1 Reasons for the tension between doctors and patients
The reasons for the tension between doctors and patients mainly include society, doctors, patients and the media: ① Social reasons. Because the medical and health system reform is not in place and the medical security system is not perfect, most people rely on their own expenses to seek medical treatment, and they feel distressed. In addition, they failed to achieve the expected treatment purpose, which may lead to disputes. ② Hospital charges are high. Among them, the high cost of medicine and various examination fees are the main reasons for the high medical expenses at present. The rising rate of medical expenses exceeds the growth rate of residents' income, and the increasing burden on patients is also the root cause of the contradiction. ③ poor environment. (4) The technical force is weak. Secondly, medical technology is also one of the main reasons that affect the relationship between doctors and patients. ⑤ Poor service quality. Individual medical staff are irresponsible for their work, have poor self-discipline, do not pay attention to their own image, speak casually, have a cold attitude, have blunt language and shirk each other. Therefore, poor communication between doctors and patients is also the primary cause of disputes. ⑥ Media reasons. Public opinion and media reports are biased towards patients. To a certain extent, it has played a role in fueling the flames and fanning the flames.
Square method
To sum up, first of all, the government, society, hospitals, patients and the media need to work together in the following aspects to build a harmonious relationship:
2. 1 Strengthening government functions The government should increase investment in public health undertakings, rationally allocate health resources, improve the medical insurance system, increase financial investment in the medical insurance system, rationally disperse medical insurance, and reduce the actual burden of medical institutions, medical personnel and patients; Strengthen the supervision of drug production, circulation, sales and other fields, rationalize the price of medical charges, and let the people "enjoy more affordable services at lower costs." Secondly, it is difficult and expensive to see a doctor. Foreign countries rely on community hospitals and family doctors to see a doctor. China should also focus on reforming the hospital operation process, providing convenient and thoughtful medical services for patients and paying attention to the community. Distribute patients to various communities to reduce the pressure on large hospitals. It is necessary to let excellent doctors go to the grassroots level to facilitate medical treatment. Is the patient's resentment less?
2.2 If the drug expenses and various inspection expenses are too high, it is forbidden to prescribe large prescriptions, cart drugs, repeat inspections and unnecessary inspections to patients, and severely crack down on behaviors such as red envelopes, kickbacks and billing commissions. Reducing medical expenses has also played a positive role in improving the quality of medical services. In addition, due to the continuous introduction of advanced medical equipment, doctors' dependence on equipment has increased significantly. Doctors blindly pursue high-end medical care, which leads to soaring medical expenses. The image of medicine in people's minds is more and more like a business. Therefore, hospitals should also disclose the charging items and standards to the public, improve the price publicity system, inquiry system and cost list system, and improve the transparency of charging. Provide timely cost inquiry service for patients, and handle patients' complaints about cost problems in time.
2.3 Lack of integrity is a fatal blow to the doctor-patient relationship. Establishing a doctor-patient relationship of mutual trust requires both sides to put themselves in their own shoes and enhance mutual understanding. However, in the process of medical treatment, if the disease fails to change in a good direction, it is psychologically unacceptable and it is easy to doubt the correctness of medical treatment activities. Medical behavior is a high-risk job, and there are still many unknown fields in medicine, and there are considerable individual differences among patients themselves. So there will be aggravation or death. Both doctors and patients should follow the objective laws of medical science. Due to the lack of medical professional knowledge, the natural development of some diseases is often suspected as medical errors, which forces medical staff to take the blame, instigates relatives and friends and even doctors to pull banners, lay wreaths, smash tables and hit doctors in hospitals, resulting in tension between doctors and patients. In this way, doctors become less and less courageous, and the examination of self-protection becomes more and more detailed, which is not conducive to the development of medicine, but also increases the treatment cost of patients and makes medical staff feel chilling. First of all, I hope patients can treat hospitals and doctors correctly. Hospitals are places to cure diseases and save lives, and doctors are protectors of life. Without a doctor, there is no continuation of life. Respect for doctors means respect for life. A patient who does not know how to respect and appreciate the work of a doctor will not know the dignity and value of life. Only when doctors and patients respect each other can * * * win.
2.4 It is the responsibility to strengthen media management and speak for the relatively weak patients. However, if things are reported unfairly without investigation or investigation, it will become a catalyst for contradictions and conflicts between doctors and patients. Therefore, the fairness of media coverage of doctor-patient relationship is directly related to the harmony of doctor-patient relationship. I hope the rumors stop with the wise. I hope the country can strengthen media management. Let it spread more positive energy and report the medical environment correctly. Medical and health units should also actively strive for the support of the news media for their work and publicize more outstanding medical workers with noble medical ethics, exquisite medical skills and selfless dedication. Actively carry out easy-to-understand health education, through various publicity, let the broad masses fully understand the limitations and risks of medical development and various diagnosis and treatment technologies and the unpredictability of disease outcomes, increase guidance on social hot issues, resolve contradictions in time, and let the doctor-patient relationship return to the standard. Building an honest hospital to promote social harmony and progress.
Secondly, medical staff also shoulder the unshirkable responsibility of rebuilding a healthy and harmonious doctor-patient relationship. Therefore, the majority of medical workers need to strengthen theoretical knowledge learning and improve humanistic quality. ② Strengthen medical ethics education and establish service concept. ③ Learn communication skills between doctors and patients, cultivate communication skills, treat patients leniently, etc., and make continuous efforts and contributions to the return of abnormal doctor-patient relationship to a correct and healthy track.
3 discussion
3. 1 Improve medical ethics Although our income is low, people generally have the concept of money first in the market economy, which will inevitably affect the value orientation of medical staff and produce psychological imbalance. But practicing medicine is not a transaction, but a mission and dedication. Therefore, we are required to have good medical ethics, maintain a correct view of money, be indifferent to wealth other than honest labor in exchange for part, not envy or covet others' ill-gotten gains, and maintain a peaceful attitude in our work. This is our profession. It is also the first step to reshape the relationship between doctors and patients.
3. 1. 1 Improve service awareness and trust between doctors and patients. As a doctor, there are great investments, great responsibilities and high risks. Therefore, we are required to have a high sense of responsibility and compassion, and to consider the needs of patients with empathy. For example, in the process of examination, diagnosis and treatment, we should think more about the patients and give humanistic care to minimize the pain, shorten the treatment time and achieve the best curative effect. In the process of diagnosis and treatment, we should be meticulous, rigorous and thorough, seek truth from facts, and resolutely put an end to all delays, mistakes and accidents caused by weak sense of responsibility, so as to gain the trust and respect of patients. 3. 1.2 improve the professional level with the development of medical classification science, the branches of hospitals are becoming more and more detailed. The specialist level of doctors has been obviously improved, but it has caused the decline of non-specialist level, so that the ability of doctors in various disciplines is obviously isolated. At the same time, due to the continuous introduction of advanced medical equipment, doctors' dependence on equipment has increased significantly. Therefore, it is necessary to strengthen the general knowledge training for specialists, so that they can master the diseases of other departments while mastering the professional knowledge, especially for emergency doctors and young workers, and improve their ability to cope with various diseases. Improve the ability to deal with emergencies. Use excellent technology to relieve the patient's physical pain and cure the patient quickly with the greatest ability. Reduce the regret that patients leave because of poor skills.
3.2 Strengthen the concept of legal system and improve the awareness of self-protection. Once a medical dispute occurs, it will not only damage the image of the medical staff themselves, but also adversely affect the reputation of the hospital, and also affect the normal medical order. Therefore, it is of great significance to strengthen the education of medical and health laws and regulations. Through the education of laws and regulations, health personnel can know the law, abide by the law, act in accordance with the law, practice medicine according to law, effectively exercise their legal rights, consciously safeguard the authority of the rule of law, form a good legal environment for the health industry, and provide basic guarantee for preventing conflicts between doctors and patients. Records of medical nursing documents in daily work should be timely and accurate; These documents are an important legal basis and play an important role in medical disputes. Outpatient medical records should record the patient's treatment process and discharge situation in time, so as to avoid being at a disadvantage due to insufficient, incomplete and untimely records in the event of medical disputes. In addition, medical care records should be complete and correct, and special personnel should keep them properly.
3.3 Strengthen the communication between doctors and patients: The factors that affect communication divide the 60 cases investigated into three aspects: 28 cases are due to the disease itself, 30 cases are due to psychological factors, and 2 cases are lack of social support. It can be seen that the influencing factors are mainly psychological factors, followed by diseases and social factors, and the three factors influence each other. There is a famous saying: "Sometimes it is a cure, often it is comfort, and always it is help." Sometimes, the greatest value of medicine is not to cure diseases, but to comfort and help patients. So when we communicate, we need to pay attention to the following points.
3.3. 1 To enhance the trust between doctors and patients, first of all, medical staff should communicate with patients more, and doctor-patient communication is a two-way communication bridge between doctors and patients. In the process of medical service, the psychological distance between doctors and patients is close, the feelings are harmonious and the doctor-patient relationship is good. Respecting patients' right to informed consent is a key link in dealing with the relationship between doctors and patients. Medical staff should talk with patients before carrying out some treatment behavior, including the condition, the basis of treatment, the principles of treatment, possible problems in treatment, etc. And let patients choose whether to do treatment and examination, so as to obtain patients' active cooperation, truly respect patients and fully enjoy their right to seek medical treatment. Relieve patients' frustration and helplessness with sincere service, make patients feel the same status as medical staff with respectful attitude, and create a good medical environment for patients with humanized care.
3.3.2 Doctor-patient communication methods ① First of all, be sincere, compassionate and patient; (2) Learn to listen, that is, pay attention to listening to the patients or their families to say a few words, so as to master the patients' social and psychological state; Grasp the emotional state of patients; Pay attention to education level and feelings about communication; Pay attention to patients' cognition of diseases and expectations of communication; Pay attention to your emotional reaction and learn to control yourself. ③ Keep smiling. Smiling is the best communication. Smiling can give people a warm feeling, so smile more. ④ Pay attention to calm and gentle tone, and avoid using words and tone that are easy to stimulate patients' emotions; We should appease the patients more.
3.4 Strictly implement the rules and regulations. The responsibility of medical diagnosis and treatment is great, the responsibility of emergency rescue is great, and the responsibility of relieving pain is great. Therefore, medical personnel are required to strictly follow the operating procedures in their work, that is, to abide by the law. Stick to your post and strictly perform your duties. Medical staff are the protectors of patients' lives. Therefore, they must always stick to their posts and never leave their posts, closely observe the changes of patients' condition and deal with them in time. Become the real savior of patients.
Section 4
The remolding of doctor-patient relationship is a gradual process. In this process, first of all, our own medical staff must strengthen their own quality and improve the quality of service. Be more professional, humanized and integrated in the work. You must have the spirit of dedication to your work. And treat patients with tolerance and make due contributions to building a harmonious doctor-patient relationship. This requires the efforts of the whole society, the government and patients. Only by unremitting efforts can we solve this complicated doctor-patient relationship and establish a healthy and harmonious doctor-patient relationship.