“双向运动”视域下的中国医患信任重建
|
摘要
市场的扩张运动以及它所遭遇的控制其扩张的反向运动,构成了英国学者卡尔·波兰尼笔下的"双向运动"。传统中国因市场被严格地"嵌入"当时社会政治经济和伦理道德结构之中,没有所谓"双向运动"出现,医患信任也得以自然建立并延续。改革开放以来,随着医疗体制改革中市场机制的逐步引入,市场日益"脱嵌"并迅猛扩张;同时,以患者及其家属为代表力量的社会,开始逐步觉醒并采取行动抵制市场扩张,由此形成了比较典型的"双向运动"趋向,并引发了比较明显的医患信任危机。从"双向运动"视域来看,新时期重建医患信任,必须把市场重新"嵌入"社会,并对部分自发的社会反向运动进行严格规制。
The expansion movement of the market and the reverse movement that it has encountered to control its expansion constituted the "double movement"written by the British scholar Karl Polan. In traditional China,because the market was strictly embedded in the social,political,economic and ethical structure,there was no so-called "double movement",and the trust between doctors and patients was naturally established and historically continued. Since the reform and opening up,with the gradual introduction of market mechanism in the reform of medical system,the market was increasingly "un-embedded"and expanded rapidly. At the same time,the society represented by the patients and their families gradually began to wake up and took action against market expansion,forming a more typical trend of "double movement"and triggering a more obvious crisis of doctor-patient trust. From the perspective of"double movement",to rebuild doctor-patient trust in the new period must re-embed the market into the society and strictly regulate some spontaneous social reverse movements.
The expansion movement of the market and the reverse movement that it has encountered to control its expansion constituted the "double movement"written by the British scholar Karl Polan. In traditional China,because the market was strictly embedded in the social,political,economic and ethical structure,there was no so-called "double movement",and the trust between doctors and patients was naturally established and historically continued. Since the reform and opening up,with the gradual introduction of market mechanism in the reform of medical system,the market was increasingly "un-embedded"and expanded rapidly. At the same time,the society represented by the patients and their families gradually began to wake up and took action against market expansion,forming a more typical trend of "double movement"and triggering a more obvious crisis of doctor-patient trust. From the perspective of"double movement",to rebuild doctor-patient trust in the new period must re-embed the market into the society and strictly regulate some spontaneous social reverse movements.
引文
[1]卡尔·波兰尼.大转型:我们时代的政治与经济起源[M].冯钢,刘阳,译.杭州:浙江人民出版社,2007:112.
[2]蔡昱,关健,黄莺.当前医患信任的缺失原因及其重建[J].中国医学伦理学,2017,30(6):701-706.
[3]曾春明.让医学回归到人文的轨道上来[J].医院管理论坛,2011,28(6):8-10.
[4]王绍光.大转型:1980年代以来中国的双向运动[J].中国社会科学,2008(1):129-148,207.
[5]汪新建,王骥.媒体中的医方形象及其对医患信任的影响[J].社会科学文摘,2017(8):65-67.
[6]高星,胡红澈.对公立医院改革与发展中存在问题的若干思考[J].中国医院管理,2013,33(9):10-11.
[7]尹洁.如何解构医患信任危机?[J].东南大学学报(哲学社会科学版),2017,19(2):29-35.
[8]萧易忻.中国医疗体制转型中的“双向运动”[J].文化纵横,2016,56(5):56-63.
[9]王廷婷,阎英,吕东阳,等.重建医患信任中的“加减乘除”[J].中国医学伦理学,2016,29(1):142-144.
[2]蔡昱,关健,黄莺.当前医患信任的缺失原因及其重建[J].中国医学伦理学,2017,30(6):701-706.
[3]曾春明.让医学回归到人文的轨道上来[J].医院管理论坛,2011,28(6):8-10.
[4]王绍光.大转型:1980年代以来中国的双向运动[J].中国社会科学,2008(1):129-148,207.
[5]汪新建,王骥.媒体中的医方形象及其对医患信任的影响[J].社会科学文摘,2017(8):65-67.
[6]高星,胡红澈.对公立医院改革与发展中存在问题的若干思考[J].中国医院管理,2013,33(9):10-11.
[7]尹洁.如何解构医患信任危机?[J].东南大学学报(哲学社会科学版),2017,19(2):29-35.
[8]萧易忻.中国医疗体制转型中的“双向运动”[J].文化纵横,2016,56(5):56-63.
[9]王廷婷,阎英,吕东阳,等.重建医患信任中的“加减乘除”[J].中国医学伦理学,2016,29(1):142-144.