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[社会变迁背景下的医患关系]

[Doctor-patient relationship in the context of a changing society].

作者信息

Siebzehner Miriam Ines, Balik Chaya, Matalon Andre

机构信息

The Israeli Center for Technology Assessment in Health Care, The Gertner Institute, Sheba Medical Center, Tel Hashomer.

出版信息

Harefuah. 2008 Dec;147(12):1010-5, 1027, 1026.

Abstract

During the 20th century doctors gained a special status in the medical system, which is about to change as a consequence of a change in the doctor-patient relationship and in the characteristics of the labor market in health care. Some changes correspond with the adoption of business terms within the medical system. The doctor is represented as a supplier of services, while the patient is a consumer. From patient-centered care, the doctor-patient relationship changed to a costumer-supplier of services, as is the case in other fields of the consumer society. This article analyzes the changes in the patterns of the doctor-patient interactions in the light of the changes in society over the last decades such as: the creation of regulations and laws on patients' rights; the establishment of organizations that represent the sick, the distribution of knowledge and information by means of mass communication, changes in the status of the doctors, the academization of other health professionals and changes in the management of health care to a more financially viable approach to the costs of health.

摘要

在20世纪,医生在医疗体系中获得了特殊地位,但由于医患关系以及医疗保健劳动力市场特征的变化,这种情况即将改变。一些变化与医疗体系中采用商业术语相对应。医生被视为服务提供者,而患者则是消费者。医患关系从以患者为中心的护理转变为服务的客户 - 供应商关系,就像消费社会的其他领域一样。本文根据过去几十年社会的变化,分析了医患互动模式的变化,这些变化包括:关于患者权利的法规和法律的制定;代表患者的组织的建立;通过大众传播进行知识和信息的传播;医生地位的变化;其他卫生专业人员的学术化;以及医疗保健管理向更具财务可行性的医疗成本方法的转变。

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