引用本文:韦嫚 黄华强.医务人员“经济人”角色下的医疗纠纷原因分析及对策[J].中华医学教育探索杂志,2019,18(5):533-
医务人员“经济人”角色下的医疗纠纷原因分析及对策
Reasons and countermeasures for medical disputes under the role of medical staff as “economic person”
DOI:
中文关键词:  经济人  防御性医疗行为  诚信
英文关键词:Economic person  Defensive medical behavior  Honesty
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作者单位
韦嫚 黄华强 柳州市人民医院医务接待办公室柳州 545006 
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中文摘要:
      传统医学赋予医务人员“道德人”的身份,但进入市场经济日益发达的今天,医务人员的角色也悄然发生了改变,以“经济人”身份独立于医疗舞台。在“经济人”角色的背景下,医疗纠纷和医务人员被伤案件每年持续递增,后果愈加严重。本文分析了“道德人”和“经济人”的权利义务异构的行为特征,以及“经济人”角色下产生医疗纠纷的原因。由于“诚信缺失”成了医务人员新身份的产物,患者对医务人员产生了置疑的态度,加上体制导向和管理制度存在一定的缺陷,使医疗纠纷难以得到缓解。为构建和谐医患关系,提出“诚信经济人”假设,使“道德人”与“经济人”的双重身份获得辩证统一 。在“诚信经济人”角色下,坚持讲求诚信,追求医疗效用最大化,重视医疗的社会利益以及对医务人员物质与精神激励,从而缓解医患双方的利益冲突,减少医疗纠纷。
英文摘要:
      Traditional medicine endows medical staff with the role of “moral person”; however, with the development of market economy, the role of medical staff has gradually changed to “economic person” in medical activities. Under the role of “economic person”, there is an increasing number of medical disputes and injuries of medical staff, with more and more serious consequences. This article analyzes the behavior characteristics of the rights and obligations of “moral person” and “economic person” and the causes of medical disputes under the role of “economic person”. Since the lack of honesty has become the product of the new role of medical staff, patients have a doubtful attitude towards medical staff, and the defects in system guidance and management system make it more difficult to settle medical disputes. This article provides a new perspective for building a harmonious doctor-patient relationship and puts forward the hypothesis of “honest economic person”, so as to achieve the dialectical unity of the dual identities of “moral person” and “economic person”. Under the role of “honest economic person”, adherence to honesty and trustworthiness, pursuit of maximum medical benefits, emphasis on the social benefits of medical treatment, and material and spiritual incentives for medical staff can help to alleviate the conflict of interests between doctors and patients and reduce medical disputes.
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