社会冲突理论视角下医患冲突问题研究

发布时间：2019-06-29 17:27

【摘要】：当前,我国正处于社会转型的大背景下,在带来机遇与挑战的同时也产生了很多社会不稳定因素,各种社会矛盾不断凸显、积聚,医患冲突便是其典型代表之一。医患冲突的频发,不仅影响了医患间的和谐信任关系,更有损我国医疗卫生事业的健康发展,甚至与我国构建社会主义和谐社会的目标背道而驰。随着我国对治理医患冲突,构建和谐互信医患关系的不断重视,对涉医违法犯罪行为的严厉打击、对保护医患双方合法权益决心的日益强化,国家上下各部门多措并举,社会多主体协同共治,医患冲突的治理已经取得一定积极成效。但是现实当中却依然存在着一些不和谐因素,医患冲突问题并没有得以根本解决。医患之和,是社会之福;医患失和,则两败俱伤。因此,如何正确认识医患冲突,找到冲突问题产生的原因,并提出行之有效的治理路径,对于我国改善医患关系,维护正常医疗秩序,从而保持社会的和谐与稳定有着重要的理论和实践意义。本文将以社会冲突理论为支撑,试图为我国治理医患冲突问题提供一个新的研究视角与治理路径选择。首先,以时间脉络和法规政策为线索,通过对不同时间段内医患关系的格局特征及演变过程的分析梳理,找到产生冲突的动机缘起,发现冲突转化升级的动态变化,梳理出医患冲突多元主体的构成现状,为医患冲突的原因分析提供切入点。其次,根据社会冲突理论的逻辑架构,以医患冲突治理的不同阶段和深度层次为依据,从冲突处置、冲突化解和冲突转化三个动态发展的过程,找到导致医患冲突问题形成根本症结。最后,从建立健全治理医患冲突问题的针对性法规政策、建立多渠道多层次多元化的医患冲突化解体系、形成对医患冲突问题多元治理的广泛共识三个层次,形成一个由表及里,从浅到深的多元立体化治理架构,共解医患冲突问题,重塑医患间信任关系,维护医疗秩序的和谐稳定。
[Abstract]:At present, our country is in the background of social transformation, which not only brings opportunities and challenges, but also produces a lot of social instability factors. All kinds of social contradictions continue to highlight and accumulate. Doctor-patient conflict is one of its typical representatives. The frequent conflict between doctors and patients not only affects the harmonious trust relationship between doctors and patients, but also undermines the healthy development of medical and health care in our country, and even runs counter to the goal of building a harmonious socialist society in our country. With the continuous attention of our country to the management of doctor-patient conflict, the construction of harmonious and mutual trust doctor-patient relationship, the severe crackdown on illegal and criminal acts involving doctors and patients, the increasing strengthening of the determination to protect the legitimate rights and interests of both doctors and patients, the simultaneous management of various departments in the country, the coordinated co-management of social subjects, and the management of doctor-patient conflict, the management of doctor-patient conflict has achieved some positive results. However, there are still some disharmonious factors in reality, and the problem of doctor-patient conflict has not been fundamentally solved. The sum of doctors and patients is a blessing to society; if doctors and patients break up, they lose both sides. Therefore, how to correctly understand the conflict between doctors and patients, find out the causes of the conflict, and put forward an effective governance path is of great theoretical and practical significance for improving the relationship between doctors and patients, maintaining the normal medical order, and thus maintaining the harmony and stability of society. Based on the theory of social conflict, this paper attempts to provide a new research perspective and choice of governance path for the management of doctor-patient conflict in China. First of all, taking the time context and laws and regulations as clues, through the analysis of the pattern characteristics and evolution process of doctor-patient relationship in different time periods, this paper finds out the motivation of conflict, finds out the dynamic changes of conflict transformation and escalation, combs out the present situation of the composition of multiple subjects of doctor-patient conflict, and provides a starting point for the analysis of the causes of doctor-patient conflict. Secondly, according to the logical structure of social conflict theory, based on the different stages and depth levels of doctor-patient conflict management, from the three dynamic development processes of conflict management, conflict resolution and conflict transformation, the fundamental crux of the problem leading to doctor-patient conflict is found. Finally, from establishing and perfecting the targeted laws and policies for the management of doctor-patient conflicts, establishing a multi-channel and multi-level and diversified doctor-patient conflict resolution system, forming a broad consensus on the pluralistic management of doctor-patient conflicts, forming a pluralistic three-dimensional governance structure from the surface to the inside, from shallow to deep, co-resolving the conflict between doctors and patients, reshaping the trust relationship between doctors and patients, and maintaining the harmony and stability of medical order.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C913.4

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