Study On The Process Of Construction Of The Doctor-patient Relationship Based On Interpersonal Communication

Doctor-patient relationship is the medical staff and patients in medical procedure a special relationship healing. In recent years, with scientific development, social progress and change of the old medical model, some new changes in the relationship between doctor and patient. Due to the lack of communication between doctors and patients and dissemination of medical disputes and relationship between doctor and patient become a social focus. The doctor-patient relationship is a cube with multiple ribbed curved, it related to medical technology, medical research, health systems, health policy, as well as socio-economic, political and cultural situation, and many other factors. Many factors intersect and overlap of property shows that the complexity of today's relationship between doctor and patient. Therefore, the construction of the doctor-patient relationship and communication is a problem to be solved. We of basic starting point is tries to medical patient relationship most core and most micro of part medical patient dialogue began, through compared China and United States in medical patient relationship building in the each stage of dialogue features and law, to found China medical patient relationship in the exists of problem; further through reference and compared China and United States medical patient dialogue in the of practice mode and experience theory of similarities and differences, for building China harmony medical patient relationship get revelation.Domestic and foreign academic study of doctor-patient relationship has a long history. Foreign large-scale studies on the relationship between doctors and patients began in the last century. Earlier, the doctor-patient relationship is the ideal vision-responsible and the doctors and patients of the health systems trust. In the 1990 of the 20th century, the abroad study on the relationship between doctors and patients to make medicine better serve public health. In the 1990 of the 20th century, the overseas study on the doctor-patient relationship focused on reform and perfection of medical fee payment and the payment level. Study on the doctor-patient relationship in China began in the late 1980 of the 20th century, early 90's, especially the early years of the 21st century began. Scholars around the doctor-patient relationship in medical technology, medical information, medical law, medical and cultural fields to discuss, there have been some encouraging results. These results are mainly focused on the causes and countermeasure of conflicts between doctors and patients. From the humanities and Social Sciences study of relationship between doctor and patient outcomes are rare. We intends in both at home and abroad has some medical patient relationship research of based on, from China and United States medical patient dialogue starts with, focuses on micro level of explained, practice sex of interpretation, and dynamic of grasp to explained medical patient relationship of construction process, through China and United States medical patient dialogue of compared, find regularity of practice mode and related of experience theory, tries to that both from practice and theory aspects find for China medical patient relationship development of right road.Doctor-patient relationship involves many disciplines, we mainly rely on communication, and use this treatment dissemination system based on the theory of deep analysis of the three stages of the doctor-patient relationship. We spread from treatment systems:theory and practice of China and the United States comparative study of doctor-patient dialogue, discuss the construction and propagation of the doctor-patient relationship, research for exploration of the process of resolving the doctor-patient contradiction and constructing harmonious society, is of great academic value and practical significance.Therapeutic communication system theory in the dissemination phase of the relationship by definition is the stage in order to establish a good relationship between doctor and patient. At first how to build a good relationship, for future access to disease information, plays an important role in the implementation of the treatment plan. By China and the United States the doctor-patient dialogue at this stage, we find that the biggest difference between the doctor-patient relationship is trust relationship. The doctor-patient relationship based on the premise and based on patient trust in the doctors and had a great, professional maintained one of the most important conditions. Meanwhile, patient trust in the doctor, also makes the doctor was a great sense of achievement. Doctors loses a patient's confidence comes from many aspects. Among them, China and the United States is the most major difference on the economic relationship between doctor and patient. The reasons are mainly from three aspects, the hospital's survival, drug rebate problems, doctors red envelopes problem. In addition, we select the most important in the spread of polite, non-verbal communication, empathy the three elements to be discussed and studied in order to prove the first phase construction of the doctor-patient relationship and communication significance.Communication system theory in the second stage of treatment to assess the dissemination phase is mainly gathering information (information exchange) stage. The priority at this stage is to analyze similarities and differences of two history-taking mode, understanding "taking patient as the Center" history taking the advantages. By China and the United States the dialogue at this stage, we find that the biggest difference between the two lies in the cultural relationship between doctor and patient. Mainly reflected the cultural relations between doctors and patients to cognitive levels and differences in cultural values and physico-chemical changes causing the problem. The reasons are mainly from two aspects, one is the lack of human knowledge problems, one doctor rigid and indifference problem. On this basis, analysis of problems and obstacles frequently encountered during history-taking, select one of the most important to listen and question the use of China and the United States were detailed analysis of doctor-patient communication examples and explanation, to complete the evaluation stage the main task.Therapeutic communication system theory in the third phase of treatment dissemination phase major tasks was to explain issues with patients and their families to develop mutually agreed upon treatment plan refers to the doctor explained to the patients with professional advice and a viable method of diagnosis and treatment in consultation with patients and their families then arranged the next work. China and the United States the dialogue at this stage, the biggest difference between the two lies in the differences in ethics. Ethical relations between doctors and patients, on the one hand in the interests of both the coordination of all kinds of social conflicts and on the implementation of the principle of informed consent. The reason is primarily the legal ambiguities of the doctor-patient relationship, as well as caused by violations of the right to informed consent. Completed successfully explained and agreed treatment protocols, not only requires us to have a better understanding of the relationship between doctors and patients, and needed addition to communications technology (including in the process of building relationships and history collection before discussing techniques), the special skills.Study on the relationship between doctors and patients is a comprehensive research project, not only with a certain one or several subjects of research methods can be resolved. We intends take associated behavior of discourse analysis method (AIDA), again auxiliary to empirical method, and antibody method, and compared method, and for a specific problem of qualitative research method, and dynamic static combined method, research method, in field recording transliteration, in established small corpus based on, study doctor and patients interactive process in the of dialogue features and law, then exploration harmony medical patient relationship construction and spread of mode and theory. Finally, we summed up the Chinese and United States analysis of doctor-patient relationship formation, based on the United States the doctor-patient relationship building and dissemination process reference and inspiration to China, and lack of article writing in the proposed direction for future research.