摘要
本文通过综合考察西方医患关系的变化、中国传统社会和中国当代乡村医患关系的优势,认为医患关系的变迁并不是一个线性发展历程,而是与信任密切相关。传统社会和乡村的医患关系是否良好主要基于医患双方在长期共同生活中形成的人格信任与温情,医疗技术水平高低不是决定因素。研究表明,现代都市为代表的陌生人社会中,医院的等级越高,则制度信任对医患关系的影响就越大,人格信任往往处于较为边缘的状态。如果实际医疗情境中制度信任和人际信任双重匮乏,则无法维持良好的医患关系。因此,要想改善医患关系,一方面需要加强医学人文素养教育,另一方面,增强制度信任是重中之重。
By comprehensively examining the change of relationship between doctors and patients in the west and the advantages existing between doctors and patients in traditional Chinese society and contemporary Chinese rural areas,this paper assumes that the transformation of doctors-patients relationship is not a linear development but a process closely related to trust.The good or bad relationship between doctors and patients in traditional society and rural areas depends primarily on the personality trust and affections formed in the long process of shared livelihood rather than on medical skills.This research indicates that for strangers in modern cities the higher rank a hospital is located in,the bigger effect institutional trust has on the doctors-patients relationship-in this case personality trust is pushed to the brink of collapse.Lacking of both institutional trust and personality trust can hardly produce a good doctors-patients relationship.Thus,to change the situation for the better,we should improve medical humanism education and more importantly improve institutional trust.
出处
《贵州民族大学学报（哲学社会科学版）》
2022年第1期77-94,共18页
Journal of Guizhou Minzu University:Philosophy and Social Science
关键词
医患关系
人格信任
制度信任
人文关怀
doctors-patients relationship
personality trust
institutional trust
humanistic care
作者简介
朱清蓉,女,汉族,湖北省宜昌市人,中央民族大学民族学与社会学学院人类学2016级博士研究生(北京海淀100081)。
