医患关系对农村抗生素滥用的作用:以五个乡村诊所为例  

Doctor- Patient Relation and its Effect on the Abuse of Antibiotics in Rural Areas: A Case Study of Five Rural Clinics

作　　者：景军[1,2] 黄鹏程[2,3] 

机构地区：[1]清华大学社会学系 [2]清华大学公共健康研究中心 [3]广州市花都区经济社会发展研究中心

出　　处：《贵州民族大学学报（哲学社会科学版）》2016年第3期45-53,共9页Journal of Guizhou Minzu University:Philosophy and Social Science

摘　　要：虽然已有学者指出,乡村医生要对中国农村抗生素滥用问题担负直接责任;但是本文作者却认为,农民患者的作用同样不可忽视。在熟人社会环境中,乡村医生往往会迎合农民多开药的要求,这是因为乡村医患关系受制于两种社会角色的互换;在提供医疗服务时,乡村医生的角色是农民患者的守护人,但为了维持乡村医疗机构较好运营,乡村医生必须得到患者的肯定,因而乡村医生既是农民患者的保护者,也是被农民患者保护的对象。这种以庇护角色互换为根基的医患关系应被视为农村抗生素滥用问题的主要成因之一。Although some scholars point out that rural doctors are directly accountable for the abuse of antibiotics in China＇s rural areas,this paper argues that the role of farmer patients should not be ignored. In Chinese context,acquaintances and friendship can determine the operations and even fate of some rural clinics. Hence,if farmer patients demand antibiotics in an excessive way,in many cases doctors can hardly refuse to meet their needs. Farmer patients and rural doctors in China need each other. This leads to the abuse of antibiotics to a large extent.

关 键 词：乡村医生 农民患者 医患关系 抗生素滥用 

分 类 号：Q98[生物学—人类学]