Finite Game or Infinite Game: A Philosophical Interpretation of Doctor-patient Conflict / 中国医学伦理学

It is a new attempt to interpret the essence of doctor-patient relationship and reveal the mechanism of doctor-patient conflict by using game theory. According to James Cass’s philosophy theory of finite and infinite games, this paper applies the four elements of finite and infinite games: "goal-actor-rule-boundary". Combined with the four elements of game theory, the doctor-patient relationship was systematically interpreted, and the evolution model of finite games and infinite games was constructed. This paper held that the essence of doctor-patient relationship is an infinite game in theory, the nature of doctor-patient relationship is a finite game in reality, and doctor-patient conflict is the result of the evolution of the finite game of doctor-patient relationship. Based on the finite game evolution model, this paper analyzed the causes of doctor-patient conflict in the specific narrative of doctor-patient conflict, and pointed out that the doctor-patient relationship can only be resolved by changing their "game view", so as to achieve the transcendence of the doctor-patient relationship from finite game to infinite game.

Doctor-Patient Scramble for Discourse Power and Media Tactics of Doctors in the Social Media Context:Based on Network Information Dissemination of that Maternal Death Incident in Peking University Third Hospital / 中国医院管理

Through focusing on widely concerned maternal death incident in Peking University Third Hospital,something can be discovered:for the upper hand in doctor-patient conflicts,they start to have a scramble for discourse power based on information dissemination of social media.On one hand,the evolution of social media builds a bridge for interactions and connections between doctors and patients.It contributes to rebuilding professional authority for doctors and increasing objectivity of information dissemination,On the other hand,information dissemination leads the new scramble for discourse power.It causes some problems:self-reflection decline of doctora,truth diiution about incident and even some moral and ethical risks both patients and doctors.Media tactics of doctors are Proposed to regulate and improve the scramble for discourse power in the social media context from two big aspects,namely establishing matrix platform and reducing propagation loss about social media.

The Root of Doctor-Patient Conflict and the Construction of Harmonious Doctor-Patient Relationship / 中国医学伦理学

Firstly, this paper stated the definition of doctor -patient conflict. Then, it analyzed the root of doctor-patient conflict from cultural, institutional, and legal aspects. At last, in order to build a harmonious doc-tor-patient, it pointed out that the balance of doctor-patient interests was the basis, establishment of a multi-level and multiform social safety mechanism was the foundation, multidimensional discussion of the social psycho-logical causes of doctor-patient conflicts deeply was the premise, and establishing guarantee mechanism from the perspective of balancing of interests was the guarantee.

An Sociological Analysis of the External Forms of Doctor-Patient Conflict in Present China / 中国医学伦理学

Doctor-patient conflict is a social problem in the present phase of medical development in China that has come into being due to the huge gap between the doctor's and the patient's understanding and requirement concerning their roles,rights,obligations and interest.It results from intersection and collision of various social factors.From the sociological perspective,it has been found that the main causes of such a problem include: the limited health resources and its uneven distribution;the doctor as the monopoly of medical resources;the doctor and the patient both as seekers of maximal self-interest.According to the conflict theory in sociology,doctor-patient conflict can be classified,in terms of form,degree,and goal of conflict,into direct and indirect conflict,violent and non-violent conflict,and reality and non-reality conflict respectively.Indirect conflict and non-reality conflict deserve special attention because of their hiddenness,latency,and deep influence upon doctor-patient relationship.