To domestic malignant doctor-patient events thinking

Source: science times

        The students receive far (science nets blogger) of message, let I to one of his blog "the media reports academic problems should avoid misleading public opinion published some opinions DuoNian going abroad, but on domestic medical accidents and incidents have heard more patient, because do not know the truth, for specific events or careful.

        In North America with two colleagues on the defendant friends list, including a friend once to take a law nevertheless, they finally had shut, but in the medical insurance leave a record, although the record on the future medical practice influence is limited, as for like domestic that malignant dispute is hard to imagine.

        Domestic doctor-patient malignant events frequency, the doctor-patient conflict is not so much, than the performance of the social contradictions, many factors is comprehensive, can be used as a doctor issue, not a blog can clear, in which a few questions as a thinking.

        Domestic have medical dispute settlement system and organization? This is what I want to ask the first question. In North America, we have the following way: and responsibility doctor communication, seeking a third party opinion, administrative health institutions complaints, please lawyer a lawsuit. Domestic experts arbitration is a little bit like the third party opinion, if can't resolve the dispute, then administrative and legal system reflects the importance of out, but this is also the domestic short board.

        Domestic health bureau and the courts are the government's a subordinate departments, because the level and the level of if, a department such as health bureau can't solve it, then to another department such as the court also can't solve, next to the brain to superiors, and no special case, the higher commanders as are very limited, so a lot of disputes that backlog down, a small part to malignant events may outbreak of industry and society brings the vibration.

        The domestic legal system construction are far, western legal system is worth learning, such as new, Hong Kong Chinese circle has a good legal system model for reference. Every time from television see domestic carries always have a strange feeling, lack of compelling professional and authority. Medical disputes related to the complex field and domestic court dealt with such a case of professional ability is not optimistic, if only by the health administration departments of the arbitration opinion, it is very difficult to convincing. With numerous petitions than events, medical disputes is part of the small, much of the domestic legal system of defects reflect.

        I'd like to make a second problem is medical and social relations. Here to tell a your story, I choose to medicine is based on a delusion, father left me a good professional impression, and in every time from the "cultural revolution" to reform and open policy to go abroad to visit, he can be successful in career foothold in the society, and basic can live in dignity and independence decent system outside, and more than ninety percent of China's professional medical practice is dependent on system of survival, professional education and training is also attached to the system, when the system from isolation in society, professional medical also subsequently and from in the society, it's not in his personal will as the shift, in the half of the education KouHaoShi any is pale, free of social and medical cause stress hospital patient relationship is inevitable. North America is professional medical stands on the social, professional education and vocational training in service to the society for basic mission, the doctor-patient relationship is natural.

        The doctor's labor value with the patient's social security is I want to make the third problem. The doctor's labor is senior complex labor, and the surgical blade and intricate and risk far not shave hair than knife can, if the serious distortion of labor value, then professional essence also inevitable serious distortion. Chinese characteristics in the system is cured, then mixed grey corruption is inevitably, this is not in the system of small refinements of the cure can solve the problem. Patients of social security of the serious lag, the government medical insufficient investment of a small percentage of national defense, and "three fairs" consumption compared with the more isn't worth mentioning, hollowing out in this to ensure the health of millions, and compared with North America, a scholar of the report is a big joke. If professional clinical be limited compression of words, and the scientific research such as medical related to life science became castles in the air, the huge investment in research became huge waste, medical and research of the dialectical relations is also.

        Professional level of media is from the social development level, actually this kind of malignant doctor-patient relationship even without public media leaks, will also exposure to network media, in overseas domestic print media usage of tabloid magazines see medical cases reported more bad, could be compared to the Hollywood horror film. The domestic public media professional is also a big problem, and North America has a great distance, credibility and big give discount. Medical treatment is highly professional disciplines, even if the media people a little professional background, also hard to ensure the accuracy of the professional reports connotation, this must have independent professional scholars help of justice, and Chinese professional most are subject to system, professional scholars independent justice became great questions.

        The whole system architecture rigid stubborn don't change words, in a subordinate departments do some small improvements of reform, this order is no good. In addition, the Hong Kong and Taiwanese, and other Chinese circle, the medical basic integration with the west, small and easy to management, very hard for mainland China imitate, geographically they are of greater China small satellite, but in the medical system they are the extension of western system, this let I feel sad.

        (http://blog.sciencenet.cn/u/yw20002000)

        [20] laizhouwan

        Domestic third party mediation is in general-for the harmony thee; Anyway, the hospital even if wronged also lose money, no professional technology, mediation.

        Blogger reply: so to reform, and is a big change.

        [2] SNPs

        The other problem is the popular science is not in place. The patient the delusion that most disease can be cured, but in fact can cure illness very few, especially as tumor such disease. How to let patients know clearly what prognosis, and feel the doctor is in efforts to save? There is a doctor-patient communication strategy problem.

        Blogger reply: yes, in the United States, at public medical is that the patient's knowledge and quality is very high, in addition, doctor-patient communication to the patient's disease including education is part of the professional training, professional level is very high, the domestic basic is blank.