文档介绍：摘要近年来,由于我国经济持续快速发展,人民群众对医疗卫生服务质量的要求日益提高,现有的卫生资源和服务内容难以满足人民群众的需求,“看病贵、看病难"成为群众对卫生工作反映最强烈的问题。本研究的基本目的在于正确认识我国新型农村合作医疗制度下医患关系的总体形势,探讨医患关系在经历宏观结构和制度的变迁后发生的变化。本研究主要讨论在新型农村合作医疗制度实施之后,制度因素对医患关系的产生影响。从不同等级、不同规范程度医疗机构和参加新农合后不同主体性地位的农民两个维度进行操作化,具体分析了新农合背景下的医患双方在治疗关系和经济关系的互动中发生的变化。通过实证研究发现,医方的规范化转向使农村医疗资源的可及性提高,新农合制度设计之初的整合目标使医方规范化,进而使患方对医疗资源的可及性提高,同时患方对自身主观受益感明显,主体性地位随之提高,从而使农民对医患关系的整体评价呈现积极、肯定、认同与信任,体现了医患双方之间的良性互动关系。另一方面,制度的渗入,使不同社会经济地位、不同疾病类型的患者所期待的医患关系有差异;患者对就医医疗机构的选择不同, 其对医患关系的评价也存在差异,甚至出现“医闹"的极端医患关系表现,医患关系模式发生相应改变。关键词新型农村合作医疗制度,医患关系,规范化,主体性 ABSTRACT In recent years,because oftherapid economic growth,the demands of thequality ofhealth services ofpeople are increasing;however the existing health resources andservices can not meettheneeds ofpeople’S demands,which have e themost pressing concems among the basic purpose ofthisstudy is tocorrectly understand the general situation ofdoctor-patient relationship under theNew Rural Cooperative MedicalSystem(NRCMS),and how the relationship changes afterexperiencing themacro-structural andinstitutionalchanges. Thisstudymainly discusses how theinstitutionalfactorsinfluenced the doctor-patient relationship aftertheimplementation ofthenew rural cooperative medical study focuses on two main measured dimensions;one isdifferentgrades and differentstandardizations of medical institutions,while theotheristhedifferentsubj ectivity position offarmers afterparticipating thismaster’Sthesis,the authorspecificallyanalyses thechanges between doctorsandpatients in thetreatment relationship and theinteractionofeconomic relationship aftertheNRCMS. According to the empirical study,the author found that the standardization ofmedical sideturned tothemedical resources inrural areas toimprove thepatients’side benefited oftheirown subj ective sense of obvious,along with improving the status of subj from thepoint,the farmers showed apositive, affirmation,recognition and trustattitudeintheov