试论医患关系紧张的制度原因及策略.pdfVIP

— 46 — 　　　　　　　　　　　　　　　　　　　　　　　Ch ine se M edical Eth ic s 2006 Jun. 3 ( Gen. 107) 试论医患关系紧张的制度原因及对策 肖　鹏 (广州医学院人文社会科学学院 ,广东　广州 　510 182) 摘〔要 〕医疗保险的低水平低覆盖 、以药养医的医院经营体制 、形同虚设的药品最高限价 、医疗侵权诉讼中的举证责任倒置 等制度 ,是我国目前医患关系紧张的主要制度原因。逐步建立覆盖全体社会成员的社会化基本医疗保险制度 ,实行医药分离的 医院经营体制 ,严格新药审批与药品最高限价制度 ,建立医生职业责任保险制度等是构建和谐医患关系的制度保障 。 关〔键词 〕医患关系 ;制度原因;对策 〔中图分类号 〕R - 052　　　 文〔献标识码 〕A 　　　 文〔章编号 〕100 1 - 8565 (2006) 03 - 0046 - 02 D iscussion A bout Sy stem Rea son s And Solution s for Ten se D octor - pa tien t Rela tion X iao P ong ( ) H um an ities and S ocia l S cience S chool of Guangzhou M ed ica l Colleg e A b stract: The m ain rea son s of system for ten se doctor - p atien t relation in today ’ s ch ina are the low level’ s m edicine in ho sp ital m anagem en t system , inefficacy of lim ited the h ighe st p rice of m edicine, and the up side - down re spon sib ility of p roviding evidence in law su it abou t m edical infringem en t of righ t, etc. W e shou ld set up a social ba sic m edical p rotection system couering all the social citizen s; W e shou ld imp lem en t to sep rate m edicine from treatm en t in ho sp ital m anagem en t; A nd we shou ld also be strict in exam in ing and app roving new m edicine and lim iting the h ighe st m edicine p rice system , and set up doctors’p rofe ssional re spon sib ility p rotection system. A ll of the se are also the system guaran tee for seting up hamon ic relation between doctors and p atien ts. Key words: Doetorp atien t relation; rea son s in system ; so lu tion