市场的扩张运动以及它所遭遇的控制其扩张的反向运动,构成了英国学者卡尔·波兰尼笔下的“双向运动”.传统中国因市场被严格地“嵌入”当时社会政治经济和伦理道德结构之中,没有所谓“双向运动”出现,医患信任也得以自然建立并延续.改革开放以来,随着医疗体制改革中市场机制的逐步引入,市场日益“脱嵌”并迅猛扩张;同时,以患者及其家属为代表力量的社会,开始逐步觉醒并采取行动抵制市场扩张,由此形成了比较典型的“双向运动”趋向,并引发了比较明显的医患信任危机.从“双向运动”视域来看,新时期重建医患信任,必须把市场重新“嵌入”社会,并对部分自发的社会反向运动进行严格规制.%The expansion movement of the market and the reverse movement that it has encountered to control its expansion constituted the " double movement" written by the British scholar Karl Polan.In traditional China,because the market was strictly embedded in the social,political,economic and ethical structure,there was no so-called " double movement",and the trust between doctors and patients was naturally established and historical-ly continued.Since the reform and opening up,with the gradual introduction of market mechanism in the reform of medical system,the market was increasingly " un-embedded" and expanded rapidly.At the same time,the socie-ty represented by the patients and their families gradually began to wake up and took action against market expan-sion,forming a more typical trend of " double movement" and triggering a more obvious crisis of doctor-patient trust.From the perspective of "double movement",to rebuild doctor-patient trust in the new period must re-em-bed the market into the society and strictly regulate some spontaneous social reverse movements.
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