医学伦理与医患关系中的信任与可信任性

摘要

信任是指在具体社会环境中,某互动方认为与另外一方之间存在着整合在一起的利益,并相信或者期待对方在将来有能力实现这样的利益,而可信任性是指自己实现别人期待的可能性.在现实生活中,维系信任与可信任性的更多的是依赖各种各样的正式和非正式的社会机制.医学伦理学作为非正式的社会规范,在调节医患互动上有一定积极作用,但是这种作用会被规范依存的社会基础和规范的执行者等因素所削弱.%The concept of trust means that, with respect to concrete social context, one party assumes the encapsulated interests with other party, and even expects others to fulfill these interests, and trustworthiness is the possibility that one party fulfills others expectations. A modern society needs all kinds of official and non - official social mechanisms to sustain trust and trustworthiness. Medical ethics, one form of non - official social norms, really does function on the adjustment of physician - patients mutual reaction, but this function might be strongly reduced or destroyed by social contexts, standard performer and so forth.