制度建设在解决医患关系异化中的作用

The Significance of System Building in Solving Physician-Patient Information Dissymmetry

医患关系紧张的背后隐含着严重的信息不对称,但这只是医患之间紧张的必要条件,而不是充分条件,经济利益至上才是问题症结所在。为此,有必要形成病人利益至上的观念。医患沟通有利于改善信息不对称的状态,但并不能保证医务人员的诚信行为。制度所具有的特性满足从"特殊化信任"向"普遍化信任"转变的要求。为了提高制度对改善信息不对称的功效,要致力于提高制度的遵从率和可行性,完善奖惩机制。

Dissemination in physician- patient relationship seriously destroys the credit system in medical field, in which information dissymmetry contributed a lot. However, information dissymmetry only serves as the necessary condition for the current physician -patient conflict, not the sufficient condition. The fundamental causation lies in the pursuit for economic benefit in medical service. Therefore, it is necessary to establish a value concept oriented by patient＇s benefit. Physician - patient communication is useful to improve current information dissymmetry the need of dissymmetry , but cant guarantee the trusting medical behaviors of medical staff. Characteristics of systems satisfy transformation from specialized trust which may lead to cheating behaviors in the state of information to universal trust which brings trust into a regulatory system. In order to improve the effect of system in improving the current state of information dissymmetry, the compliance rate and feasibility of the system should be improved, and the system of reward and penalty be perfected.