Thursday, June 28, 2012

Protect the legitimate rights and interests to look forward to most as a doctor

Protect the legitimate rights and interests to look forward to most as a doctor
Staff reporter Li TianShu On August 8, China cures the SCTE and announces the fourth doctor's operation state finding in Beijing. The result reveals, need to receive the improved respect in the health care trade most, 30.51% of the doctors say that answer to " set up and amplify the laws and regulations and protect the doctor's legitimate rights and interests conscientiously " ,27.92% of the doctors think that answer to " improve the treatment of the medical worker " ,21.55% of the doctors think that answer to " improve the operation environment and ensure doctor's rights and interests " . It is reported, China cures the SCTE and surveys and studies 3 doctor's operation states in 2002, 2004, 2009 separately. Survey and study beginning in March of 2011 this time, finish on April 20. Have surveyed and studied and covered Beijing, Hebei, Shanxi, Guangdong, Hainan and other places, releases 5683 questionnaires together, the effective rate of recovery is 65.18%. China cures Yin Dakui, president of SCTE,etc. to understand finding. View on the operation environment - -The persons who are unsatisfied are in the majority, rural doctor's satisfaction is low, but the positive change appears wholly Figure: 48.51% of the doctors are unsatisfied with present operation environment, but the satisfactory proportion is only 19.02%. On the professional title, the proportion that the high-level medical worker is unsatisfied is being highest, it is 55.47%. On the hospital rank and area, the first class hospital doctor has relatively low satisfaction, only 11.46%; The proportion that the rural staff members of medical organization are satisfactory to the operation environment is only 5.44%, satisfaction is still less than the city and average satisfaction of county town ' 18.04%) 1/3. Understand: In 2002 first doctor operation state investigation, doctors thought the accounting for 5.18% with good environment of operation, think worse and extremely abominable accounting for 60.67% altogether; Thought the accounting for 7.1% with good environment of operation, thought worse and extremely abominable accounting for 48.4% altogether in the second research in 2004; Will think doctor's operation accounting for 7.44% with good environment at present in the third research in 2009, choose worse and extremely abominable accounting for 63.61% altogether. Namely in the first 3 research, 63.67%, 48.4%, 63.61% of the doctors are unsatisfied with the operation environment lived in at that time separately. Compare with the data, the satisfactory rate of the first 3 doctor's operation does not have obvious change, but this satisfactory rate of surveying and studying the doctor is 19.02%, and the doctor drops the unsatisfied withing rate of the operation environment to 48.51% this time for 63.61% of 2009. On the professional title, are unsatisfied the proportion rises as the rank rise, explaining the high-level medical worker may bear greater working pressure. On the hospital rank and area, the first class hospital and rural doctor of medical organization have relatively low satisfaction, prove medical condition and doctor's sense of personal achievement of the medical organization at the basic level are not fully up to expectations, if does not increase the input into medical organization at the basic level, the stability of the medical worker team at the basic level will become the important problem. Appraisal on the medical reform - -Supporter's over half figure: 58.82% of the doctors say the medical reform to support, no the supporter accounts for 5.24%. Understand: In the third investigation, begin to introduce doctor's evaluation index to the new round of medical reform measure. The result shows, the doctor supporting it accounts for 45.21%, there is accounting for 32.42% of the view, what has been understood accounts for 22.38%. Comparing the third investigation, the new round of medical reform measure has been implemented over the past two years, the increasingly many doctor has expressed support. This investigation result shows, the propaganda of the medical reform policy is still uncomplete. So, should strengthen and propagate, improve the cognitive intensity of the new round of medical reform measure in the doctor, this has positive meaning on promotion of the medical reform. (leave and rotate the 2nd) (have and connect the 1st) How to think about the relationship between doctors and patients tensely - -80% of the doctors are regarded as the figure that the system causes: 82.64% of the doctors think, still intension of the relationship between doctors and patients is mainly caused by system at present, have 55.66% doctor select Zhong choose the intersection of society and prejudice in doctor, have 53.75% doctor choose media negative to report. Understand: Since the one period of period, doctor environment bad to stress, show as relationship between doctors and patients nervous, medical dispute increase operation have, doctors generally feel the personal security in operation has less than guarantee. Analyze the system, including management system of the hospital, compensation mechanism, medical treatment ensure factors such as the system, laws and regulations,etc., this data show medical worker's nervous understanding intensity to relationship between doctors and patients, have already become the thinking of medical treatment system from simple doctors and patients' relations of both sides. Respect the work of the medical worker, not injure the medical worker life, act of violence of condemnation hospital place, should become the common understanding of the whole society. Treat the patient - -More than 70% of the doctors are thought oneself the attitude the good figure: 73.58% of the doctors think the attitude to the patient's service is good, only 2.17% hold a negating attitude. In addition, 96.19% of the doctors say that will answer patient's question patiently. Understand: Why investigation result completely different from general view in the society? Reason for producing difference of this kind of appraisal, may expect much oneself at question this with doctor and patient expect much and patient too many to make a diagnosis time cross short and doctors and patients communicate uncompletely relevant. As to this, hope the doctor listens attentively to the view on this question of the society more patiently, and strengthen doctors and patients' communication actively. Working pressure source - -70% of the doctors are regarded as " Medical dispute, work load old and expected value of patient too high " Figure: 70.67% doctor" whether medical dispute, work load old and expected value of patient too high " Classify as the main source of working pressure. Understand: Many famous medical experts understand the result, think the medical trade is a knowledge-intensive trade, the competition is very large in pressure, but the doctors think the pressure of the competition although have preface to follow big, can pass one's own diligent change. Contrary to this, in the face of understanding and censure of patient of society, the doctors feel that it is difficult to expect and control, such pressure at a loss as to what to do makes the doctor more unbearable. The data show, the large hospital doctor's working load has already presented the overladen phenomenon, and what the county town hospital bore comes from patient's pressure with too high expected value and is obviously higher than the cities and rural medical organizations, this may the medical centre of an area at the basic level have something to do with the county hospital, the patient has very high expected value to its medical result, but because compared with tertiary hospital there is disparity in the engineering level of medical organization at county level of our country, the patient's expectation lets the doctors produce certain pressure. Make the view of the management system on the hospital - -30% of the doctors Think that has not taken doctor's rights and interests figure into account: 30.65% of the doctors say when making management system, the hospital administrator has not taken the medical personnel's rights and interests into account, only 21.61% of the doctors think and take into account to the medical worker rights and interests. Understand: It is requiring clearly to administrator of medical organization of Ministry of Public Health that institute's affair is disclosed. The hospital administrator should protect and include the medical worker rights and interests in it in the course of making the management system of the hospital, fully listen to the opinion of the medical worker of first line, in order to carry out Ministry of Public Health to run the management expectancy of the institute publicly.

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