知识不对等与结构性不信任:医疗纠纷中患者抗争的生成逻辑

发布时间：2018-03-29 07:37

本文选题：医疗纠纷　切入点：专业判断　出处：《学术研究》2017年02期

【摘要】：作为一种涉及专业判断的纠纷,本文试图从医患双方的权力结构——尤其是基于专业知识占有的差异而形成的权力不平等,和平衡双方权力结构的制度设置两个方面,来探讨医疗纠纷发生后患者抗争的生成逻辑。分析指出:医患双方由于专业知识占有上的差异,使得患者处于相对弱势的地位,由此需要独立、客观和可信的第三方机构,来平衡医患双方之间不对等的权力关系。但有关专业判断的制度安排和运行实践,不仅未能平衡双方之间的权力不对等,反而由于其组织机构的行政化、运作过程的地方化和内部化,导致患者对做出专业判断的制度设施存在结构性不信任。由于在知识占有上的弱势和对专业判断的结构性不信任,导致了医疗纠纷中患方的抗争。
[Abstract]:As a dispute involving professional judgment, this paper attempts to analyze the power structure of both doctors and patients, especially the power inequality based on the difference of occupation of professional knowledge, and the institutional setup of balancing the power structure of both parties. To explore the generating logic of patients' resistance after medical disputes. The analysis points out that because of the difference in the occupation of professional knowledge between doctors and patients, patients are in a relatively weak position, so they need independent, objective and credible third party organizations. To balance the unequal power relationship between doctors and patients. However, the institutional arrangement and operational practice of professional judgment have not only failed to balance the unequal power between the two sides, but on the contrary, due to the administrative nature of their organizations, The localization and internalization of the operation process leads to the patients' structural distrust of the institutional facilities for making professional judgments, and the weakness of knowledge possession and the structural distrust of professional judgment, which leads to the resistance of the patients in medical disputes.
【作者单位】：华南师范大学政治与行政学院;
【基金】：华南师范大学青年教师科研培育基金项目(671062)的阶段性成果
【分类号】：C913.4

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