CAJ | 학술논문

医疗纠纷和医患矛盾是我国现阶段医疗行业急需解决的现实问题。在美国，医生是医患关系主体，其价值取向、医疗水平、服务素养以及沟通交流技巧与医患关系密切相关；患者对医患关系的重视和适宜言行，是构建和谐医患关系的重要环节；医院是医生执业、患者就诊的主要场所，其服务理念、规章条例、基础设施、教育培训、医疗质控等，均可对医患关系产生影响。此外，美国政府、医疗管理部门和相关机构也一直在为减少医疗纠纷作出努力和尝试，出台相关政策规定，为改善医患关系、按照司法程序处理医疗纠纷等提供了有益依据。通过分析美国在促进医患关系和谐方面比较好的做法和经验，以期为我国相关部门改善医患关系提供参考借鉴。
의료규분화의환모순시아국현계단의료행업급수해결적현실문제。재미국，의생시의환관계주체，기개치취향、의료수평、복무소양이급구통교류기교여의환관계밀절상관；환자대의환관계적중시화괄의언행，시구건화해의환관계적중요배절；의원시의생집업、환자취진적주요장소，기복무이념、규장조례、기출설시、교육배훈、의료질공등，균가대의환관계산생영향。차외，미국정부、의료관리부문화상관궤구야일직재위감소의료규분작출노력화상시，출태상관정책규정，위개선의환관계、안조사법정서처리의료규분등제공료유익의거。통과분석미국재촉진의환관계화해방면비교호적주법화경험，이기위아국상관부문개선의환관계제공삼고차감。
Medical disputes and conlficts between doctors and patients are urgent problems in the Chinese healthcare industry nowadays. In the United States, the Doctor is the main side of doctor-patient relationship. Doctors’ value orientation, medical capability, service quality and communication skills are closely related to the relationship. Patients’ attention and appropriate manners are also very important. On the other hand, as the main place for medical activities, hospitals’ service ideas, medical rules and regulations, infrastructure, education and training, medical quality control and so on, have an important impact on the relationship. In addition, the U.S. government, medical administration departments and related organizations have been making efforts to reduce medical disputes through announcing relevant policies and regulations. This paper analyzes the American experiences in establishing harmonious doctor-patient relationship so as to provide reference for Chinese related departments to improve the doctor-patient relationship.