【正文】 ith medical expenses burden overweight, medical security system construction lags behind。The unfair distribution of health resources。The doctorpatient designated position。Introducing market mechanism in medical services。Both doctors know the result of the medical service and the request is different。A double effect of the medical behavior。Asymmetric between the doctorpatient relationship。Part of the news media reported false intensifies the doctorpatient tension and so on both internal factors are: the hospital internal reform lags behind。The medical risk management does not reach the designated position。Doctorpatient munication is not yet standardized and institutionalized。Medical staff of professional ethics and legalrelationship regulation subject does not reach the consciousness is yet to be improved。The negative impact of hospital expansion。Hospital applicaton service, humanistic care, etci目前,醫(yī)患關(guān)系緊張是不爭(zhēng)的事實(shí)。成因既有醫(yī)院外部因素,也有醫(yī)院內(nèi)部因素。外部因素與政府對(duì)醫(yī)療衛(wèi)生事業(yè)投入不足。相關(guān)法律、法規(guī)建設(shè)滯后。患者醫(yī)療費(fèi)用負(fù)擔(dān)過重,醫(yī)療保障制度建設(shè)滯后。衛(wèi)生資源分配不公。醫(yī)患關(guān)系調(diào)控主體不到位。在醫(yī)療服務(wù)中引入市場(chǎng)機(jī)制。醫(yī)患雙方對(duì)醫(yī)療服務(wù)結(jié)果認(rèn)識(shí)和要求存在差異。醫(yī)療行為的雙刃效應(yīng)。醫(yī)患之間的非對(duì)稱關(guān)系。部分新聞媒體不實(shí)報(bào)道加劇醫(yī)患雙方緊張關(guān)系等有關(guān)。醫(yī)院內(nèi)部因素有:醫(yī)院內(nèi)部改革滯后。醫(yī)療風(fēng)險(xiǎn)管理不到位。醫(yī)患溝通尚未規(guī)范化、制度化。醫(yī)務(wù)人員的職業(yè)道德和法律意識(shí)尚待提高。醫(yī)院擴(kuò)張的負(fù)面影響。醫(yī)院重程序服務(wù)、輕人文關(guān)懷等health vocational educationThe tensions in the doctorpatient relationship to present in our country, the reform of medical system in our country in a transition phase, the medical institution itself is flawed, and the change of the idea about medical patients, tensions in the doctorpatient relationship to present in our country, the reform of medical system in our country in a transition phase, the medical institution itself is flawed, and the change of the idea about medical patients, , 這與我國(guó)醫(yī)療體制改革處于轉(zhuǎn)型階段, 醫(yī)療機(jī)構(gòu)自身存在缺陷以及患者醫(yī)療觀念的變化等方面有關(guān)chinese general practice The deepening of medical system reform and the development of market economy makes great changes have taken place in the doctorpatient relationship, the doctorpatient relationship bees a legal or contractual relationship, the relationship between the operators and consumers, patients have from the doctor to choose a doctor醫(yī)療體制改革的深入和市場(chǎng)經(jīng)濟(jì)的發(fā)展使醫(yī)患關(guān)系發(fā)生了巨大變化 ,醫(yī)患關(guān)系變成了法律或合同關(guān)系、經(jīng)營(yíng)者與消費(fèi)者關(guān)系 ,患者已從過去的求醫(yī)變成了現(xiàn)在的選擇Journal of Social Science of Hunan Medical UniversityThe doctorpatient relationship is a ponent part of social relations, is the most basic interpersonal relationship in medical practice activity, good doctorpatient munication is implemented to the patient as the center, promote social doctorpatient relationship as one of the most basic social relations, has been widespread attention, it along with the development of the medical model, new changes present, China39。s economy is developing along the track of marketization the health care system reform in depth, it puts forward new challenges and to build a harmonious doctorpatient relationship醫(yī)患關(guān)系是社會(huì)關(guān)系的組成部分,是醫(yī)療實(shí)踐活動(dòng)中最基本的人際關(guān)系,良好的醫(yī)患溝通是實(shí)現(xiàn)以病人為中心,促進(jìn)社會(huì)和諧的基礎(chǔ)。醫(yī)患關(guān)系作為一種最基本的社會(huì)關(guān)系,已普遍受到人們的關(guān)注,它隨著醫(yī)學(xué)模式的發(fā)展,不斷發(fā)生新的變化。目前我國(guó)經(jīng)濟(jì)正沿著市場(chǎng)化的軌跡發(fā)展,醫(yī)療制度改革也在深入進(jìn)行,這對(duì)構(gòu)建和諧醫(yī)患關(guān)系提出了新的挑戰(zhàn)和考驗(yàn), Theory Research, In recent years, along with the rapid development of economy, the medical system reform deepening, the society as a whole health level improved obviously at the same time, the present situation of thedoctorpatient relationship is not contradiction, the doctorpatient relationship nervous currently has bee a major social problem, caused the extensive concern of society [1].Correct understanding of the present situation of the doctorpatient relationship, analyses the reason of the doctorpatient relationship nervous, actively build a harmonious harmonious doctorpatient relationship and reshape the angels good image, is not only the objective requirement of the socialist harmonious society, but also every medical workers must think deeply about the problems and the bounden ,伴隨著經(jīng)濟(jì)的快速發(fā)展,醫(yī)療體制改革的深入推進(jìn),在社會(huì)整體醫(yī)療水平得到明顯提升的同時(shí),醫(yī)患關(guān)系的現(xiàn)狀卻不容樂觀。醫(yī)患矛盾突出、醫(yī)患關(guān)系緊張已成為當(dāng)前一個(gè)重大的社會(huì)問題,引起了社會(huì)的廣泛關(guān)注[1]。正確認(rèn)識(shí)醫(yī)患關(guān)系的現(xiàn)狀、客觀分析醫(yī)患關(guān)系緊張的原因,積極構(gòu)建和諧融洽的醫(yī)患關(guān)系,重塑白衣天使良好形象,不僅是社會(huì)主義和諧社會(huì)的客觀要求,更是每一個(gè)醫(yī)務(wù)工作者必須深入思考的問題和義不容辭的責(zé)任。Laboratory Medicine and ClinicStatus quo, in recent years, the doctorpatient relationship presents many new changes, lack of mutual trust and understanding between doctor and patient, the medical dispute increased, has bee a prominent problem affecting the normal order of medical to the survey, said the doctorpatient relationship tense accounted for %, medical plaints increased nearly 10 times in three years, related events we see an endless in medical :近年來,醫(yī)患關(guān)系呈現(xiàn)出許多新變化,醫(yī)患之間缺乏相互信任和理解、醫(yī)療糾紛增加,%,醫(yī)療投訴在3年時(shí)間里增長(zhǎng)接近10倍,39。S MILITARY SURGEON