新医改背景下医患信任的主导:道德信任与制度信任  

Dominance of the Doctor-patient Trust in the New Healthcare Reform Background:Virtuous Trust and Systemic Trust

作　　者：刘俊香[1] 莎仁高娃[2] 李晶 王官会 

机构地区：[1]北京协和医学院社科系,北京100005 [2]北京协和医院健康医学部,北京100730 [3]复兴医院木樨地社区卫生服务站,北京100038 [4]长春骨伤医院,吉林长春130051

出　　处：《医学与哲学（A）》2011年第11期30-32,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：教育部人文社会科学研究项目"新医改方案对医患危机影响的跟踪调查及对策研究";项目编号:10YJCZH091

摘　　要：通常人们主要强调医务人员的医德、品格对于构建医患信任的作用。面对今天我国的医患危机,公众对医疗制度和机构的信任远比对个体医生的信任要迫切,对医德的期望和医生的信任需要公平、可及、有效的医药卫生体制来保证。只有将制度改革与弘扬医德同时并重,才有利于构建医患互信与和谐。Trust between doctors and patients is an important ethical issue in medical ethics. For a long time, many experts emphasize medical staff＇s virtue is the leading factor to build the harmonious doctor--patient relationship. However, in the face of current doctor--patient crisis in China, the author holds that institutional trust between the public and medical system as well as hospitals is more urgent than interpersonal trust between individual patient and doctor. It would argue that the expectation of virtues of doctors can only be fulfilled within a fair, accessible, and effective healthcare system. On- ly attaching importance to both, can we develop and strengthen the trust and harmony between doctors and patients, the public and the medical institutes.

关 键 词：医患信任 道德信任 制度信任 医药卫生制度 

分 类 号：R-05[医药卫生]