Health newspaper: " HIV-positive person's operation is difficult " Another public service is insufficient
Know the health ' Staff member) Recently, alliance wrote the Chinese person who carries HIV <
>The report releases in Beijing. Report reveal difficult to seek medical advice person living with HIV/AIDS operation face stress the problem most, happen in all types of hospital. (" Beijing Times " of May 22 A lot of people have aimed the gun muzzle at doctor's medical ethics, this is not all of a question in fact. HIV-positive person's operation is difficult, it is one that manages difficult problem at first. Is it in hospital to accept the HIV-positive person who does operation? A lot of medical organizations have one's own regulation proclaimed in writing. Here instantly, most hospitals are unwilling, not " used to " either Receiving such a case, the doctors are only carrying out the regulation inside the hospital. It has said frankly that Beijing helped and fitted infectious disease attending physician Zhang Ke of the hospital: "The existence of the fixed hospital of AIDS becomes some prevarication of medical organization or excuse for refusing to offer regular medical treatment service for the infeted. " Some doctors propose refusing, in fact have a realistic origin too. Have not issued the legal provision that is compensated for, compensated or subsidized to the medical worker infecting HIV because of exposing in job yet at present. Though it is very low to carry on the probability infected with HIV in operation, this kind of risk should get abundant consideration and embodiment, may avoid the doctors' worry. This is still with the whole society " Talk about ending and changing " There are relations. Once the hospital accepts the HIV-positive person for medical treatment, will be difficult to dispel other the patient's worry of seeking medical advice for the moment, this will bring the overly heavy burden to doctors. The media has reported such an extreme example: Once there was a hospital in Henan, accepted the HIV-positive person for medical treatment, other patients all ran away. No doubt, this is a kind of behavior of going after profits and advoiding disadvantages. Because the medical risk seems very high, very frightful, very troublesome, taking the attitude of shirking responsibility and position, the result brought is, may make the whole society become uneasy. But death that we helplessly see such a patient getting the prompt operation, or go to look for another of means of livelihood. Medical organization at the basic level that they a lot of people can only be forced to choose the private clinic, not measure the blood finally, or it is too late to choose and find the hospital of the blood, conceal oneself condition, in a kind of " underground " Seek medical advice in the state. This has increased the new infection risk instead, and shift this kind of risk on more people's body. Not long ago, an epidemic situation report that Ministry of Public Health issued pointed out, since 2008, the death case of AIDS has already occupied the first place in a contest of the death of infectious disease for 3 years in succession. The expert thinks, because quite a few of the infeted worry causing the society to discriminate against, have not been daring to measure but in concealing state all the time. Because the condition was found too late, while making a definite diagnosis of already to later period, patients have already had no enough time to carry on antiviral drug therapy. In the AIDS death case of the report in the past 5 years, the person up to 80% has not accepted the antiviral treatment. In these all all sorts of societies discriminate against, this kind of medical treatment undoubtedly have one kind of lethality to discriminate against most. How to change this kind of attitude and position of the hospital? There must be more distinct systems to express in the demarcation lines of right and obligation. First of all, though, have already defined the provision in " regulations of AIDS preventing and controlling " issued before the country, because the medical organization must not go to a doctor a patient is a HIV-positive or AIDS patient, prevarication or refusing to treat its other diseases. But this regulation is relatively too general. We should follow some developed countries, it accords with the medical organizations and doctors of qualification to express regulations, can't refuse to accept such a patient for medical treatment. Once violation, will receive due responsibility investigation soon. Secondly, fine to reward yet. Compensate in the risk to hospital and doctors and on the incentive mechanism, must further improve, in case that except that the doctors' worry. Only in this way, could prevent this kind from going after profits and advoiding disadvantages, let doctors see so complicated a case and patient, no longer afraid of difficulty and retreat.
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