“关系信任”和医患信任关系的重建

摘要

医患关系原本应是制度性的信任.当下中国常见的医患关系模式是“关系信任”,产生的原因如下:“关系”嵌入职业伦理中是“关系信任”产生的社会动因；“关系”具有的“人情因素”和“利益交换”的功能使“关系信任”的产生成为可能；医患关系的变迁使得“关系信任”成为建立医患信任的策略性选择.要消除“关系”对医患信任的负面影响,重建良性医患信任,关键还在于从对“关系”的信任转向对制度的信任.%The doctor-patient relationship should be institutional trust.The current common mode of the doctor-patient relationship is "relationship trust".The reasons may be as follows:the social factor is "relationship"is extended to medical work; the "human relationship" and " interests exchange" in it make " relationship trust"possible; the change of the doctor-patient relationship make "relationship trust" become the strategic choices.To eliminate the negative impact of "relationship trust" on doctor-patient trust,reconstruct a benign doctor-patient trust,the key is to turn trust in relationship to trust in system.