Causes of doctor-patient contradiction and improvement countermeasures?

1 Causes of doctor-patient contradiction

Philosophically speaking, contradiction is the unity of opposites, so is the unity of opposites between doctors and patients. If it is handled well, the relationship between doctors and patients appears harmonious, but if it is not handled well, it will lead to disputes between doctors and patients. The reasons for the contradiction between doctors and patients can be found in the objects involved in medical activities:

1. 1 patient's own reasons. Because medical development is far from treating all diseases, the causes of many diseases are still unclear, and some inspection methods are also risky. Due to the lack of knowledge, patients have insufficient understanding of the prognosis of the disease, which leads to the deviation between the patient's high expectations and the actual results, and puts the responsibility on the doctor, leading to contradictions.

1.2 medical staff. Statistics show that the misdiagnosis rate of clinical disease diagnosis in China is as high as 40%, and the technical level is limited, which has become an important source of contradictions between doctors and patients. Under the new situation, the medical service model has undergone fundamental changes, from a simple "biomedical" model to a "bio-psychological-social" compound model, that is, from physiological services to psychological services, from medical services to social services. The responsibility of medical staff goes far beyond the scope of "saving lives", and society puts forward higher requirements for medical staff. If medical staff can't adapt to this change for a while, they can't actively communicate with patients. Physical, psychological and personality needs, even if the treatment is successful, may not be recognized by patients. There are still a few medical personnel who are impacted by the wave of market economy. In the process of realizing their own value, they pay more attention to the respect and satisfaction of the society for individuals, but downplay the responsibility and contribution of individuals to society. Their sense of responsibility is not strong, their service attitude is not good, and their medical behavior is not standardized, which affects the public image and reputation of the whole medical team and increases patients' dissatisfaction. Aggravated the contradiction between doctors and patients.

1.3 medical institutions. Medical institutions still have some defects in medical operation process supervision, medical ethics education for medical staff and hospital management. When disputes arise, some medical institutions cover up the responsible doctors, causing patients' dissatisfaction and intensifying the contradiction between doctors and patients.

1.4 Social reasons. After the reform and opening up, China's medical and health undertakings have developed rapidly and the people's health level has improved significantly. Generally speaking, the medical and health level in China has reached a higher level in developing countries. However, in the process of development, because the reform of medical and health system is not in place and the medical security system is not perfect, most people rely on their own expenses to seek medical treatment. The growth of medical expenses exceeds the growth rate of residents' income, the burden on patients increases, the economic interests become more sensitive in medical care, and the image of medical care in people's minds is more and more like one. However, some news media didn't know enough about the particularity of medical work, and publicized it without in-depth investigation and study, which caused extremely bad influence in society, damaged the reputation of medical units and seriously dampened the feelings and enthusiasm of medical staff.

In a word, the conflict between doctors and patients is the result of the comprehensive effect of social and psychological factors, and many conflicts between doctors and patients are caused by the different attribution of the same problem caused by the role consciousness of both doctors and patients on medical behavior.

2 Preventive measures

Correctly handling the relationship between doctors and patients in the new era is a major event in socialist construction, which is directly related to people's life and health, the development of socialist health undertakings, the process of China's economic construction, the stability and unity of the whole society, and the great goal of building a socialist harmonious society put forward by our party. Therefore, measures must be taken to prevent the contradiction between doctors and patients.