CAJ | 학술논문

社会治理模式是由政府、社会组织、社区能人、企事业单位等参与主体共同管理解决社会事务的多元化治理模式，强调参与主体多元性、合作性、和谐性，是新形势下重新构建和谐医患关系的最佳选择。从社会治理视角看，医患矛盾原因主要来自三方面。一是社会因素，包括卫生投入不足、医疗服务公平性下降、医疗纠纷处理机制不完善、媒体报道失实；二是医方因素，包括现代医学技术的限制、医疗卫生系统公益性淡化、医院管理模式滞后、医患沟通渠道不畅；三是患者因素，包括患者对健康的过高期望与医学常识相对缺乏的矛盾，及患者的维权意识、参与意识增强与法治意识淡漠之间的矛盾。要构建基于和谐医患关系的多元化社会治理模式，需要医方、患方、政府及社会共同参与，加强和完善维护群众权益机制，改善医患关系；医院要加强内涵建设，切实提高医院管理和服务水平；媒体要加强舆论引导；要建立多元化的医疗行为监管机制、医疗纠纷调解机制及医患权益保障机制。
사회치리모식시유정부、사회조직、사구능인、기사업단위등삼여주체공동관리해결사회사무적다원화치리모식，강조삼여주체다원성、합작성、화해성，시신형세하중신구건화해의환관계적최가선택。종사회치리시각간，의환모순원인주요래자삼방면。일시사회인소，포괄위생투입불족、의료복무공평성하강、의료규분처리궤제불완선、매체보도실실；이시의방인소，포괄현대의학기술적한제、의료위생계통공익성담화、의원관리모식체후、의환구통거도불창；삼시환자인소，포괄환자대건강적과고기망여의학상식상대결핍적모순，급환자적유권의식、삼여의식증강여법치의식담막지간적모순。요구건기우화해의환관계적다원화사회치리모식，수요의방、환방、정부급사회공동삼여，가강화완선유호군음권익궤제，개선의환관계；의원요가강내함건설，절실제고의원관리화복무수평；매체요가강여론인도；요건립다원화적의료행위감관궤제、의료규분조해궤제급의환권익보장궤제。
Social governance model , co -managed by government, social organization, community able person and enterprise and public institution , which emphasized diversity, cooperation and concordance of partici-pants, is the best way to reconstruct harmonious doctor -patient relationship under the new situation .With the viewpoint of social governance , there are three reasons that cause doctor -patient contradictory.First are social causes, including insufficient health investment , unfairness of social service , defective medical dispute handling mechanism and inaccurate reports from news media .Second are medical causes, including limited modern medical technology, weakened public aware of health system , lagged hospital management, and blocked communication channel between doctor and patient .Third are patient causes, including lack of medical technology and legal sense.In order to construct diversified social governance model that based on promoting harmonious doctor -patient relationship, governments, hospitals, patients and the whole society are called to participate to further protecting rights and interests of the mass so that doctor -patient relationship can be improved.Governments at all levels should promote reform and development of medical and health services .Hospitals should strengthen the connotation construct and enhance management and service .News media should strengthen the guidance of public opinions and ease the doctor -patient relationship.Diversified medical treatment supervision mechanism , medical disputes inter-mediation mechanism and safeguard mechanism of rights and interests of doctors and patients also should be set up .