医生角色冲突的现状及其伦理调适

发布时间：2018-07-13 20:22

【摘要】：我国正处于特殊的社会转型时期,无论任何领域都面临着巨大的挑战。同样地,医疗体制是与国民最为息息相关的,必然也发生了巨大的转变。面对这一重大变革,医务工作者面临着前所未有的挑战,承受着来自各方面的压力。这些压力既有来自社会公众、新闻媒体等的外部压力,又有来自医院管理、制度等方面的内部压力,尤其是当前不断升级的医患矛盾给医生的身心带来了巨大的压力。医生工作无论从专业性还是学科难易程度上来说,其他职业都是不能相比的。毫无疑问的是,医生扮演了更多重的角色,多重角色的要求和期待不可避免地使其身处于角色冲突之中。这些冲突在医生身上相互融合促进也相互碰撞,造成了或大或小、或多或少的矛盾。缓解与调适医生角色冲突,对于医生的身心健康、和谐的医患关系以及健康社会的促进,有着极其重要的现实意义。本论文以角色伦理为研究视域,在整理与综述目前我国医生的职业状况与职业发展的相关政策、文献的基础上,通过问卷调查与访谈相结合的方法,分析医生职业状况与职业发展的历史和现状、存在问题和原因,在此基础上,探索性地从医生、医院、社会三个层面提出医生角色冲突的伦理对策与路径。论文共分为五部分。第一部分,绪论。主要就论文的选题背景、意义,国内外研究现状,以及研究方法与创新点做一介绍。第一章,医生角色冲突释义。主要就医生角色和医生角色冲突等相关概念及伦理要求进行解释,并进而在医生角色冲突形成的基础上对“医生角色冲突”进行界定,从而明确论文的研究视域。第二章,医生角色冲突表现、影响及其成因分析。通过实证调查,分析总结现阶段我国医生角色冲突的现状及其影响,并在此基础上从伦理角度进行影响因素分析。第三章,医生角色冲突的伦理调适。尝试就目前医生角色冲突的问题提出相应的伦理思考与对策。
[Abstract]:China is in a special period of social transformation, no matter in any field are facing enormous challenges. Similarly, the health care system is most closely related to the people, and must have undergone a huge transformation. In the face of this major change, medical workers are facing unprecedented challenges and are under pressure from all sides. These pressures not only come from the external pressure of the public, the news media and so on, but also from the internal pressure of hospital management, system and so on. Especially, the escalating contradiction between doctors and patients has brought great pressure to the doctors' body and mind. No other profession is comparable in terms of professional or disciplinary difficulty. There is no doubt that doctors play more roles, and the demands and expectations of multiple roles inevitably lead to a conflict of roles. These conflicts promote and collide with each other in doctors, creating more or less contradictions, large or small. It is of great practical significance to alleviate and adjust doctors' role conflict for doctors' physical and mental health, harmonious doctor-patient relationship and the promotion of healthy society. This paper takes the role ethics as the research field of view, on the basis of sorting out and summarizing the relevant policies of doctors' professional status and career development in our country at present, and on the basis of the literature, through the method of combining questionnaire and interview. On the basis of analyzing the history and present situation of doctors' professional status and professional development, the existing problems and causes, this paper puts forward the ethical countermeasures and paths of doctors' role conflict from three aspects: doctors, hospitals and society. The paper is divided into five parts. The first part, introduction. This paper introduces the background, significance, domestic and international research status, research methods and innovations. The first chapter explains the conflict of doctors' role. This paper mainly explains the related concepts and ethical requirements, such as the role of doctors and the conflict of role of doctors, and then defines the conflict of role of doctors on the basis of the formation of conflicts of roles of doctors, so as to clarify the research horizon of this paper. The second chapter, the doctor role conflict performance, the influence and the cause analysis. Through the empirical investigation, this paper analyzes and summarizes the current situation and influence of the conflict of doctors' role in our country at present, and then analyzes the influencing factors from the angle of ethics. The third chapter, the ethical adjustment of doctors'role conflict. This paper tries to put forward the corresponding ethical thinking and countermeasures on the conflict of doctors' role at present.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R192.3

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