医闹的道义和权力“游戏”

发布时间：2018-02-16 11:54

本文关键词： 医闹医疗纠纷闹大医患关系(博弈) 抗争道义经济(资本) 情感权力转换　出处：《甘肃行政学院学报》2016年01期 　论文类型：期刊论文

【摘要】：本文从道义和权力转换的角度来分析医闹的成因、过程、实践和结果。"闹"作为一种寻求问题解决的途径在中国社会频频上演。闹的实践遵循着一系列共享的社会文化规则。本文分析医闹中的潜规则,尤其是规则中道义和情感的因素。在医患关系中,医生在医疗实践和资源分配中占主导地位,用他们的专业知识和权威控制病人并从病人那里获取利益。然而医疗的商业化和医生的逐利行为破坏了医疗领域的道义经济,给了人们反抗的理由。闹成为病人反抗和维护权益的方式。相对弱势的病家利用自己受害者的位置和公众的支持积累道义资本,通过闹的方式暂时扭转与强势医生的权力关系。但是闹也被职业医闹绑架成为敲诈医院的工具,有时导致医疗暴力,让医生被打甚至被杀害,闹作为病家维权行为的正义性也受到质疑。这时医生变成了在危险面前无法保护自己的弱者。作为新的受害者,他们开始获得同情并积累起道义资本,最终让他们可以行动。他们上街抗议,在媒体上发表意见,推动政府打击医闹,在这个过程中重新扭转医患间的权力关系。但是医患间的权力关系离不开公共权力的影响,政府对闹的容忍或打击直接影响到医患博弈的结果。本文对当前医疗纠纷分析中过度注重经济利益的视角作出补充,通过分析医患间情感和道义的博弈,指出医患双方行动中的结构性困境,希望对未来纠纷的解决有所参考。
[Abstract]:This paper analyzes the causes and processes of medical trouble from the perspective of moral and power conversion. Practice and result. As a way to find a solution to the problem, "noisy" is frequently performed in Chinese society. The practice of "noisy" follows a series of shared social and cultural rules. In particular, moral and emotional factors in the rules. Doctors dominate medical practice and resource allocation in doctor-patient relationships. They use their expertise and authority to control and profit from the patient. Yet the commercialization of medical care and the profit-seeking of doctors undermine the moral economy of the medical field. It gives people a reason to rebel. It becomes a way for patients to fight and defend their rights. The relatively weak sick people use their victims' position and the support of the public to accumulate moral capital. Temporarily reverse the power relationship with powerful doctors by making a scene. But it has also been kidnapped by professional doctors as a tool for extorting hospitals, sometimes leading to medical violence, causing doctors to be beaten and even killed. The justice of acting as a patient's advocate is also called into question. Doctors become weak people who cannot protect themselves in the face of danger. As new victims, they begin to gain sympathy and amass moral capital. Finally, they can act. They take to the streets to protest, express their opinions in the media, urge the government to crack down on medical trouble, and in the process reverse the power relationship between doctors and patients. But the power relationship between doctors and patients cannot be separated from the influence of public power. The tolerance or attack of the government directly affects the result of the doctor-patient game. This paper complements the view of paying too much attention to the economic interests in the analysis of medical disputes, through the analysis of the game of emotion and morality between the doctors and patients. This paper points out the structural dilemma in the action of both doctors and patients, and hopes to provide some reference for future dispute resolution.
【作者单位】：中山大学社会学与人类学学院;
【分类号】：R-051;D922.16

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