In recent years，The Party Central Committee and the State Council have clearly proposed "build a harmonious doctor -patient relationship"。According to the data released by the Coordinated Innovation Center of Health Risk Early Warning Governance of Fudan University，The number of doctors and patients who have attracted the attention of the media and the public，More than 20 times in the past 10 years。Frequent "medical troubles" and injury medical incidents，reflects the tension of the relationship between doctors and patients in my country。

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In essence，Both doctors and patients are a "community of interests"，It is an important social relationship based on trust。Current，The reasons for the tense relationship between doctors and patients in my country，Main aspects。

First, over -marketing medical services。The most important pusher of the doctor -patient relationship，It is a market -oriented model that has been continuously strengthened since the 1980s。Due to the general implementation of the hospital, "self -receipt、Self -negative profit and loss "system，Some hospitals to pursue economic benefits，Evolution the relationship between doctors and patients into a certain interest relationship。Plus the doctor’s income and the revenue directly，Some doctors use "Excessive Medicine、Prescription "and other means to maximize the benefits，Patients bet365 live casino games bear too much diagnosis and treatment costs。At the same time，Pharmaceutical manufacturers and dealers play a catalyst role for doctors to pursue "high benefits"，exacerbated the patient's resentment and distrust。Under the circumstances where the treatment fails or the effect is not good，Patients can easily point the spearhead to the medical staff of the hospital。

Second, the diagnosis and treatment of large hospitals is too large。Excessive concentration of medical resources、Unbalanced supply and demand is another important reason for the contradiction between doctors and patients。Current，80%of our country's medical resources are concentrated in big cities，Half of which concentrated in a large hospital，Lead a large diagnosis and treatment of large hospitals，Doctors overload all year round，It will inevitably affect medical and service quality to a certain extent。For example, some patients queue up all night，Even waiting for many days，Doctors end the clinic in two or three minutes，Often dissatisfied。There are also individual medical personnel who have a poor service attitude，plus errors in diagnosis and treatment，It will become the "fuse" of the contradiction between doctors and patients。

Third, the patient's rights protection is difficult。Information asymmetric information on both doctors and patients、Patients in patients' rights protection channels are also a direct cause of tightness in doctors and patients。Usually，Medical Party has professional medical knowledge and rich clinical experience，Bet365 app download and the affected party is in the obvious weak position。Once an accident，Patients have no professional knowledge，Can't get evidence，Plus of poor rights protection channels，It is easy to appear hostile and excessive words and deeds。In fact，In the medical field full of unknown and variables，There are many uncertain factors，Even if the doctor does not make a mistake，Some cases of "rescue invalid" will still happen。but，The affected party rarely understands this，If the hospital is not informing the obligation，The affected party considers it to be a medical accident。

Fourth is that social trust is not high。The low degree of trust in the society is also an important reason for the tightness of the doctor and patients。A survey of an East China area shows，Only 10%of patients trust the doctor。Because it is not trusted，Make the doctor -patient relationship that has been alienated suddenly becomes fatal at some moment。In addition to the division of the rich and the poor and the intensification of social contradictions, etc.、Poor curative effect、Poor curative effect、During the diagnosis and treatment of doctors is indifferent ", it is constantly intensified，Doctors and patients have become the "volcanic mouth" of deep -seated contradictions and pressure in society。

　　Reasonable allocation of medical resources is the key

The relationship between doctors and patients has become tension and has affected social stability to a certain extent，Become a factor in social instability。How to crack the current dilemma，It is an important bet365 live casino games issue that cannot be avoided。

First，Persistence of the public welfare nature of medical care，Turn the hospital for profit -seeking。Medical and health care is essentially a "market failure" field，Can't rely on market mechanism to solve。So，The government should increase investment in medical care，Remove the "self -receiving and self -expenditure" and "self -creation" profit -seeking mechanism of public hospitals。Current，Some places implement "zero tolerance" for violent injury medicine incidents，Constantly strengthen the hospital's security forces，If you set up a police officer in the hospital、Establish an invasive alarm system, etc.，All are the strategies for treating the standard and not the root cause。Because when there is differences,，The key is to bridge the contradiction。Only the public welfare -oriented medical system，Doctors and patients can really return to normal。

Second，Reasonable allocation of medical resources，Solve the problem of "difficult to see a doctor"。"Difficult to see a doctor" The problem is highlighting in urban hospitals and regional central hospitals，It is not difficult to see a doctor at the township health centers and urban community hospitals。So，Should be reasonably allocated to medical resources，Guide more patients to go to the second and below hospitals for treatment，to alleviate the pressure of diagnosis and treatment of tertiary hospitals。abroad，Hospitals at all levels have different functional division of labor，But the doctor's level is not high，This Bet365 lotto review is worthy of our reference。The specific method is，Replace the hospital hierarchical system with a hierarchical diagnosis and treatment system，Encourage high -quality medical resources to sink，pressure of diagnosis and treatment of large hospitals。If it can effectively solve the problem of "difficult to see a doctor" for the people，Social grievances will be reduced a lot，The problem of violent injuries will also be reduced accordingly。

third，Reduce the burden of patients，Practical solve the problem of "expensive medical treatment"。Always，"Expensive" problem is more prominent。Take Beijing as an example，After the implementation of "medicine separation" in 2012，The price of some hospitals has indeed decreased，but registered fee、Treatment costs and surgery fees have increased to a certain extent。A survey by the Zero Survey Group shows，over 90%of the respondents believe that the cost of seeing a doctor is still high，87%of people say "seeing a doctor now is more expensive"。So，The government must face up to the disadvantages of the medical system and system，Take effective measures，Increase investment in medical institutions，Improve the hospital's architecture、Equipment and facilities，Improve the treatment of medical staff，Effectively reduce the burden on the patient。Only the hospital will no longer take "revenue" as the goal，It is possible to really reduce the cost of seeing a doctor for people。This is the meaning of the question of new medical reform，It is also the expectation of the whole society。

Fourth，Reform Hospital's salary system，Improve the enthusiasm of medical bet365 Play online games staff。In order to improve the enthusiasm of medical staff，Reform hospital salary system，Properly improve the treatment of medical staff，To be open and transparent，Let it have dignity、Reasonable return by technology。As long as the doctor is not appropriately established on the basis of revenue，but built on a certain workload，I believe everyone will recognize，The relationship between doctors and patients will be closer to peace。

Fifth，Strengthen medical career moral construction，Enhance the understanding of both doctors and patients。Due to some medical staff's attitude towards the affected party，or the lack of deserved respect for its right to know the consent，As a result, the affected party does not trust the hospital and the doctor。In fact，Patients seeking medical treatment is for help when they are in trouble，The treatment of the hospital is based on humanitarian care，The purpose is to deal with the disease、Promoting health。Because of this，The international community generally "knows、Agree、Freedom、No harm、optimization "as the most basic principle of medical ethics。Obviously，Cracking patients' trust in medical staff，It is necessary to strengthen the professional ethics construction of medical personnel，Enhance the understanding and trust of both doctors and patients。

　(Author Unit: Institute of Social Development Strategy of the Chinese Academy of Social Sciences)