 2)the indirect reasons include the allocation of hospital management, and the appearance of marketing tendency. 3)the root courses of the servious relationship between the doctor and the patient areas follows: the medical institution reform, the changing mainbody of medical cost. The heavying personal burden, the fundamental medical demond which cannot get reliable ensurance, to equal the medical sevice to the common consumption 4)The objective reasons on difficult solution of the relationship of doctor and patient are as follows: the imperfect legislation, the imperfect medical treatment event evaluation mechanism, the indefinite medical treatment compensation, the invert testification responsibility. The fourth part: Study on countermeasure. To begin with the practical situation of our country, and aim at the deep root of the serious relationship between doctor and patient, offer the practical advices; To optimize the health resources, relieve the contradict of supply and demond; To make doctor happy. To build the the mature physicianemployment insurance. To use the international standard quility control system. To apply the exchanging theory of dpctor and patient to build the intervention presumption. The ideal model on the relationship between doctor and patient can be describe as the doctor with sympathy to patient and the patient with confidance to doctor. The disparity between the ideal expection and the non ideal reality are of the pratical occurance. What we can do is to narrow these disparity as far as possible. Innovation: l To try with the theory of modern marketing—that satidfying the doctor is precondition the satidfying the patient. 'To happy the doctor'. l The mechanism of social psychology—the application of interrupting the presumption. l There has no the systematic study on the changing the relationship of doctors and patients. l The foundation of crisis managing system—'the preventive model of the relationship of doctor and patient'...