Therefore, the development of medical and health undertakings is an important part of building a harmonious socialist society, and building a harmonious society is inseparable from a harmonious doctor-patient relationship. Over the years, medical and health management departments and medical institutions have actively explored the construction of a harmonious doctor-patient relationship. Many hospitals implement open management, establish communication and supervision mechanisms between doctors and patients, and ensure the smooth flow of medical information, which has achieved certain results. However, the tension between doctors and patients, the lack of mutual trust and the increase of medical disputes are very prominent problems at present. We must fully understand the importance and urgency of building a harmonious doctor-patient relationship. First, the status quo of the doctor-patient relationship and the main reasons for the existing problems. Generally speaking, the doctor-patient relationship is a local disharmony in basic harmony, harmony is the mainstream and disharmony is the tributary. The causes of the doctor-patient relationship are complex, the medical resources are insufficient, and it is "difficult" and "expensive" for the people to see a doctor. Patients have opinions; The quality of medical care is not high, the service attitude is not good, and the people are not satisfied; There are more complicated social factors. There are not only problems of system and mechanism, but also problems of poor ideological awareness and management supervision. The main reasons are as follows: (1) Lack of trust between doctors and patients is an important reason for the contradiction between doctors and patients. There is a lack of trust and understanding between doctors and patients, and it is impossible to put yourself in others' shoes. Some medical staff can't put themselves in the patient's shoes, but should think more about medical institutions and their own interests. Moreover, some patients also lack understanding of medical staff and medical complexity. (2) The lack of communication between doctors and patients and the increase of medical disputes are important factors for the disharmony between doctors and patients. Statistics show that in the medical disputes that have occurred, due to insufficient communication between doctors and patients, disputes caused by disharmony between doctors and patients account for about two-thirds of the total. (3) The lack of humanistic care in the medical process aggravates the disharmony between doctors and patients. Treating diseases and saving lives is one, but some doctors only pay attention to "disease" and not people; In some medical institutions, medical activities only emphasize equipment, ignoring the communication between doctors and patients. (D) The direct cause of the doctor-patient relationship is that the channels for patients' complaints and rights protection are not smooth. Although China implemented the new Regulations on Handling Medical Accidents as early as a few years ago, after the occurrence of medical accidents, the cost of accident identification alone is as high as several thousand yuan, and the cost of safeguarding patients' rights and interests is too high. In fact, it is still very difficult to safeguard rights and interests through normal channels. (5) China's current medical security system and related laws and regulations have not kept pace with the market economy in time, and the national medical insurance system is not perfect, which is the most fundamental reason for the sharp contradiction between doctors and patients. According to the data, many countries have a perfect national medical insurance system, and all people participate in medical insurance. Most of the medical expenses are borne by insurance companies, and individuals will not pay high medical expenses, so there are few contradictions between doctors and patients. For medical institutions, to build a harmonious doctor-patient relationship, we should first look inward, face up to and overcome our own shortcomings, rather than complaining that patients don't understand and people can't solve problems. We should be good at analyzing our own problems, find out the reasons from the aspects of service environment, service concept, service attitude and service effect, and formulate measures. The First Affiliated Hospital of China Medical University is a modern large-scale general hospital integrating medical treatment, teaching, scientific research, prevention and health care, and also a rescue center for difficult and serious diseases in parts of Northeast China and North China. In recent years, we insist on taking patients as the center, from thinking to planning, from measures to implementation, and from the interests of patients, actively change the service model, improve service quality, and take patient satisfaction as the pursuit of hospitals. From the practice of our hospital, to build a harmonious doctor-patient relationship, we should strengthen medical services from six aspects to ensure people's health and promote the construction of a harmonious doctor-patient relationship. First, pay attention to humanized service and seek service innovation. With China's entry into WTO and the diversified development of medical services, the medical service system is facing revolutionary changes. In the more intense medical market competition, patients not only pay attention to the hospital's medical level, but also pay more attention to the hospital's humanized service. In addition to hard power such as technology and equipment, hospitals cannot ignore the competition of soft power such as management mode and service level. How to integrate the concept of humanization into the whole process of medical service and hospital management, change the old concept that "patients come to the hospital to see a doctor, and hospitals only treat people", and establish a modern medical model that medical objects are "people" first and then "diseases" will be an important topic in the construction and management of modern hospitals, which deserves serious consideration, research and exploration. Hospitals should take measures on how to respect, understand and care for patients, seek service innovation, and continuously improve people's satisfaction with hospitals through humanized services. The second is to adhere to the standards of social benefits and build an honest hospital. Medical institutions at all levels should adhere to social benefits as the highest criterion, adhere to reasonable inspection, rational drug use and reasonable charges, and prohibit all kinds of "billing fees"; Efforts should be made to reduce patients' medical expenses, establish a sunshine system for medical expenses, and conscientiously do a good job in consulting and charging, so that patients and their families can check the expenses at any time and reassure patients; Take effective measures to eliminate the phenomenon of long registration time, long payment time, long time to get medicine and short time to see a doctor; Strictly implement the centralized bidding system for drugs, and put an end to the phenomenon that drug dealers bring money to sell drugs in hospitals; The doctor-patient agreement system is implemented, and it is strictly forbidden for medical personnel to accept "red envelopes" and "meals"; Hire social supervisors to supervise hospital medical ethics. Third, establish and improve the doctor-patient communication system to promote doctor-patient communication. In order to strengthen doctor-patient communication, medical institutions should standardize the management of doctor-patient communication in terms of form, channel, content, requirements, skills, effect and assessment, so as to achieve "one must, two must, three proficient, four attentions, five taboos and six ways". One requirement is that medical staff should have integrity, respect for patients or their families, compassion and patience; The two skills are to listen to the patient's inquiry, introduce the patient's condition, treatment effect, medication and examination purpose, and care about the inconvenience in the patient's life or medical treatment; Three stresses are to grasp the development and changes of patients' condition, medical expenses and social psychology in time; The four concerns are to pay attention to the emotions, educational level and feelings of the communication object, and to pay attention to the cognition of the communication object to the disease and the expectation of communication; Five taboos are to avoid forcing patients to accept it immediately, to avoid using irritating language or words, to avoid using medical professional vocabulary that patients don't understand, to avoid forcing patients to change their views and to avoid suppressing patients' emotions; Six ways, namely, prevention-oriented targeted communication, physical exchange communication, collective communication, written communication, coordination and agreed communication, physical comparison and figurative communication. Through all-round, multi-level and multi-angle communication, the service quality can be effectively improved, the contradictions and disputes between doctors and patients can be resolved in time, and patients' trust in hospitals and understanding of medical staff can be enhanced. Hospitals should establish and improve the doctor-patient communication system and complaint handling system, accept and handle patients' complaints in a timely manner, regularly collect patients' opinions on hospital services, and make timely improvements. Medical staff should fully respect and safeguard patients' right to know and choose, sympathize with patients' pain, sympathize with patients' difficulties, respect patients' ideas, dispel patients' concerns, and strive to make patients get physical and mental health. The fourth is to provide exquisite and high-quality technical services to reassure patients. With the continuous development of society and times and the continuous improvement of people's living standards, people's requirements for medical services are getting higher and higher. Coupled with the continuous development and changes of the spectrum of human diseases, medical staff are required not only to have a good service attitude, but also to have superb medical technology, constantly use new knowledge, new achievements, new methods and new technologies of modern science, and fight against various human diseases with high-tech and superb medical skills to relieve the suffering of patients. Doctors should have a strong sense of responsibility for patients, truly consider patients, sincerely serve patients, and take relieving patients' suffering as their highest pursuit in life. Fifth, strict hospital quality management to ensure medical safety. Medicine is a science that has not been fully recognized by human beings, and there are still some fields that need to be explored by human beings. Some diseases can't be completely cured at present, or are not sure about 100%, but diseases are the top priority for patients. Therefore, while providing high-tech services for patients, we should also strive to ensure the safety of medical services, minimize errors and accidents, and provide safe and secure medical services. The sixth is to establish a medical notification system to enhance mutual understanding and trust between doctors and patients. Carry out medical service information publicity and adhere to the hospitalization expense list system. Vigorously promote the new model of "patient-centered" medical service. Make patients have a "five-understanding" of the charging standard for diagnosis and treatment, drug price, their own condition, what kind of examination items to do and their doctors; "Five Knows" about diagnosis and treatment process, diagnosis and treatment experts, procedures to be done during operation, diagnosis and treatment items, price and service commitment; Then there is the "five reassurances" about examination, diagnosis and treatment, medication, fees and services. To build a harmonious doctor-patient relationship, medical institutions and medical personnel are the leading factors. The Proposal of the Central Committee on the Eleventh Five-Year Plan adopted by the Fifth Plenary Session of the 16th CPC Central Committee clearly stated that "it is difficult and expensive for the masses to see a doctor" and "the most concerned, direct and realistic interests of the masses should be seriously solved". In recent years, the Ministry of Health has been working hard to solve the problems of "difficult to see a doctor" and "expensive to see a doctor", insisting on the purpose of serving the people, insisting on the responsibility of the government to undertake public health and safeguard people's health rights and interests, and safeguarding the public welfare nature of hospitals. We actively study and explore solutions from the following aspects: giving play to the leading role of the government in ensuring people's basic medical care, reforming the medical service system, transforming the operating mechanism of public medical institutions, strengthening the government's supervision over the medical service industry, and vigorously developing rural and community medical and health services. As a medical institution, we should also actively strive to firmly establish the purpose and concept of serving the masses and patients faithfully, strengthen the communication between doctors and patients, strive to improve the quality of medical services, win the respect and recognition of the people by providing warm, careful, caring and patient services for patients, and make our contribution to building a harmonious doctor-patient relationship.