我国医患沟通障碍分析

Analysis of Barriers on Doctor-patient Communication in China

从社会文化障碍、医务工作者技能与角色障碍、患者需求与知识障碍、医患冲突时第三方功能弱化四个方面总结得出现实社会背景下医患沟通过程中存在着模式陈旧、信托关系弱化、传统德性教育与现代社会特征冲突、医务工作者沟通技能缺失、医生身份与角色固化、患者需求多样性、知情同意权与医疗信息掌握的冲突、第三方功能的弱化等问题会影响医患沟通顺利进行。基于此,提出在社会转型过程中,医患双方将向着共同甚至共享式沟通前进,促进医患关系的和谐发展。

From four aspects of the social and cultural barriers,the skills and role barriers of medical workers,patient needs and knowledge barriers,and the weakened third person functions in the conflict between doctors and patients,this paper concluded that the old doctor-patient communication mode,the weakening of the trust relationship,the conflict between traditional moral education and modern society characteristics,the lack of communication skills of medical works,the fixation of doctor＇s identity and role,the diversity of patient＇s needs,the conflict between informed consent rights and the mastery of medical information,the weakening functions of third person and other barrier factors that affected the smooth communication between doctors and patients. And this paper put forward that in the process of social transformation,both doctors and patients will advance towards common or even shared communication,and the doctor-patient relationship will develop more harmoniously.