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Contemporary China is in a critical period and important moment of modernization of social structure。2018 is both 40 years of reform and opening up，40 years of reform and development of the Chinese pharmaceutical and health system。2019 is the 70th anniversary of the founding of the People's Republic of China，It is an important historical turning point in the 10th anniversary of the implementation of the new medical reform。From the perspective of the development process and development stage of social modernization，China is in a critical period from traditional society to modern society。The characteristics of traditional society are gradually fading，Open、Freedom、Diversity、Democratic modern society contour is clearly visible。This process is exactly what Karl Plani calls the "Great Transformation"。Compared with the historical process of social modernization in European countries，The "big transformation" process of the transformation of Chinese social structure and social modernization，Whether it is the length of the time used，still involved the breadth and depth of the field，Both none fingers。

Due to China's historical culture、Value concept、Social Environment、Social structure、Development road、System arrangements are different from European and American countries，Make China the largest "Social Modernization Experimental Field" in the history of human society in the history of human society，Created a lot of new experience。China has achieved the rare "superposition development" in the world in a relatively short period of time，Social structure realizes rapid and comprehensive transformation。This means，China's social Bet365 lotto review structure transformation and social modernization process will create many "Chinese wisdom" with Chinese characteristics。

　　Structural change in the relationship between doctors and patients is an important part of social structural transformation

Since the reform and opening up，my country's medical and health system reform、The structural change bet365 best casino games of the relationship between the medical and health service system and the doctor -patient relationship，It is an important part of the transformation of China's social structure，It is the best angle for the country to deeply understand the country's promotion of the "healthy China" strategy。

Looking back on the process of reform in the field of medical and health services for more than 40 years，Fundamental changes in the status of "lack of medical medicine" in medical and health services，Medical and health services covered the crowd from urban residents and institutions and institutions to all people in the whole society，The status of medical and health services is upgraded to the priority area of ​​the National Development Agenda，The "national policy" of health policy is clear，How to promote the construction of healthy China、Enhance the health and well -being of the whole people into a national development strategy。Among them, the most social policy significance and the most important social change is，physical and mental health needs to become the most important social needs of all nationals for the first time。Body and mental health and spiritual care needs to be surpassed、Food、Living、line、Use the needs of basic life，Become the most important and highest level of the needs of all Chinese society in the whole Chinese society，Reflect that the Chinese society needs structural transformation。The Chinese people clearly explain the structural transformation of physical and mental health: why people's needs for medical care are so strong，It is so common and strong for seeking medical treatment for medical treatment，Fresh Bet365 app download air、Clean water、Healthy Food and Catering Health、Home Environment and indoor air pollution、Occupational safety and health、Psychological and mental health and personality are so strong。With the thorough solution of the food and clothing problem，Increases of national material wealth，The living standards for the whole people are constantly improved，Psychological and mental health and spiritual care Requirements will continue to increase，The era of modern health has arrived。Modern health concept not only includes physical health without disease、Psychological personality，It also includes environmental health and social health; not only the peace of the inner world and the joy of the spiritual world，More importantly, the social relationship of social behavior health and good harmony。

　　The leading model in the field of medical and health services in the early stages of reform and opening up is mainly traditional doctor -patient relationship

In the early stage of reform and opening up，The leading model of the field of medical and health services in China is basically based on traditional doctor -patient relationships，Doctors and patients have become observation and analysis, medicine and society、Social structural transformation and social relationship、The best domain bet365 best casino games of the relationship between the country and society。In a traditional social situation，The main service object of the doctor is typical、"Physiological Patients" with limited number of standards and people，Therefore, the social interaction relationship mode between the doctor and the patient (patient) came into being，Usually referred to as "doctor -patient relationship"。Medical sociology theory of medical and patient relationship is the role of patients。Patient character is the theoretical creation of American sociological master Parsons，The theory of patient character is the condition of early diseases of traditional society or early western modern society，Especially the social construction of the relationship between doctors and patients。The main point of the patient theory of patient character reflects the cause of traditional diseases、Disease mode、Interactive relationship between patient composition and doctor and patients。First，Patient limited to physiological patients，Including patients with mental disorders，Behavioral disorder、Asian health and bad behaviors are not patients。2，The cause of the disease of physiological patients is mainly physiological factors，Including biological genetic factors，Social decisive factors of disease are not important。third，From the perspective of the disease spectrum and death spectrum，The nature of the disease suffered by the early patients in the traditional society or modern society is infectious、Acute disease、Major diseases and common diseases、Multiple diseases，Chronic non -infectious diseases are not the mainstream and subject of the nature of the disease。Fourth，Limited quantity of physiological patients，Patient's clinical symptoms、Diseases and pain、Appearance signs and social images are very clear。Fifth，From the interaction mode of doctor -patient relationship，Physiological patients are in a relatively passive position in the process of seeking medical treatment and medical services，The subjective position and subjective consciousness of the patient does not exist，In fact, patients usually give their physical health management rights to doctors。Doctors have absolute and supreme professional authority，Because only doctors understand medical and health knowledge，Master medical technology。Sixth，In the situation of traditional doctors and patients and medical services，Hospital Clinic、The ward wares、Resident patients are typical organizational forms，Typical、Standard doctor -patient relationship is usually reflected in hospitals and wards，In fact, the relationship between doctors and patients bet365 Play online games has a clear geographical space range。Seventh，In the situation of traditional doctors and patients and medical services，Treatment methods for doctors to give patients are usually two categories: surgery and drug treatment，Including emerging minimally invasive and interventional therapy。Overall，The means and methods that doctors can use are simply limited medicine。Eighth，In traditional doctor -patient relationships and medical services，sickness or illness is a sudden、accident、Temporary and temporary short -term negative events，Diseases are not "important parts" or "indispensable part"，Diseases are unpopular bad things。Once the disease is cured，The social role of the patient will return to normal people's life，And the sick life and normal life can be distinguished。

　　Medical relationship is a historical product of the changes of the overall social structure

Since the reform and opening up，Traditional doctor -patient relationship and medical and health service situation occurred tremendous and unprecedented revolutionary changes，In traditional、Classic、Standard doctors and patients with patients retaining unchanged backgrounds，More importantly, a relationship between a doctor and ordinary people，referred to as a medical relationship for short。Medical relationship is the product of the reform of China's medical and health system since the reform and opening up，It is a historical product of the changes of the overall social structure，It is an inevitable result for the degree of modernization of Chinese society and the continuous improvement of people's living standards，Social impact profound。First，The concept of patients is no longer limited to physiological patients and mental patients，Every ordinary person is a potential and high -risk patient。2，The main cause of the patient's illness is no longer physiological and genetic factors，Environmental and social factors are becoming more and more important。This is the main point of view of the theory of "Healthy Bet365 app download Social Decision" advocated by the World Health Organization，It is also the rule of medical service development。third，From the perspective of the disease spectrum and death spectrum，Infectious disease、The number and incidence of acute diseases and high -death diseases decreased sharply，At present, chronic non -infectious diseases、bad lifestyle、Psychological health and behavior health are the main diseases facing countries around the world。Fourth，Except for a small number of physiological patients and inpatient patients，Most non -hospitalized patients usually appear in ordinary people's appearance。Most chronic non -infectious patients，such as hypertension、Diabetes、Cardiovascular and cerebrovascular patient appearance signs are normal、Normalization。Fifth，In modern social situations，Patient characters have changed significantly，Patients have transformed from traditional passive object characters to subject。Everyone's health is in the hands of everyone，Everyone is the owner and authority of their physical health management。Sixth，In the modern social environment，For everyone，The hospital is just occasionally、Temporary or temporary therapeutic service venues。People more time is in the family、Geographical Community、Work and life in the unit。Seventh，In modern social situations，Except for traditional surgery and drug treatment，beautiful and healthy environment、Healthy Lifetime，Good mentality、Active physical exercise and harmonious interpersonal relationship，Play a more important role in improving people's health and well -being。Eighth，In modern high -risk social situations，Disease、Damage、Accident、Disabled、Risks have become part of our lives，Diseases and health risks are an indispensable constituent element for modern people's daily life。Life and disease、Life and risk coexist in common life。Brief words，The key to medical relationship is bet365 Play online games the change of the role of ordinary patients，For the first time with nationality、Social meaning。

　　(This article is the "Research on the Construction Research on the Construction of Modern Social Welfare System with Chinese Characteristics" (15ASH008) in the National Social Science Fund key project)

(Author Unit: Department of Health Policy and Management at Peking University)