And then, systematically speaking, the tension between doctors and patients is essentially caused by the contradiction between 'limited medical outlays and limited resources of medical services' and 'increasing and a-certain-extent overinflated demands for medical care'. The ultimate resolution for the tension is that the medical care system should fit the orientation of socialization. We should insist on the diversification of the principal part of investments, to break the monopoly in the medical industry, and to veritably introduce the market mechanism into it. By actively introducing social, civil and international capitals into the industry, to create a medical care system new and more effective for our society. Thereby, to extend the coverage of medical services and intensify imbursing the disadvantaged groups, making the collocation of medical resources fit to the demands of medical care.
To defuse the tension between doctors and patients, we should set up and consummate some long-term supporting mechanisms.
1) Communication Mechanism The credit crisis widely exists in our society. Different groups lack of confidence one another. In the past, the opposition even confrontation between doctors and patients, and the violences happened in hospitals, most of these were caused by the patients' nonconfidence towards the doctor group. The communication between doctors and patients is necessary for diagnosis, and is also indispensable in hospital management.
2) Buffer Mechanism Even in the US, with its developed medical care system and diversified intermediary systems, also has the contradition between doctors and patients. Nevertheless, the social workers from the intermediary organs professionally do their intermediary works for doctors and patients, to make a buffer zone between the two. Besides, excellent legal aid system and insurance companies help resolve the contradiction. The insurance companies would pay its policy holder after court decided the quota of compensation when the court received the medical negligence examination report dilivered by hospitals.
3) Risk Management Mechanism(VMM) The key of the medical venture management is to verify facts, not to condemn any person; the pivot of VMM is to find out the problems and leaks in the management system of a hospital, and is to research if there are some unscientific issues in the managment system, so as to essentially resolve the problems and leaks. The medical venture management also requires that we should set up a substantial time limit for the investigation into medical negligence, and restrict the quota of the hospital's compensation and guarantee the rationality of the compensation.
4) Elimination Mechanism We should intensify the competitions between hospitals according to the rule of survival of the fittest. Competitions can urge medical organizations to better the quality of their services and to cut the cost of medical treatment, thus relieving their patients' burdens. In addition, we can consider to take punishment measures according to a doctor's infraction record or demerit record, and withdraw the doctor's licence if necessary. By creating a nationwide database, to pick out incompetent doctors and other medical workers who hold a licence. The contents of the database include the records of licence-withdrawing and other significant punishments, also including of the results of disposal and court judgment regarding medical negligence.
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