In socialist countries, the doctor-patient relationship is essentially a brotherly and gay relationship with no class difference, and should be an important part of socialist spiritual civilization construction politically. However, due to the different professional ethics and political qualities of individuals, the doctor-patient relationship has also encountered many new contradictions and problems in specific work. In order to clearly express this view and seek a solution, we must first talk about the rights and obligations of both doctors and patients.
As a profession, doctors serve patients. They have professional knowledge and skills and have the right to make diagnosis and intervention. Patients who seek medical treatment have the right to judge and treat, and in order to be responsible for patients, their autonomy can be restricted under special circumstances. Rights and obligations are inseparable. The duty of a doctor is to treat patients' diseases wholeheartedly. Patients also enjoy equal rights to medical care, disease knowledge, informed consent and privacy. At the same time, fulfill the obligations: abide by the hospital discipline system, support the development of the hospital, and cooperate with doctors for treatment. So why is the doctor-patient relationship tense now? There are profound social, economic and human factors.
First, the subjective aspect.
(1) China advocates equal humanitarianism and Bethune spirit, and there are indeed many such models in the health front. They are honest and clean, and serve patients wholeheartedly. However, with the comprehensive establishment and in-depth development of the market economy, people's awareness of commodities has increased and their material level has improved. A small number of medical staff regard practicing medicine as a means to seek personal gain, which hurts patients and leads to great opinions from patients. Some people spend a lot of money on medical treatment, which leads to psychological imbalance and conflicts with medical staff. Secondly, because normal income can't meet the material needs of doctors objectively, a few doctors use the opportunity of treating diseases to engage in unhealthy practices in the industry: "kickbacks" and "red envelopes", which harm the interests of patients. Third, some medical staff are not high enough in professional ethics, and they are cold and hard, pushing and shoving patients, which makes patients dissatisfied, and conflicts and disputes inevitably occur. This is because some medical staff have feudal ethics: you are asking me when you come to see a doctor, and you have to listen to me. This unsympathetic thinking will not lead to tension between doctors and patients. Fourth, some doctors prefer illness to love others. They only care about patients who are useful for their own scientific research and projects, but ignore other patients. This is undoubtedly a blow to sensitive patients, and disputes will certainly occur.
(2) In terms of management, there are also some reasons why the management of hospitals is not strong enough: (1) The system is not perfect, and there is no complete set of management and supervision institutions, so that a few medical staff can take advantage of it. Management confusion makes medical activities lose their norms and the overall medical quality of hospitals is poor. Therefore, at present, our hospital has purposefully and timely carried out measures such as "patient-centered", "strengthening internal quality, shaping external image" and "benevolence and convenience", which have achieved certain results and are beneficial to improving the current unsatisfactory doctor-patient relationship. (2) The management ideas of some hospitals are biased. Due to the fierce competition in the medical market objectively. Hospitals pay more attention to two aspects of economic benefits. Especially after the independent accounting of the departmental economy, the department is responsible for its own profits and losses and can only conduct economic accounting. To some extent, there is a bad atmosphere of one-sided pursuit of economic benefits, which has a negative impact on patients' psychology. I believe that hospitals in socialist countries will soon become "medical exchanges" and gradually become stale!
Second, the patient.
In the contradiction between doctors and patients, the medical side is responsible, but patients are sometimes the main instigators of the conflict. The main manifestations are as follows: (1) Some patients have high expectations for medical treatment, thinking that a minor illness should be cured, and some people have heard it from hearsay and are dissatisfied with how this disease was treated like this. There was a fight in the hospital. Some ill-bred family members abused the doctor. (2) Distrust: Some patients want senior doctors to treat them. If they are not satisfied, there will be some complications, which will be considered as caused by young doctors and disputes will occur. (3) Some diseases will have adverse psychological effects, such as cancer and chronic diseases. If they are not cured for a long time, patients will be dissatisfied and desperate, and they will be angry with medical staff.
What I mentioned above is the subjective and objective reasons for the tension and contradiction between doctors and patients, which has a bad influence on the rehabilitation of patients and the smooth progress of medical work. So how to adjust the current tense doctor-patient relationship and how to change the prejudice of social media against the medical profession?
(1) It is necessary to improve the professional ethics and technical level of medical staff, improve their service attitude, and treat patients with sympathy and comfort. Especially in today's bio-psychological-social model, the requirements for doctors are higher. We should not only cure the patient's illness, but also understand and guide the patient's psychological state, meet the patient's reasonable requirements, make the patient feel happy when he is hospitalized, and cooperate with the doctor for treatment. We find "caring with heart" very convincing. When you ignore the patient's pain, think about what you want the doctor to do to you if you are sick. In addition, with the rapid development of medical technology, medical staff should have the enterprising spirit of "making further progress" and strive to master advanced medical technology to serve patients. It is good for the hospital to make patients feel at ease, satisfied and happy in appearance, movement, language and medical work.
(2) Patients: In hospitals, patients are relatively weak. Need the care and love of doctors. We believe that as long as medical staff are worthy of patients, almost no patients are sorry for their doctors. It is necessary to strengthen the education activities for patients, including medical knowledge and hospital rules and regulations. The importance of letting patients cooperate with doctors slowly, respect and care for each other.
(3) Anti-corrosion management: Continue to implement the Party's health policy and take effective measures to change the tense relationship between doctors and patients.
65 | Enthusiastic users | 2013-07-1917: 54
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Netizen replied.
As patients, we should treat doctors with a good attitude and cooperate actively, but we should not get used to doctors' mistakes and be neither humble nor supercilious.
As a doctor, think of patients as your relatives. What should you do? Don't be unconscionable.
15 | Enthusiastic users | 2013-07-1917: 58
The doctor-patient relationship is a unique part of human culture, the key to medical activities and the core of medical interpersonal relationship. The famous medical historian Seagris once said: "Every medical action always involves two kinds of people: doctors and patients, or more broadly, medical groups and society. Medicine is nothing more than the multifaceted relationship between these two groups. " Therefore, the doctor-patient relationship refers to the specific interpersonal relationship generated in the process of medical diagnosis and treatment, with medical staff as one side and patients and their social relations as the other side. The high development of modern medicine has further expanded the original connotation of this concept. "Medicine" has expanded from simple doctors and medical groups to all hospital staff involved in medical activities. "Suffering" has also expanded from seeking medical advice and patients to related social relations such as family members, units and even friends. In the process of clinical medical treatment, establishing a good doctor-patient relationship is conducive to ensuring the development of medical work and maintaining a good psychological environment and emotional atmosphere. Therefore, we should create a harmonious and relaxed medical environment and promote the development of medical undertakings. To deal with the relationship between doctors and patients in the new era, we should respect the rights of patients, improve their language communication ability and improve their own quality. Medical personnel need to solve the following problems. 1。 To have a good medical ethics, the most full expression of medical ethics is a high sense of responsibility and compassion, and we should consider the needs of patients with empathy, such as minimizing pain, shortening treatment time and achieving the best curative effect. The doctor's treatment is not only the result of medical treatment, but also the spiritual comfort to patients. Strictly abide by the rules, standardize the operation, treat patients equally, use language, behavior and psychological skills flexibly in practical work, communicate with patients and become friends. 2。 Excellent medical skills, continuous learning of professional knowledge, rigorous scientific style to improve technology. In the process of diagnosis and treatment, we should be meticulous, rigorous and thorough, seek truth from facts, resolutely put an end to all delays, mistakes and accidents caused by weak sense of responsibility, and gain the trust and respect of patients. Patients should respect medical staff, understand the particularity, high professionalism and high risk of their work, and be aware of individual differences. Doctors should be given a correct understanding, actively communicate with doctors, understand the condition and treat the prognosis of the disease correctly. Some diseases are difficult to be diagnosed before a certain period of time, and doctors must observe them for a period of time. Good psychological quality of patients after illness is very important. It can be said that three-point diagnosis and treatment and seven-point rest are the truth. Patients should not be rude to medical staff, or even disturb the normal working order of the hospital, and act in violation of the law. The establishment of doctor-patient relationship will dilute the relationship between consumption and interests, but it seems difficult to do this. Although the doctor-patient relationship is still a moral relationship in contemporary medical activities, it is gradually moving towards technicalization, marketization, democratization and legalization, and it is very impossible to realize the rights and obligations of both doctors and patients only by moral self-discipline. With the passage of time, it may be more legal relationship, and the legalization of doctor-patient relationship will be the inevitable trend of the evolution of doctor-patient relationship. We can't control the big development. In today's society, I can only live up to my heart and do my best.