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医患信任,为何如此脆弱--亲稳舆论引导监测室
2013-01-26

  ●医学在快速发展进程中,如果缺乏人文精神的烛照,只能沿着技术崇拜的路径前行

- medical in fast development process,If lack of humanistic spirit of light up,Only along the path of the worship of technology forward

  不久前,一名车祸重伤男婴在江苏省射阳人民医院不治身亡。患方称,医生让患者先挂号后抢救,CT室的门敲了十几分钟才打开,延误了治疗。而调查显示,患者是先做检查后挂号,并未延误治疗。医院录像也证明,CT室的门仅十几秒就打开了。

Not long ago,A car accident injury baby boy in jiangsu province people's hospital of reflected died.With party says,The doctor asked patients after register first rescue,CT room door at ten minutes to open it,Delayed treatment.And the survey,Patients do first after inspection is registered,Did not delay treatment.The hospital that video,CT room door only ten seconds to open.

  此事不禁令人想起“八毛门”、“缝肛门”等事件。其共同特点是,患方对医方产生“习惯性质疑”,主观臆断医生见利忘义、见死不救,从而将医生推向舆论的风口浪尖。

Reminiscent of the matter"Eight wools door"/"Joint anal"Events such as.Their common characteristic is,To produce a party required"Habitual question",Subjective assume doctors forget friendship for profit/To help,Thus will the doctor to the opinion in the teeth of the storm.

  在博弈论中,有一个著名的“囚徒困境”。从理论上说,双方互相保持忠诚是整体最优的结局。但最终的结果却是,双方都选择了背叛对方。眼下,我国的医患关系也陷入“囚徒困境”。过去,患者对医生是深信不疑,如今却是半信半疑。过去,病人只要有1%的希望,医生就会尽100%的努力。如今,即便有99%的希望,医生也会小心翼翼,生怕出现1%的失败率。在这样的防范心理下,医患双方都是“如履薄冰,如临深渊”,医患关系日趋紧张。

In game theory in,There is a famous"Prisoner's dilemma".In theory,Mutual loyalty is to keep the whole optimal outcome.But the end result is,Both sides chose against each other.the,In our country the doctor-patient relationship is in"Prisoner's dilemma".In the past,With a doctor is convinced,Now it is uncertainty.In the past,The patient as long as there is a 1% chance,The doctor will do 100% of the efforts.now,Even if there is a 99% chance,The doctor will be careful,For fear that appear rate of 1%.In such a guard against mental next,Doctor-patient are both"On thin ice,Act with extreme caution",Increasingly tense doctor-patient relationship.

  最近,中国社科院发布的《社会心态蓝皮书》显示,社会的总体信任度下降,只有二到三成人信任陌生人。社会不信任导致社会冲突增加,又进一步强化了社会的不信任,陷入恶性循环的困境中。在我国,医患之间鲜有“道德信任”,只有“技术信任”。而失去了“道德信任”的基础,“技术信任”往往脆弱不堪。一旦发生不良医疗后果,这种“信任”就会立即出现戏剧性转折,而且变成彻底的不信任。治好了,医生就是天使;治不好,医生就是魔鬼。这种以结果为导向的信任,成为医患关系的一大特点。

recently,The Chinese academy of release[Social mentality of the blue book]display,The overall social trust decline,Only two to three adult trust strangers.Social trust leads to increased social conflict,And further strengthen the social trust,Into a vicious circle predicament.In our country,Between patient few"Moral trust",only"Technology trust".And lost"Moral trust"foundation,"Technology trust"Often fragile.Once produce adverse health consequences,this"trust"Will be a dramatic turning point immediately,And become completely distrust.healed,The doctor is an angel;Treat bad,The doctor is the devil.The result-oriented trust,As one of the characteristics of the doctor-patient relationship.

  为什么医疗技术越来越发达,医患之间的冲突却越来越频繁?医生得到的评价却越来越差?这是需要深刻反思的。在经济社会剧烈变革的今天,医患信任危机的原因是复杂的,既有社会环境因素,也有医疗体制因素。然而,仅就医患关系而言,医生是主导因素。因此,改善医患关系,需要医方先行。

Why the medical technology more and more developed,The conflict between patient is more and more frequent?The doctor get evaluation is worse and worse?This is the need to think deeply about.Great changes in the economic society today,The reason of doctor-patient trust crisis is complicated,Both the social environmental factors,Also have medical system factors.however,Only in terms of the doctor-patient relationship,The doctor is the leading factor.so,Improve the doctor-patient relationship,Need cure first.

  医学在快速发展进程中,如果缺乏人文精神的烛照,只能沿着技术崇拜的路径前行,这是医患关系紧张的一个重要诱因。很多医生把病人仅仅当成病例,而非病人;把医学仅仅当成放几个支架、切几个肿瘤、用几种新药,而非情感的交流。患者只能看到冰冷的设备,却感受不到医学的温暖。

Medicine in the rapid development process,If lack of humanistic spirit of light up,Only along the path of the worship of technology forward,This is the doctor-patient relationship nervous an important incentive.A lot of the doctor patient just as cases,Rather than the patient;Put the medicine just as put a few support/Cut several tumor/Several new drugs,Instead of emotional communication.Patients can only see the cold equipment,Can't you feel it the warmth of medicine.

  医学的本质是人学,医学承载着“除人类之病痛,助健康之完美”的神圣使命,本应是爱的表达。医学要前行,不能单纯依赖科学技术的进步,而需要有人文精神的滋养。患者是在病床上体验疾病,医生则是在病床边观察疾病,而“躺在床上”和“站在床旁”的感受是截然不同的。所以,在医生的眼里,不能只见疾病,不见痛苦;不能只有技术救助,没有心灵抚慰。医生在病人身上,不仅要投入时间和技能,更要投入情感。如果医生的心中没有同情、怜悯和关爱,再先进的技术也会贬值。

Medicine is the essence of human,Medical carrying"In addition to the human disease,Help the perfect health"Sacred mission,This should be an expression of love.Medicine go to,Can't simply rely on the advancement of science and technology,And need to have the humanities spirit nourish.Patient is in bed experience disease,The doctor is in the hospital observation of disease,and"Lying in bed"and"Stood beside the bed"Feelings are very different.so,In the eyes of the doctor,Cannot see disease,No pain;Not only by the technical assistance,No soul comfort.The doctor in patients,Not only need to invest time and skills,To put more emotional.If the doctor heart no sympathy/Mercy and love,More advanced technology will depreciate.

  冰冻三尺,非一日之寒。在信任缺失的环境下,医患双方都是受害者。而要破解医患信任危机,必须高扬医学人文精神,重建医疗行业的公信力。只有医学变得越来越温暖,医患关系的坚冰才会日渐消融。(白剑峰)

Rome wasn't built in,Than a day.In the environment of lack of trust,Doctor-patient are both victims.To break the doctor-patient trust crisis,Must be young medical humanistic spirit,Reconstruction of the medical industry credibility.Only medicine becomes more and more warm,The doctor-patient relationship is the ice will melt.(BaiJianFeng)



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