Whether the relationship between doctors and patients is good，From the perspective of individual，Affecting the medical behavior can be carried out smoothly; from a collective perspective，Affecting the reputation of the hospital and the physical and mental health of the patient group。2018，The Chinese Medical Association has conducted a large sample survey of 44,600 medical institutions and 146,200 physicians throughout the country.，66%of physicians have experienced different degrees of doctor -patient conflicts。2021，China Social Survey and Research Center of the School of Social Sciences at Tsinghua University、The "Physician Investigation Report" jointly released by the Chinese Physician Association shows: 65.40% of the physicians "feel that the public has misunderstandings，Public opinion stress "，64.61% of doctors "feel that the legitimate rights of medical staff are difficult to guarantee" ... It can be seen，To improve my country's doctor -patient relationship environment and far away，Need to work hard to form a joint force。

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First，The doctor's group is not in place。First，Some physician groups have a large work intensity and facing multiple pressures。Current，The medical health awareness of urban and rural residents in my country has improved，Corresponding to it is the increase in the pressure of the doctor。According to the "Physician Survey Report" statistics，The average diagnosis time of the doctor investigated is about 7.77 hours per day、Scientific research time is about 1.47 hours，The average weekly work is about 5.77 days，High work strength。Under such work intensity，Some doctors may show lack of patience、Right attitude，It is difficult to achieve a benign interaction with patients。Next，Some Bet365 app download physicians have self -protection awareness to a certain extent。Before the implementation of the "Several Provisions on the Evidence of Civil Litigation" on May 1, 2020,，Old "Several Provisions on Civil Procedure Evidence" shall be implemented for "inverted liability"，To a certain extent, the medical dispute is exacerbated，Forced medical institutions and doctors to carry out "Defense Medical"，Put some unnecessary inspection items during the diagnosis and treatment、Avoid the treatment of high -risk patients、Choose conservative treatment methods, etc.。again，Alienation of medical technology leads to the subjectivity of medical staff is constantly weakened。Because people's respect for medical technology gradually exceeds the attention of doctors，The competitiveness of the hospital has also transformed into competition for high -tech equipment，The creative labor status of the doctor's subject is constantly weakened，This makes it difficult for doctors to play creativity in actual diagnosis and treatment，Even lost confidence in subjective diagnosis，As a result, some medical intervention fails。Last，Limited technical level of some physicians。It is undeniable，At present, the medical level in some areas does fall behind，Some doctors lack clinical experience，As a result, there is a missed diagnosis、misdiagnosis or improper prescribing medicine，This also directly triggers some medical disputes。

2，Insufficient understanding of patients。First，Some patients expect too high。The diagnosis rate of some patients on its disease、There is an error cognition in the cure rate，I don’t recognize the limitations of modern medicine，Think that the doctor only needs to do his duty，It will definitely be able to diagnose or cure a certain disease，This has led some patients to transform "risk responsibility" into "physician responsibility"。This kind of anger also causes tension between doctors and patients。Next，Some patients are unwilling Bet365 app download to communicate with the doctor full。"Physician Survey Report" shows，Only less than half of the doctors investigated by the investigated doctors believe that patients are "frequent" or "almost always always" to provide all information required for diagnosis and treatment，and follow the treatment plan provided by it。Some patients are unwilling to provide a spiritual condition to the physician、Economic status、Medical insurance type、Social background、Living habits、Cultural customs and other information，This also makes doctors unable to provide it with the most suitable diagnosis and treatment plan and is misunderstood as "not close reasonable"。again，Medical technology has caused patients to lose autonomy。theoretically，Patients should participate in the doctor’s treatment decision，But because most patients lack professional knowledge，It is difficult to comprehensively understand the latest medical technology，In real medical activities，It is difficult to really exercise the right to choose。Especially in patients applying new special medicines and high -tech medical instruments、In the case of equipment，It is even more difficult to realize the real "knowledge consent"。Last，Some patients will seek other informal treatment opinions。If online consultation、folk Chinese medicine、Relatives and friends experience、Medical Recipe、Middle。But this part of the opinion is for doctors who have experienced many years of medical training and professional training，The reference value is not high，"Finding other opinions" itself may also damage the professional confidence of the physician group。These phenomena aggravate the gap between doctors and patients，It also affects the trust relationship between the doctors and patients。

third，Insufficient support for the external environment。First，The psychological construction of both doctors and patients in the market -oriented environment is lacking。Physician group，Bet365 lotto review Generally feels "compared with your own effort，The current medical charging level is too low "; aspect of patients，I also think that under the market mechanism, the doctors' group "medical ethics and doctors，Lack of patience and sympathy，Responsibility is not strong，The service attitude is not good "。Next，In some areas, there are still unreasonable allocation of medical resources。my country's medical resources are allocated between regions、There is a big gap between urban and rural areas，Medical resources allocation East is higher than the west，City is better than rural。The number and quality of medical resources in the Eastern Economic and developed areas are much higher than that of the western economic backward area。This also caused a large number of patients to influx into developed areas、Urban Medical Institution，The phenomenon of pressure caused by doctors and the phenomenon of "patient discrimination"。Last，Hospital management level cannot effectively handle disputes with doctors and patients。Some doctors and patients disputes do not involve medical accidents，This also means that it does not belong to the jurisdiction of the court。Patients will find that in addition to complaining to the competent medical department of the medical and health，It seems that it cannot provide an effective relief and contradictory solution channel。This has caused the "privatization", "concealment" and "public opinion" of doctors and patients disputes to a certain extent，Added the difficulty of discovering the dispute between doctors and patients，It has also expanded the influence of doctors and patients' disputes。

　　Improve the relationship between doctors and patientsNeed to participate in multiple parties

First，Solve the problem of inadequate communication between doctors。First，Should try to reduce the work pressure of the doctor as much as possible。Improve the working conditions and treatment of doctors，Reduce work pressure，Encourage doctors to participate bet365 Play online games in scientific research and provide more scientific research time，Provide background support for it Bet365 app download to communicate with the patient。Next，Improve relevant laws and regulations，Reduce medical disputes abuse，Establishing justice、Efficient mediation mechanism。This can not only reduce the doctor's self -protection awareness，It can also make better communication and understanding between doctors and patients。For medical disputes，Investigation should be conducted with a fair and objective attitude，and solve it in a reasonable and legal way，Avoid passing the murmur。again，Pay attention to the role of the doctors' own opinions，Encourage physicians to be intelligent、In addition to the medical technology of automation and mechanization，Comprehensive use of subjective judgment for personalized treatment，Give full play to the subjective ability of saving the wounds。Last，Strengthen the continuing education and training of physicians，Improve the level of technology，Accumulate clinical experience，Pay attention to the quality of diagnosis and treatment during the medical process。

2，Improve the medical literacy of patients。First，Pass science、Pre -consultation and other means to strengthen education and propaganda for patients，Popularized medical knowledge and medical risk awareness。Help patients to correctly understand the limitations of medicine，Encourage patients to establish correct treatment expectations。Next，Establish a sound patient communication mechanism，Encourage patients to communicate with doctors to fully communicate，Provide comprehensive medical history and information。again，Patients should correct the psychology of blind worship of "latest" and "most efficient" medical methods，and do a certain understanding of your own disease、Learning，With the real understanding of the corresponding technology and risks, realize the real "knowledge consent"bet365 best casino games 。Last，Strengthen the guidance and specifications of informal treatment opinions，Promoting patients' trust in doctors，and avoid the negative effects brought by the seek method of seeking informal treatment。

third，Increase the external environment support of both doctors and patients。First，The medical marketization mechanism should be improved，Reasonably determine the level of medical charging，Protect the reasonable income of medical staff，Improve the career satisfaction of physicians。It can be used by giving play to the way of excellent experience in traditional doctors and patients，Some supplements to the market chemical medical environment，If you use "Bei Renxin、Tong Confucian Taoism、Mo Juezhi、Do not heavy profit "Standard doctors、"Kenya medicine、Yizhi early、Ring angry、Interest delusions、Mo Xinxie "specifies the affected party and so on，Reshape the lofty of the doctor's occupation with humanistic value and the basic trust of the patient。Next，Strengthen the balance of medical resource allocation，Actively promote medical resources to sink to the grassroots，Regional gaps that reduce medical resources。Last，Improve the hospital management mechanism，Optimized mediation and processing of doctoral and patient disputes，Establish an effective internal contradiction resolution and public opinion guidance mechanism，Improve the ability and efficiency of the internal hospital's dispute over doctors and patients，to reduce the negative impact of external environment on the relationship between doctors and patients。

The influence of various factors、Under the trend of transformation and development，The doctor -patient relationship is undergone severe challenges。Through the above analysis, it can be found that the communication problem of the physician group、Insufficient support for patients and insufficient support for the external environment is the main factor that leads to the intensification of contradictions。bet365 Play online games The key to solving these problems lies in the reform of comprehensively deepening the relationship between doctors and patients，From the doctor group、Patient group and the external environment start with systemicity、Long -term measures，Retos of the humanistic spirit and cultural tradition of medical treatment、Reshape the value concept of medical treatment，Really implement the development requirements of "people -centered"。So，Only to benefit the majority of patients and medical staff，Build a more harmonious doctor -patient ecosystem，Promoting the healthy development of medical care。

　(Author Unit: Department of Law, Beijing University of Traditional Chinese Medicine)