The emergence of modern doctor-patient conflict is not more than thirty years. This is especially prominent in the past few years, the reasons for this are society, hospitals, patients, the three components.

First, on the social front, there are policy factors, public opinion factors and environmental factors. Health care reform began in the 1990s, and health care reform programs have been introduced many times with little success. There is no supporting the overall program, the hospital was weaned from the full allocation of units, to the market-oriented industrialization. Hospitals in order to adapt to marketization. Do everything possible to use fees to maintain hospital operations, the dean of the department director most of the energy to pay attention to income. This is also compatible with the general environment, universal GTP, hospital departments must grow how much each year. The first sentence of the doctor's check-in, your hospitalization fee is gone should be paid, patients see the doctor just for the money. Some years ago, the direction of public opinion is also a problem, in order to get eyeballs, to some doctors and patients to expand the conflict. The most typical sewing anus incident, 80 cents to cure 100,000 yuan of disease, etc., corrupted the reputation of the hospital doctors, increasing the contradiction between doctors and patients. Then there is the social environment there are unsatisfactory factors, medical trouble into the wind, no matter what the reason, as long as the patient is not satisfied with the hospital, the law also can not keep up, there is a medical trouble, the hospital in order to reputation, there is no way to be accompanied by money, which aggravates the medical trouble. Go to the legal settlement, the court finally also with humanitarian harmony mediation, give the patient some subsidies it.

The second hospital itself has a lot of problems. In the 1990s, the promotion of the patient's choice of doctor was aimed at increasing the incentives for hospitals to let famous doctors go out, but the community understood that the choice of doctor was not to give gifts to choose how to choose? For a time, gift-giving became a trend, and now patients are hospitalized and find an acquaintance to give gifts. In fact, there is no need to send gifts, doctors like treatment. It is not possible to keep a hand. There is also the issue of charges as mentioned above. These are hospitals. From the doctor's point of view, poor service attitude is the most prominent place of conflict between doctors and patients, poor service attitude has many reasons, there are hospital environment, tiredness, income and pay is not proportional and so on. Especially large hospitals with many patients, work overload, outpatient doctor a day to see hundreds of patients, dry mouth, more noise, mood upset, there will be upset, poor service attitude. Patients queuing for hours, see a doctor for three minutes. Ward doctors sometimes work around the clock, 48 hours can not go home, think of their classmates are not a doctor's monthly income of more than 10,000 yuan, and sometimes will also be self-seeking annoyance, poor service attitude. The doctor-patient relationship is poor.

Three patient factors. The most prominent is the perception that fees are too high. It is believed that the hospital in order to charge excessive examination, excessive medical treatment. Charge price is not set by the hospital itself, is unified by the provincial price department pricing. New project inspection fees also have to municipal price departments for the record, the hospital does not have their own pricing power. The so-called indiscriminate charging is excessive medical care, excessive inspection, this issue is very complex, excessive medical care and excessive inspection, is only a few years ago, some of which belongs to the legitimate defense protection, some excessive inspection has other purposes. Take an example of gastroscopy, over 40 years old must have an electrocardiogram. Does it make sense, 99.9999% of the time it does not. But there is one case in the country where a patient died of a heart attack during a gastroscopy. The patient died, and the patient said, "Why didn't you do an EKG before the gastroscopy?" No one had done one before, and it was a doctor's mistake. From then on they all did EKG. This is actually over-testing, but it has to be done for self-protection. There are many examples of this. The patient can't understand all these things, but he knows that the hospital is checking for money. The doctor-patient relationship is not equal, the information sharing and communication is poor, the doctor is always on top, the patient into the hospital is like a gas, of course, in the hospital must be quiet, can not make a lot of noise, the Chinese people are used to high voice, uncomfortable in the hospital, doctor-patient relationship will not be good. In addition, with the improvement of people's living standards, the lack of demand for medical care is also one of the doctor-patient conflicts, large hospitals are crowded, small hospitals do not see people, poor doctor-patient relations are in large hospitals.

Since the 18th National Congress, the Party Central Committee, to increase medical reform efforts, the abolition of drug markup, reduce the proportion of drugs, the implementation of patient care, increase the cost of reimbursement of health insurance, improve the environment of large hospitals, improve the treatment of medical personnel and other measures as well as purify the medical environment, combat medical malpractice, and increase the publicity of positive energy, etc., so that the relationship between doctors and patients gradually eased and will be more and more good.

What is the biggest conflict in the doctor-patient relationship?

The biggest contradiction in the doctor-patient relationship, the root cause of the doctor does not want to take responsibility for the treatment of disease, which may also be to the boisterous medical malpractice cases to the fear, in order to eliminate disputes between doctors and patients, hospitals do not let the patient's family members to "sign", and the content of the signatures is that the patient in the process of treatment, no matter what happened, have nothing to do with the doctor. So cured okay, in case the cure is not good, here are the patient's family signed a consent form, the head is the doctor before the delivery of the patient's family in order to cure the disease, can only be temporarily tolerated submission, so the patient's family signed a consent form can be used as a doctor to shirk their responsibilities as a shield.

This makes it obvious that the patient's family has a sense of mistrust. There will be questions, so signed, the doctor does not bear any responsibility, in the process of treatment will not appear treatment programmed, over-treatment or treatment of negligence ah? This treatment is excessive, I think we are all clear, the treatment of negligence may I say so, we do not quite understand, for example, a surgeon is in a bad mood or a day to do a number of surgeries, more tired, just to so-and-so, the physician programmed to do it, the results came out is not very satisfactory. This is accustomed to seeing life and death of the doctor just handed in a homework, finished a task. But for the patient's family is very difficult to accept, so naturally produced a doctor-patient disputes, this is one.

The second one is the issue of hospital nurse care and indiscriminate charging.

Let's talk about nursing, of course, we are talking about critical care, in order to let their loved ones do not suffer, send nurses a little fruit gift is nothing, the problem is that I am afraid that in the process of critical care at night, the nurse slept and caused the consequences or the occurrence of the situation did not inform the physician on duty in a timely manner to the consequences of the occurrence of the patient's family members are also very difficult to accept, and naturally also produces a dispute between the doctor and the patient. There is also the head nurse indiscriminate charges and marketing medical equipment, such as physicians prescribed 3 drugs, the head nurse can record 6, a day of medicine, the next day stopping to give you counting the money, medical equipment, such as the like.

The third is the problem of misdiagnosis and mistreatment. The fourth is excessive examination. The fifth is that when a patient is in need of emergency medical treatment, no family member is present to sign and save the patient, and no money is available to save the patient, thus giving rise to conflicts between doctors and patients.

The main contradiction in the doctor-patient relationship is that the update of drugs can not keep up with the needs of patients, like antibiotics, penicillin, in the penicillin came out, the effect of the treatment of disease is quite amazing, but the medical profession did not pay enough attention to the fact that a patient did not use penicillin, does not mean that penicillin is ineffective, and only long-term penicillin will be resistant to the drug, the doctor has a preference to the use of medication, the hospital drug is incomplete, resulting in a small disease did not have timely and effective treatment into a serious disease, the hospital Outpatient stop infusion, resulting in doctors or specialists can not cure some diseases, only emergency or hospitalization can be infusion, resulting in hospitalization difficult contradiction more and more prominent, the medical examination instrument is not advanced, resulting in some people in the health checkup is good, one or two months in the occurrence of advanced cancer phenomenon more and more, the limitations of the doctor's medical technology resulting in diagnostic errors resulting in errors in medication, the disease becomes more complex situation increases, the excessive use of medication, drug side effects resulting in the use of medication, the side effects of medication resulting in the use of penicillin is not effective, only long-term use of penicillin will be resistant. Excessive use of drugs and side effects of drugs cause chronic liver and kidney damage. Patients lack of basic medical knowledge, blindly seeking medical treatment, blindly trust a doctor, resulting in slow turnaround phenomenon of the disease, only hospitalization with consultation, so in small hospitals or large hospitals to treat patients who are slow to carry out consultation system, so that small illnesses do not come out of the small hospitals, big problems to the big hospitals, of course, malignant tumors is a special disease that occurs fast or slow can not be avoided, so the main focus of the doctor-patient relationship is the disease of the The main focus of doctor-patient relationship is the problem of getting better and getting worse.

The biggest problem with the doctor-patient conflict is that patients have lost trust in hospitals and doctors. Doctors and patients were supposed to be a wonderful social relationship. The reason for this situation today lies mainly in the doctors. Today's doctors are indifferent, lack of sympathy, no sense of responsibility, for profit and unscrupulous and so on, these are the cause of strong dissatisfaction with the patients, the cause of the loss of patient trust. Medicine for the benevolent arts, doctors, China has a long tradition of excellent medical culture, but can not forget the original intention, both exquisite medical skills, but also noble medical ethics of doctors are rare. Although for many years, the state, the government in vigorously advocating good medical ethics, but little effect, the reality of society's greater influence. Many hospital specialists and professors should be in the advocacy of medical ethics and medical morality to play an exemplary role, but in fact, this is not the case. Specialist number to hundreds of dollars or even thousands of dollars (such as Shanghai Longhua Hospital, the so-called national medical master Liu), these are young doctors have played a subtle role in the pursuit of monetary gain has become the sole purpose of the doctor's practice, which produces an endless number of problems, contradictions, disputes (including many medical accidents), the so-called medical disputes more than originated in this. The patient is the party who has to ask for the doctor, is a vulnerable group, they are at the mercy of the doctor, due to the excessive requirements are not satisfied to make trouble is not unheard of, but very few. The solution to the conflict between doctors and patients is a difficult problem, hospitals, doctors are the main parties to the conflict, we must consider how to rebuild the trust of the patient side is a priority.

Here's what our book says: the differences between doctors and patients in terms of their comprehensive knowledge of the human self make the construction of healthcare regulations and policies, medical protection, humanistic environment, and hospital management lacking.

Isn't it particularly awkward? It was a pain when we took medical humanities, but it's a bummer when you see questions like this.

Nowadays, there are a lot of incidents of injuries to doctors, and as a front-line doctor, I am also heart-broken.

Actually, wrong, everyone, off the cuff, no offense.

The first mistake, they find their own fault. In fact, I have to say, now negligence, not non-existent, a lot of "store big bully", many times, the patient is busy all morning to get up early to register and queue up, was 5 minutes to send, the mood is not happy. Some days ago, someone at home is sick, he went to be a patient's family, witnessed all this, physical and mental experience. But there were really a lot of patients in the morning, and I have experienced it. Because the work is not serious, inexperienced, the superior doctor supervision is not strict resulting in mistakes, not without, lock so I say, first find their own fault.

Second mistake: Now it is difficult and expensive to see a doctor, and many fundamental problems have not been solved. The health care reform is only not yet complete, except that the drugs have been changed or the doctors have resigned. I have seen the most problems is that the registration fee is expensive, but the drugs are not complete, many patients need to go to many hospitals to get the drugs together. And then throw the pot out the window, the drugs cost 80 cents and sell for 800...but what's it got to do with me? To me? Maybe the report is that it's all for me! And then the patient hates the unscrupulous black-hearted doctor. Helpless, helpless.

The third mistake: the coolness of trust between people, in fact, push the heart of a lot of doctors, are using this profession to satisfy their own little sense of accomplishment. Hope to get the patient's trust and support. Don't use to hurt the doctor to solve the hate, a doctor's growth to 10 years or more, a specialist's upbringing is even longer, you kill people may be someone else's life-saver.

You trusted me, I will not fail you, I am not a god, just a man endowed with special skills to help with you in any way I can.

The town next to us had a sore throat, went to the doctor, the doctor said surgery, and then made a vegetable, transferred to Huaxi Hospital, Huaxi said the throat is inflammation, some swelling of the lymph, but made a vegetable, they can not. Then the county hospital compensated eight thousand every month until his death. The problem is that he was only thirty or forty years old, and his children were still young, and there were two elderly people above him, and he was the only son in the family! Another, I gave birth to a child, the next ward, his husband shouted many times doctors and nurses said to be born, to be born, the result of a visit to say that it is still early, still early, one by one to run to the rest room to sleep, the result of more than an hour, the child was born in the hospital bed, even the sterile waiting room did not go in! The doctors and nurses were running around getting dressed and tying their hair. Poor mother and child, each getting a tetanus shot! Most doctors are still OK, but there are just so many who drain the trust! The one who operated on expired drugs the other day, do you think you want him to taste expired drugs too! Do you want him to pay for his life?

The doctor-patient relationship is interesting. According to statistics, 80% of hospitals suffer beatings, intimidation and abuse by patients and their families. 76.67% of hospitals have patients and their families refusing to be discharged from hospitals after treatment and failing to pay hospital fees. The Chinese-style "doctor-patient relationship" is gradually emerging. How to correctly treat the doctor-patient relationship? In general, the harmonious doctor-patient relationship accounts for the majority, disharmony is only a small part of it, what is the reason for the emergence of doctor-patient tension, I think, the following three aspects are enough to explain

1. Treatment fails to achieve the expected results: at the current level of medical science, many diseases are still unknown and uncontrollable, and the general lack of medical knowledge among patients leads to excessive expectations, and when the results are too different from the expectations, dissatisfaction or even anger and other emotions will arise, resulting in some extreme behaviors.

2. Poor channels for the protection of patients' rights and interests: channels for the protection of patients' rights and interests: A: negotiation with hospitals; B: complaints to health administrative departments; C: medical associations at all levels applying for medical malpractice appraisal; D: third-party coordination. Under the mediation of the third party, the phenomenon of "medical malpractice" has been greatly reduced. The root cause of the rampant medical disputes is that patients' rights are not smooth, and the cost of defending their rights is too high. If we only "block" but not "dredge", it is possible to treat the symptoms but not the root cause, and even form a "barrier lake" to protect the rights of patients. For those patients who have been defending their rights for a long time but have not been able to get a fair solution, they are easily cornered. In a data survey, the proportion of doctors injured due to improper protection of their rights was 9%.

3, conflict transfer: according to trauma medical malpractice statistics, June trauma medical time accounted for 34% of the year, the emergency department accounted for more than 40%, tertiary hospitals accounted for more than 50%, the medical environment, medical attitudes of employees emotionally unstable accounted for more than 84%. Most of the time, the medical staff is just a diversion in medical malpractice.

"I'm responsible for seeing the doctor, you're responsible for trusting me."

This is probably the best doctor-patient relationship.

To fundamentally solve the problem of "doctor-patient relationship", only to speed up the reform of China's medical system, increase government investment in health care, create a favorable medical environment, improve the patient's rights channels, to solve the imbalance in the doctor-patient relationship. The use of China's rational allocation of medical resources, can realize the harmony between doctors and patients. Sometimes, the more the doctor-patient relationship is understood and trusted, the more the doctor-patient relationship can be completely harmonious.

There are two sides to everything. Time is the only criterion for testing the truth and the catalyst for revealing its strengths and weaknesses.

Trust is the mainstay of the doctor-patient relationship.

For a long time, the reason why the doctor-patient relationship has not been able to appear to ease is that the patients should or should not trust the hospital doctors and can they trust them!

It's harder to be clear on service platforms and physician services. For example: a whole lot of textual stuff, the only way for the patient to sign to confirm is based on trust, can you not agree? These are for the maintenance of the hospital doctor's contract. What can be given to the patient is to trust that the doctor will be based on conscience!

After the problem, it is difficult to have a chance to win, is that you trust the signing of ah, inside the problem listed one by one, a lot of the situation is normal ah. Then, the main problem is still the treatment process on the trust. Follow the doctor's requirements to do, is to trust the doctor. And the doctor's requirements, will your costs higher, the course of treatment longer, and even abnormal situations (medical and less effective).

For example, I met the "kind" specialty director, he began to say, to save you money, the examination from the simple, the examination appeared, and then said that it must be from the fine, and then the precision of the examination. These processes sound, quite for the sake of the patient. In fact, you spend money thanks to his good advice!

This has increasingly become a major social problem and people are beginning to pay attention to this aspect. I think there are several factors contributing to the tension between doctors and patients.

Patients, our slogan hospitals are for the people, medical treatment is to save lives. So as a service industry, we now have a hospital building on a grand scale similar to a hotel but what about our services? Patients enter the hospital expecting high returns for high effort, but medical care is a special service industry, it can not guarantee that everyone has a good result. In addition, as a life-saving organization, we have to face the reality that fewer and fewer doctors have this spirit. There is also the risk of disease, expensive to see a doctor, difficult to see a doctor, social propaganda (including some false institutions to promote the package cure) to the patient caused by the deviation, in addition to the doctor to receive red packets to the patient indiscriminate prescribing of medicines and so on to the patient has caused enormous mental pressure. To know the quality of patients vary greatly, and then there will be most of the anger, a small number of hate doctors, harm doctors, revenge doctors.

For doctors, there is a lot of social pressure and life stress. Many general practitioners have a lot of workload, but low wages, but they have to survive ah. So by prescribing more drugs to patients, more tests, delaying the patient hospitalization time, etc. These are looking at nothing in fact, there are a lot of insiders. There are also blatant acceptance of patients red packets. Ordinary doctors rely on the main income of these seemingly normal and very abnormal gray income. In addition, nowadays there are very few doctors who specialize in research and treatment, doctors are busy with all kinds of medical paperwork and various other things. So your doctor is not doing his job, he can't see the patient well and makes the patient spend more money, so it creates tension between the doctor and the patient.

Socially, we have given doctors to save lives. So when the above situation occurs doctors forget their professional ethics and patients don't trust them. So whenever there are a few doctors who save lives or have high medical ethics it is publicized so that patients have good expectations of doctors, but these doctors are after all a minority, so the bias to patients is unacceptable.

It's really hard to talk about the doctor-patient relationship conflict. So it can't be solved either. At least there is no solution at present. I hope that doctors can have high professional ethics and excellent medical skills, and I hope that our patients can understand doctors to understand the disease, although it is difficult, but there is always hope.

I am a doctor, I have experience, in the hospital you can experience a variety of human sadness and happiness, some children are filial piety first, some children are "white-eyed wolf", some of the elderly look at the poor, we do not have the ability to let him get the warmth of the family, only by our care, so that they feel the taste of home, as for the doctor-patient relationship we can handle, I think as a medical professional to do this job, to stand up to their conscience, no conscience, what is a person, I just want to this with a conscience to treat everyone with the same heart, I hope others also use the same heart. The doctor-patient relationship we can deal with, I think as a medical staff to do this job, to stand up to their conscience, no conscience, what is a person, I would like to this with a conscience to treat everyone, I hope that others also use the same heart to treat my loved ones, will be heart to heart, but sometimes it is indeed all kinds of oddballs, and you do not reason with all kinds of irrationality, we are also a family breadwinner, but not a god, so there is a world! Good people, there are bad people, this is the law of nature ......