Saturday, December 22, 2012

From " fight secretly " Getting will " fight tomorrow " The social doctors and patients in China become estranged the difficult problem waits to solve

From " fight secretly " Getting will " fight tomorrow " The social doctors and patients in China become estranged the difficult problem waits to solve
On September 23 early morning, every consulting room of Beijing Tongren Hospital opens and connects examining on time. Wait hall sit, hold the intersection of document and the intersection of waiting bid and patient of number, in frequent security personnel who patrolled under building, everything seems to be just like it is usual. And before the one week, this institute the intersection of ENT dept. and clinic take place one murder case, Xu Wen doctor chase, cut down ten over treasure Wang, patient of laryngeal carcinoma, cause tendon rupturing and skull, ulna, shin bone fracture, and lose blood in a large amount. It is not unique, just one month ago, a patient happens to cut and kill doctor's case too to Dongguan Chang An hospital. The intersection of suspect and Lu, until the intersection of doctor and the intersection of will and continuous heavy rain Liu examined to meet cut to death, another doctor is being cut down to be severely injured. A two murder cases of the north of the south one, because doctors and patients' dispute is dealt with improperly to cause, the contradictions of doctors and patients that will refuse to budge for a long time are pushed to the extreme. People can't help crying out in alarm: Relationship between doctors and patients of our country already " Beyond cure " ? Patient: "Can we still believe in the doctor? " [The reason of doing violence of Wang Bao of incident ] becomes the focus that the media tracks. It is reported treasure Wang because laryngeal carcinoma reach Beijing Tongren Hospital go to a doctor on 2006, accept gentle laser surgery treatment slowly, it is exactly this operation, initiate the three -year long medical dispute. Wang Bao claims in the blog: " you (Xu Wen) Acting wilfully has tumour damage without authorization incoherently and breaking up, have opened the convenient door for the diffusion of the cancer cell, mean too that has opened the door of the death for me. " Though in another hospital " Have removed the residual cancer cell " ,At the postoperative neck of Bao Wang " whether turn on pieces of hole, until air that come on speak on the top of the gullet " ,Enable he " lifetime deformity " . Then, Wang Bao lodged a complaint against colleague's hospital after communicating, complaining with the relevant department that has no result. However, prosecute for three years, the lawsuit has not opened a court session either so far. "Go to see the doctor in this period of time, the doctor will disappear to some extent more or less after seeing the report? " Miss Li has been paying close attention to slowly recently gently being cut the incident, she thinks, Xu Wen's experience is no doubt worth sympathizing with, and Wang Bao is likewise the victim. One month ago, Miss Li goes to see doctor because of the stomach discomfort, is going through having a blood test, gastroscope, CT,etc. " all-roundly " After checking, besides finding the bile returns to flowing gastritis, are told ovarian cyst and uterus accumulate the liquid. Then, the doctor draws a pile of laboratory test reports and checks the project again. "Having tossed about for more than two weeks, basically all check the project to do once, catch up with the physical examination quickly, but the doctor has not said either finally how to treat, has only let me raise carefully, get over after prescribing a pile of antiinflammatory agents. " Miss Li has signed. Reporter's investigation finds, the mood discontended with doctor is not rarely seen in patient and relative. A lady says: "I took mother to the hospital to see the doctor, is such old common disease of ' tinnitus ', the doctor prescribed the medicine for half a year finally, mother has eaten for some time and found that there is not a result at all, more than 2000 yuan has been wasted "Another patient says: "It spends more than 500 yuan knowing the hospital red in Shenzhen to have a fever last time. Go up to hit and hang the bottle, it is a very beginning spore to hang, and does not try quickly, makes my whole body allergic, the head is one suits of erythema. Later, another old doctor prescribed a box of traditional Chinese medicine at more than 20 yuan for me, it would be better if ate. " One is directed against " The difficulty and high cost of getting medical treatment " The investigation of the reason reveals, 82% of the interviewees think " raise medicine with medicine " ,Small disease " great prescription " , " excessive inspection " , " excessively treatment " The difficult, expensive most important factor of seeing the doctor, in addition, 81% of the people think " the hospitalization cost remains high ", the medicine price is empty and high " ,57% of the people think " The phenomenon is still stored to accept covert payment, get commissions " ,48% of the people think " doctor's having poor technology, attitude is bad, no inquiries test, it means writing a prescription to see the doctor " These questions have all aggravated the intension of the relationship between doctors and patients. Though the patient is discontended with the thing that doctor's heart store, think doctor " very important " too . A lot of net friends say: "If the national hospital all stop examining for an hour, what will the consequence be? To healthy person, stop, it examines to be nothing, but see hospital wait on the hall waiting crowding that seeing the doctor while being a dense mass of, what is meant you know that. " It should be rational that a net friend thinks even more to treat the relationship between doctors and patients: "Some doctors really lack the professional ethics, but more doctors are serious. If can not doctor's even one's own security be ensured, return how to settle down to diagnose the illness for the patient? " Doctor: " whether afraid of most ' medicine make ' " [Figure ] one investigation reveal to interview doctor say where one stays hospital their take place " medicine make " 96% ,And " medicine makes a noise " Have already influenced the doctor's job behavior seriously. The first principle while practising medicine as a doctor more and more in self-protection, but not " patient's interests have priority " Ancient saying. Meanwhile, interviewing a doctor and appealing for legislating to protect one's own right of practising medicine as soon as possible of 90%. "It is contradictions of doctors and patients that I am most afraid now. " The worker of Guangxi Wuzhou hospital ophthalmology director Mai Dan is praised as " Build to the good doctor of the soul window smartly " ,But this wins the ophthalmology expert of national May 1st Labour Medal in 2007, still worried for relationship between doctors and patients. Every day, Mai Dan has received a patient since 8 o'clock, should see 38~40 pieces of number each day, each patient's visit time is not shorter than 15 minutes. In this case, she wants to take for 10 hours in the clinic in one day, this also excludes the operation and time to make the rounds of the wards. "15 minutes, necessary? " The reporter wonders. And wheat red helplessness say some the intersection of patient and 2 perhaps, can find out the crux 3 minute, but " experience in order to look after patients " ,She must elongate time. But there is medical personnel either " Look after to the patient to experience " ,Cause the unnecessary dispute. In have experienced once if what community's hospital practised has been small and clear " The limb conflict that cough initiates " . When it is infant's immunization campaign, a child coughed, the nurse says that " can't have an injection to cough " ,Demand to check again. But the child parents think this is " Ask for trouble " . Both sides do not yield to each other, have quarrelled. Finally, the nurse agrees to have an injection, but must sign on the letter of consent in the know again, accept the consequences by oneself. And parents put on one side, but urge the nurse to have an injection simply. Perhaps there is grievance, perhaps for being tense, the nurse has an injection and starts heavier, the child has cried. Child's father has seen, violent rage, howl washing a nurse once, think she takes advantage of the child and leaks immediately, shut down gauze mask of nurse still, fight, go at the face to her the intersection of immunization campaign and card "In fact, in all fairness, that nurse is the most responsible one in all nurses. Only she tells parents it is so as not to struggle which positions should be pinned the child, also only she go back to release to have no blood first and then pours into vaccine after the syringe needle pitches into, in case that should hit vaccine in muscles Enter the blood vessel, cause the serious bad reaction. The only problem lies in her attitude, she always speaks to parents with the tone ordered. " Small to say with deep feeling face several dozen even the intersection of more than one hundred and patient every day, the intersection of medical personnel and mood stand up very no wonder too while being clear. In order to deal with doctors and patients' dispute, the hospital cudgels one's brain. Some hospitals are responsible for receiving a patient to complain setting up special department or personnel, survey doctors and patients' dispute, deal with; Some hospitals invite the police to garrison in, maintain the order of the hospital; Some hospitals even let the medical personnel wear the steel helmet and go to work. "Doctor and patient who lacks sense of safety make to treat the activity to become ' fight secretly '. " One the intersection of hygiene and the intersection of system and staff member say to reporter, protect the intersection of doctor and security allocate helmet and stencil plate for all doctors while being impossible, can only be from promoting the operation level, improve the working environment to start with, he calls upon the society to understand and respect more the medical personnel. Who do doctors and patients become estranged, it? [View ] no matter what kind of views or queries the patient has on the doctor's treatment, should all communicate with the doctor or hospital through the rational and legal channel, can't break through the bottom line, use the violence means. Otherwise not only oneself will take, bear legal liability, can worsen relationship between doctors and patients further. Also should see, in a lot of medical disputes, the patient usually meets hindering on administration and judicial channel, having chosen the too drastic behavior finally, obviously, existing dispute coordinating mechanisms of doctors and patients have not fully played the due role. "The contradictions of doctors and patients originally should not become the social focus, because actually the implacable contradiction existed between hospital and patient. " The expert thinks, what doctors and patients' dispute is refracted is the profound question of accusing of tightly etc. in medical system reform, medical technological innovation, management system of the hospital, only solve these problems, could avoid tragic happening once again, dissolve contradictions of doctors and patients, build healthy relationship between doctors and patients. The member of the CPPCC National Committee Feng ShiLiang proposes setting up doctors and patients' dispute and mediating the centre. He thinks, to lacking the effectual, swift settlement route and dealing with the special legislation of doctors and patients' dispute at present, should set up the third party dispute independent of doctors and patients of both sides as soon as possible and mediate the centre, dispute of various doctors and patients of fair, professional and normal treatment, lead the masses to solve the medical dispute under the legal frame properly. Feng Shi is good to imagine, doctors and patients should mediate the centre in dispute led by government, the relevant department participates in, with medicine, suffer from, assuare medical science, law experts without immediate interest relation of three sides set up. After the medical dispute takes place, take charge of investigating, assessing, consulting from mediating the centre; Both sides resolve through consultation, can to mediate centre, apply, mediate, mediate in the center responsible for, must transfer, marry for a fixed period of time accept. But more experts think, it is a project that medical dispute is handled, it is not enough to mediate the centre yet only by setting up the dispute, need legislating to the medical dispute systematically, fair, just, open, swift settlement and treatment doctors and patients' dispute, meanwhile, should manage various drawbacks of attacking the medical system strictly and sneak the rule. "How we treat the patient, how will the patient treat us. " Feng Shi, diabetic president of rescue center of Liaoning Province, is good to show, improves medical ethics and atmosphere, lead doctor's heart Huairen to like treating a patient kindly, could " let the persons who grow must use the peacefulness " . Staff reporter Zheng Li

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