RESUMEN
Due to the particularity of mental diseases, doctor-patient relationship in psychiatric medicine is a subject that needs to be paid attention to. This paper focused on the discussion of the model of doctor-patient relationship in psychiatric medicine from the perspective of constructing a harmonious doctor-patient relationship. Based on the Szasz & Hollender’s Model of Doctor-patient Relationship and combined with the characteristics of psychiatric medicine, this paper discussed the applicable doctor-patient relationship models, namely, the shared participation model, the guidance-cooperation model, the active-passive model, and the protective-constraint model. The specific application of the shared participation model, the guidance-cooperation model, and the active-passive model in the psychiatric medicine context were introduced in detail, and the reasons and characteristics of the protective-constraint model added on the basis of Szasz & Hollender’s Model of Doctor-patient Relationship were elaborated. Meanwhile, the realization paths of the protective-constraint model in clinical practice were further explored, which included evaluating the behavioral capacity and consciousness state of patients with mental disorders, obtaining informed consent, and standardizing the use of intervention rights and withdrawal mechanisms. The discussion of this model will promote the improvement of doctor-patient relationship and the development of psychiatric medicine.
RESUMEN
To strengthen the construction of the doctor-patient community in the context of COVID-19 prevention and control, it is necessary to analyze the components and environmental variables of the doctor-patient relationship model, and propose targeted ways to strengthen it. The constituent elements of the doctor-patient relationship model can be analyzed as medical care group organizations, hospital management organizations, third-party service organizations, patients and patient stakeholders. Environmental variables mainly include education, technology and system. The doctor-patient, doctor-doctor, and patient-patient relationship are included in the doctor-patient relationship model, and each relationship is a combination of both internal and external relationships. Based on the influence of environmental variables on each component in the doctor-patient relationship model, efforts should be made from aspects: emphasizing , medical humanistic literacy and the popularization of medical knowledge, supporting the development of online medical care, simplifying redundant offline medical treatment, and protecting the doctor-patient relationship with policies and regulations.