广东省基层医院医患关系紧张的原因及改善对策

发布时间：2018-03-11 03:07

本文选题：广东省　切入点：基层医院　出处：《吉林大学》2014年硕士论文　论文类型：学位论文

【摘要】：广东作为我国改革开放的前沿阵地，经济发展迅速，各地方经济活跃；而广东在医疗改革上的步伐和步幅均居全国中下游水平。这种矛盾，造成广东的医患关系比全国其他省份更加紧张。在广东省的各级医院中，因医疗投入不均衡等原因，基层医院医患关系的紧张程度又比大医院剧烈。本毕业论文通过查找、分析广东省基层医院医患关系紧张的原因，探讨其形成根源，结合我国大医院及先进地区处理紧张医患关系的办法，总结了改善广东省基层医院紧张医患关系的措施。《广东省医疗纠纷预防与处理办法》已于2013年6月1日起施行，笔者针对该“办法”，进一步提出改善基层医院医患关系紧张的对策。本文共分五个部分。第一部分是基本概念界定，包括基层医院的含义、特点和重要意义；医患关系的含义、特点和影响因素；以及广东省医疗卫生事业概述和基层医院的特点。在本章，笔者分别就基层医院和医患关系方面的一些概念作了解释，并简要介绍了广东省医疗卫生状况及广东省基层医院的特点。第二部分笔者对广东省医疗卫生事业作了概述，，并总结了广东省基层医院有别于全国其它地方的特点。第三部分主要描述广东省基层医院医患关系紧张的表现。在这部分，笔者通过实例，分析广东作为我国改革开放的前沿阵地，经济相对发达，所不相配的是在医疗改革上的步伐和步幅均居全国中下游水平。这种不对称，造成广东的医患关系比全国其他省份更加紧张，此情况，尤以基层医疗机构为甚。第四部分是本文的重点内容之一，笔者查找造成广东省基层医院医患关系紧张的原因。在这里，笔者认为“1、政府对医疗投入不足；2、医院和医生在很大程度上侧重追求经济效益；3、患方对医学的认知不足和对防治疾病的期望值不断提高；4、社会舆论导向造成对医院的偏见，及职业医闹的出现。”是目前广东省基层医院医患关系紧张的主要原因。第五部分也是本文的重点内容之一，在这里，笔者论述目前医患纠纷解决的四条途径：一是医患自行协商；二是由第三方进行调解；三是行政解决；四是司法裁决。继而，笔者提出改善广东省基层医院医患关系紧张的对策。笔者指出“1、基层医院要加强自身建设，提高医疗质量和服务水平；2、加大政府和社会对医疗卫生事业的投入；3、依法缓解医患关系的紧张局面；4、充分发挥医调委在缓解医患关系中的作用。”是广东省目前缓解基层医院紧张医患关系的良好对策。
[Abstract]:Guangdong, as the front line of China's reform and opening up, has witnessed rapid economic development and active economy in various localities. However, Guangdong's pace and pace of medical reform are at the level of the middle and lower reaches of the country. The relationship between doctors and patients in Guangdong is more tense than in other provinces of the country. In hospitals at all levels in Guangdong Province, because of the imbalance in medical investment, the tension between doctors and patients in grass-roots hospitals is more intense than that in large hospitals. This paper analyzes on the causes of the tension between doctors and patients in the primary hospitals of Guangdong Province, probes into the causes of their formation, and combines with the methods of handling the tense doctor-patient relations in the large hospitals and advanced areas of our country. The measures to improve the relationship between doctors and patients in primary hospitals of Guangdong Province are summarized. The measures for Prevention and treatment of Medical disputes in Guangdong Province have been put into effect since June 1st 2013. According to this method, the author puts forward some countermeasures to improve the relationship between doctors and patients. This paper is divided into five parts. The first part is the definition of basic concepts, including the meaning, characteristics and significance of grass-roots hospitals; the meaning, characteristics and influencing factors of doctor-patient relationship; and the overview of medical and health undertakings in Guangdong Province and the characteristics of grass-roots hospitals. The author explains some concepts of the relationship between the basic hospital and the doctor and patient, and briefly introduces the medical and health condition of Guangdong province and the characteristics of the basic hospital in Guangdong province. In the second part, the author summarizes the medical and health service in Guangdong Province, and summarizes the characteristics of the basic hospitals in Guangdong Province, which are different from other places in China. The third part mainly describes the expression of the tense relationship between doctors and patients in the grass-roots hospitals of Guangdong Province. In this part, the author analyzes Guangdong, as the front position of reform and opening up in China, with a relatively developed economy. What is not matched is that the pace and pace of medical reform are at the level of the middle and lower reaches of the country. This asymmetry has led to more tension between doctors and patients in Guangdong than in other provinces of the country, especially in primary medical institutions. The 4th part is one of the key contents of this paper. The author looks for the causes of the tension between doctors and patients in the basic hospitals of Guangdong Province. The author thinks that "1, the government has insufficient investment in medical treatment, hospitals and doctors have to a large extent focused on pursuing economic benefits, patients' lack of understanding of medicine and their expectations for disease prevention and treatment have been constantly raised, and the guidance of public opinion has resulted in prejudice against hospitals." It is the main reason of the tense relationship between doctors and patients in the primary hospitals of Guangdong Province. The 5th part is also one of the key contents of this paper. Here, the author discusses four ways to resolve doctor-patient disputes: first, doctor-patient consultation; second, mediation by a third party; third, administrative settlement; and fourth, judicial decision. The author puts forward some countermeasures to improve the relationship between doctors and patients at the grass-roots hospitals in Guangdong Province. The author points out that "1, the grass-roots hospitals should strengthen their own construction," To improve the quality of medical treatment and the level of service, to increase the investment of the government and society in medical and health services, to relieve the tension in doctor-patient relations according to law, and to give full play to the role of the Medical Planning Commission in alleviating the doctor-patient relationship. " Good countermeasures to solve the tension between doctors and patients in basic hospitals.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：D922.16

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