Sunday, June 10, 2012

Doctors and patients' dispute of inquiries test of deputy to the National People's Congress Marketization causes the relationship between doctors and patients to be tense

Doctors and patients' dispute of inquiries test of deputy to the National People's Congress Marketization causes the relationship between doctors and patients to be tense
In recent years, " contradictions of doctors and patients " The tendency of growing in intensity appears, it injures the doctors and patients " double-edged swords " of both sides to become . At the third Session of the 11th National People's Congress of this year, " improve the relationship between doctors and patients " Write into the government work report for the first time, initiate the representative and committee member to pay close attention to. Feel pulse at the meeting-place: " marketization " " the government work report propose improving the relationship between doctors and patients to cause the relationship between doctors and patients to be tense, this needs efforts of the whole society. " This morning, in Chinese People's Political Consultative Conference(CPPCC) at collective on the 11 Session of the third meeting holds can interview, member of the CPPCC National Committee, the Wangjing hospital professor of academy of sciences of China's Chinese medicine Wen JianMin say, the relationship between doctors and patients can't be imputed to completely " The covert payment " ,The behavior of the specific black sheep should not be enlarged. "After medical treatment is pushed to the market, turn into money relationship directly between doctors and patients, this is a fundamental internal cause of a question. " 150 directors of the member of the CPPCC National Committee, the Chinese People's Liberation Army are sweet-smelling in high spring to think: "After the hospital is introduced to the market, the interests orientation has caused unnecessary great prescription and thorough examination, cause the patient to distrust the doctor. " Represent the inquiries test: Doctors and patients' dispute, " correct " , deputy to the National People's Congress of mechanism and people, Vice President of Nanjing first hospital Chen Xin in the system, submit to conference and propose in view of dissolving doctors and patients' dispute this year. While accepting staff reporter's special visit, he has dissected the question of relationship between doctors and patients thoroughly too. "In term of medical system, because the government puts into insufficiently, the hospital maintains survival and development by creating income, the favourable behavior of hastening is obvious. " Chen Xin says, it causes overload operation, medical personnel of large hospital to work overloadingly that medical resource distribution is unreasonable, communicate to explain the work is done uncompletely, it is very apt to cause misunderstanding and contradiction. Xin Chen think in term of hospital, medical organization management level one, medical worker have different quality, there are obvious differences in medical service level and sense of responsibility, this is a main reason which initiates doctors and patients' dispute. And and then say from suffering from, because scarce to medical science knows enough, it is too high to the expected value of therapeutic effect, can unquestionably cure the disease if many patients have thought so long as in hospital, so long as spend money to cure the disease, if can not expect the result, impute to hospital and medical worker. "Dispute important reason too. " Chen Xin introduces, the regular channel is three kinds at present: Doctors and patients both sides resolve, mediating, civil action arbitration of health authority through consultation, but if the intersection of doctors and patients and of both sides contradiction set against, consult difficult to have result, it is difficult to be suffered from even for health authority to appear and then believe in, civil the intersection of contentious procedure and complicated, the intersection of cycle and long unfavorable use too, produce behind the dispute, many people choose " Make a noise " ,Hope more departments get involved and intervene, the hospital buy safely finally, cause and " make a scene to compensate big objectively, it is small to make a noise and compensate small, does not compensate without making a noise " Consequence. The way to analyse and explain: It is left together, " step down " for the relationship between doctors and patients that multicell "It should strengthen the construction of doctor's team first to do the relationship between doctors and patients well. " Wen JianMin thinks, the question of the covert payment, there is every hospital discipline inspection department to taking the tied mechanism of the covert payment now, find that needs to deal with strictly. In addition, the public especially patient needs to strengthen the understanding of medical trade high risk even more, "the pressure that the doctor faces every day is very large, normal people can see some smiling faces every day, it has a worried look that what we saw everyday is, even is facing some patients dying. " "Solve present contradictions of doctors and patients, should be by deepening the system reform of the medical and health constantly. " Representative Chen Xin think, first, strengthen public service and social management function to the government, dispel the negative effect of the information asymmetry during doctors and patients, dispel antithesis and conflict on the economic benefits during doctors and patients from system mechanism; Second, adjust medical resources, optimize the structure of service, change the current situation that most medical personnel of large hospital works overloadingly for a long time, relieve doctors and patients' imbalance between supply and demand of both sides; Third, improve the system of medical insurance, set up the demanding party supplier's " dual fail-safe " . While handling the dispute, except that doctors and patients both sides resolve through consultation, introduce the third party and mediate the mechanism by oneself, also pay attention to resorting to legal proceedings and solving the dispute, regard it as the final settlement way of the dispute. "Also pursue the autopsy after the death in a more cost-effective manner, this is an important basis that responsibility asserts; Make the unified medical dispute compensation standard at the same time, offer basis for solving the medical dispute properly. " Chen Xin proposes, with the further enhancement of the national economic strength, needs to set up " force the medical liability insurance system " ,Find the mechanism exit for the dispute; And too drastic, illegal to those " Medicine makes a noise " The behavior, the public security organ should handle strictly in accordance with the law. Only in this way, could dissolve the dispute effectively, construct the harmonious relationship between doctors and patients. (mao celebrate horse's money just in a young left of Sichuan of special correspondent)

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