Jensen P S
Ann Intern Med. 1981 Dec;95(6):769-71. doi: 10.7326/0003-4819-95-6-769.
Deterioration and doctor-patient rapport may be due to increased consumerism, a rise in medical technology, and a societal trend towards deprofessionalization. Increased emphasis on doctor-patient rapport during medical training, closer supervision of studied-patient interactions by physicians trained in the biopsychosocial approach, continuing medical education courses to update the practitioner's interpersonal skills, and a change in medical school admission policies are recommended. Increased consumer involvement in individual doctor-patient relationships and in the health care structure may result in greater patient satisfaction and improved health care.
医患关系的恶化可能归因于消费主义的增强、医疗技术的进步以及社会的去专业化趋势。建议在医学培训中增加对医患关系的重视，由接受生物心理社会方法培训的医生对医患互动进行更密切的监督，开展继续医学教育课程以提升从业者的人际沟通技巧，并改变医学院的录取政策。患者更多地参与个体医患关系及医疗保健结构，可能会提高患者满意度并改善医疗保健服务。
