中国式医患关系，是什么关系？有的患者说：“治好了，你是天使，治不好，你是魔鬼。”有的医生说：“检查做少了，你说我不负责；检查做多了，你说我黑心。里外不是人。”

Chinese style the doctor-patient relationship,What is the relationship?Some patients say:"cured,You are an angel,Treat bad,You are the devil."Some doctors say:"Check to do less,You said I am not responsible for;Check to do much more,You say me "dirty".Miles isn't a person."

　　上周末，人民日报经济社会部主编、高级记者白剑峰，在杭州，与读者分享剖析了中国式医患关系，他以罕有的深度和广度，为大家呈现中国目前所有的医患纠结——天价药到小处方，医闹到医改，血溅白衣到生死急救……

Over the weekend,People's Daily, chief editor of economic and social development/Senior reporter Bai Jianfeng,In hangzhou,To share with readers analyze the chinese-style doctor-patient relationship,In his rare depth and breadth,Presenting to you in China at present all of the medical tangle - day price to small prescription medicine,D it to health care,Blood splashed white to death first aid...

　　记者现场发现，在诸多浙江人文大讲堂的忠实听众中，也有不少医务工作者，他们有卫生行业管理者，有医生，也有护士。白剑峰的独到观点和分析，引起听众鼓掌不断。

Reporter found at the scene,In many loyal audience of zhejiang cultural lecture hall,There are many medical workers,They have a health industry managers,Is there a doctor,There are n.Bai Jianfeng original views and analysis,Cause the audience applause continuously.

　　和婚姻关系相似 Similar to marriage

　　重在信任 Emphasis on trust

　　今天我演讲的题目叫《中国式医患关系》。说起中国式，大家自然会想到中国式结婚、中国式离婚。其实，医患关系和婚姻关系很相似，都是人世间最值得信任的关系。

The title of my speech today[Chinese style the doctor-patient relationship].Talking about Chinese,People will naturally think of Chinese wedding/Chinese style divorce.In fact,The doctor-patient relationship and marriage are very similar,Are the most worthy of trust relationships in the world.

　　人生是短暂的。每个人的生命都是从自己的哭声中开始，又在别人的哭声中结束。有人说，人生最痛苦的是人死了，钱还在；也有人说，人生最痛苦的是人活着，钱没了；我认为，人生最痛苦的事是：人活着，钱也在，但是健康没了。

Life is short.Everyone from his life began to cry,At the end of the others cry in again.Some people say that,Life is the most painful is dead,Money is still in;Others say,People alive is the most painful life,The money didn't;I think,Life is the most painful thing:People alive,Money is in,But I don't have the health.

　　人的一生，从摇篮到坟墓，谁也离不开医生。人出生时，见到的第一个人不是父母，而是医生；人临终前，见到的最后一个人也不是亲人，而是医生。

Person's life,From the cradle to the grave,Who also can not get away from the doctor.Man was born,The first person to see is not the parents,But a doctor;People dying,See the last person nor relatives,But a doctor.

　　但是，生活经验告诉我们，越是亲密的关系，越容易受伤。爱有多深，恨有多深。爱有几分，恨有几分。医患关系也是如此。当一个人生病的时候，他把医生当成了亲人，假如医生冷若冰霜，见利忘义，病人能不恨医生吗？

but,Life experience has taught us,The more intimate relationship,The more vulnerable to injury.Love how deep,Hate how deep.Love is a few minutes,Hate is somewhat.The doctor-patient relationship is the same.When a person was ill,He put the doctor as a family,If the doctor exertion,A cynical,The patient can't hate the doctor?

　

　医患频发冲突 Frequent doctor-patient conflict

　　两者都受伤 Both were injured

　　然而令人遗憾的是，医患关系已经成为最暴力、最血腥的关系。

However, sadly,The doctor-patient relationship has become the most violent/The most bloody.

　　近年来，医患暴力冲突频频发生，“小概率事件”逐渐演变成“大概率事件”，引起了社会各界的忧虑。

In recent years,Patient-doctor violence happened frequently,"Small probability events"Gradually evolved into a"Big probability events",Caused the social from all walks of life concerns.

　　2012年3月，不满18岁的李梦南和爷爷到哈医大一院治疗强直性脊柱炎，就诊过程中，医生看他结核病还没有好，就让他先到胸科医院治好结核病，再来治强直性脊柱炎。结果，孩子误解了医生。李梦南觉得受到歧视。下午4点，李梦南买了一把水果刀，回到医院风湿免疫科医生办公室，朝着正在写病历的实习医生王浩的颈部刺了一刀，王浩当场死亡，另有三名医生也受了伤。

In March 2012,Under the age of 18 Li Mengna and grandpa to HaYiDa a hospital treatment of ankylosing spondylitis,In the process of the doctor,The doctor see him tuberculosis is not well,Let him go to thoracic hospital cure tuberculosis,To treat ankylosing spondylitis.As a result,Children misunderstand the doctor.Li Mengna feel discriminated against.At 4 PM,Li Mengna bought a fruit knife,Back to the hospital doctor li rheumatism lead of the office,Towards the case report is intern doctor wang hao stab a knife in the neck,Wang hao died on the spot,Three other doctors was wounded.

　　更值得反思的是，王浩被刺后，有一家网站做了一次民意调查，在参与投票的6000多人中，4000多人竟然选择了高兴，占65%。

More worthy of reflection,Wang hao was stabbed after,There is a website made a poll,In a vote of more than 6000 people,More than 4000 people should choose the happy,Accounted for 65%.

　　近年来，医患暴力冲突呈井喷式爆发。其实，医患冲突，是一场两败俱伤的对抗。

In recent years,Patient-doctor violence a blowout.In fact,Doctor-patient conflict,Fight is a zero-sum.

　　2010年8月，世界著名医学杂志《柳叶刀》发表文章——《中国医生：在威胁下生存》。文章称：中国医生的安全问题堪忧，他们经常成为医疗纠纷暴力事件的受害者。在中国，医生成了高危职业！

In August 2010,The world famous medical journals[The lancet]Published an article --[Chinese doctor:Under the threat of survival].The article said:Chinese doctors of the safety issues are grim,They often become the victims of the violence in medical disputes.In China,,The doctor have become high-risk profession!

　　医患矛盾根源 The doctor-patient contradiction roots

　　是医疗制度 Is the medical system

　　从卫生经济学的角度看，医生既是“道德人”，也是“经济人”。马克思说：“人们为之奋斗的一切，都同他们的利益有关。”过去，我们常常只强调道德的一面，而忽视了经济的一面。

From the perspective of health economics,The doctor is"A moral person",Is also a"Economic man".Marx said:"People fight for everything,Are related to their interests."In the past,We often only stressed the moral,And ignore the economic side.

　　事实上，任何一个群体的构成都呈“橄榄型”。医生也不例外，道德水平极高和极低的都是少数，大部分人处于中间水平。如果有一个鼓励向善的制度，这部分人就更倾向于向善，反之亦然。

In fact,,All the composition of a group show"featured".The doctor is no exception,Moral level of high and low are the minority,Most people in the middle level.If there is a encourage for good system,This part of the people are more tend to be good,And vice versa.

　　医患是一对矛盾体，双方既有治愈疾病的共同目的，又有着经济利益上的对立。患者希望最大限度地节约费用，而医生则希望增加经济收益。所以，医患对立，既是医德问题，更是制度问题。而用制度来解决问题，比用道德解决问题更管用。

Doctor and patient is a pair of contradiction,Both sides have common purpose to heal diseases,With economic interests.Patients want to maximize the cost saving,But doctors hope to increase the economic benefits.so,Doctor-patient opposites,Both medical ethics problem,Is system problem.And to solve the problem with the system,More work than using moral to solve the problem.

　　也许有人说，医改太遥远、太漫长，我们等不起。现在，医患关系这么紧张，老百姓不希望成为受害者，有没有其他好办法？

Perhaps some people say that,Health care is too far away/Too long,We can't afford to wait.now,The doctor-patient relationship is so nervous,People don't want to be a victim,Do you have any other good solution?

　　一个人也许改变不了世界，但可以改变自己。只有先改变自己，才能改变世界。所以，医患和谐，从我做起。

A man may not change the world,But you can change yourself.Only to change yourself first,To change the world.so,Doctor-patient harmony,Starts from me.

　　医患关系 The doctor-patient relationship

　　应是一种信托关系 Should be a relationship of trust

　　那么，医患关系究竟是一种什么关系？我认为，是一种信托关系。

then,What the doctor-patient relationship is a relationship?I think,Is a relationship of trust.

　　所谓信托，就是“信任在先，托付在后”。病人的求医行为，本身就隐含着对医生的信任。

The so-called trust,Is the"Trust first,Trust in the".The patient's physician behavior,Itself implicit trust in the doctor.

　　病人向医生求助，这意味着病人相信医生会把他的健康利益放在优先地位，而不是把医生本人的利益放在优先地位。

The patient to the doctor for help,This means that patients believe that doctors will put his health interests in priority,Rather than give priority to the interests of the doctor himself.

　　在这个前提下，病人把自己的健康和生命托付给医生，形成一种契约关系。因此，医患关系可以称为一种“信托关系”。

Under this premise,Patients put their health and life entrusted to a doctor,Form a kind of contractual relationship.so,The doctor-patient relationship can be called a"The trust relationship".

　　在疾病面前，医患双方是同一战壕的战友，疾病才是共同的敌人。当然，医学无论怎么发展，永远都不能包治百病。我们更强调医学的人文精神。

In front of the disease,Both doctors are comrades of the same trench,Disease is the common enemy.Of course,,Medical no matter how development,Never a cure-all.We are more emphasis on the humanistic spirit of medicine.

　　过去，我们常说：医生是一个高技术、高风险、高责任的职业，而忽视了它的高情感。

In the past,We used to say:The doctor is a high technology/High risk/High responsibility,High emotion and ignored it.

　　科学需要理性，不需要动情；而医学既需要理性，又需要动情。因为，医生面对的是活生生的人，而人都是有感情的。所以，医学不是一门纯科学，而是人类情感的表达和爱的延伸。

Science needs rational,Don't need to estrogen;Need to have both rational and medicine,Again need to estrogen.Because of the,The doctor in front of the person is living,People are have feelings.so,Medicine is not a pure science,But an extension of the expression of human emotion and love.

　　各位朋友，良医是上天赐给人类的礼物。

My dear friends,The good is given to the human gift.

　　一个不为患者而活着的医生，绝不是一个好医生；一个不懂得尊重并感恩医生劳动的患者，也不是一个明智的患者。医患之间，只有彼此珍重，才能实现共赢。本报记者 王蕊 整理

A don't live for patients and doctors,Is not a good doctor;A doctor does not know how to respect and gratitude of labor of the patients,Is not a wise patients.Between doctor and patient,Just take good care each other,To achieve a win-win.Our reporter Wang Rui finishing