China is the doctor fill the humanistic this lesson

health

Zhong nanshan

        November 12,, in guangdong physicians humanistic medicine working committee held "do human doctors, promote harmonious doctor-patient" BBS, academician of Chinese academy of engineering of recent zhong nanshan barrage of medical disputes happened to reflect on the event, and points out that the doctor-patient relationship in the root of the nervous system in our country public welfare, fairness and medical medical humanities spirit, the lack of doctors should in humanistic medicine to make up a missed lesson. --who make up

        At present the doctor-patient relationship in the end might be said to have stage. Recently, guangdong dongguan happened patients to chop down dead doctor events. But in many other patients, it seems, the cut is a very good old doctor. In some cases to understand, I propose that physicians released a statement to the accident investigation clearly, to the general medical staff a replacement. We help doctors' rights, let doctors get due respect, really got a lot of work to do.

        I want to ask you, what occasions are most likely to trigger the respect of the people of love? One is the church. No matter is to believe in Buddhism, Christianity, Catholic, or Islam, people went to church will act very pious, sacredness you are grown old, any movement is considered disrespectful. The second occasion is a hospital. In most countries and regions of the hospital, the patient to the doctor is absolute trust, to follow the doctor's advice is basic, what did the doctor say how to do. The third occasion is class. In the classroom, teachers how to say, students how to do. The teacher has majesty, widely respected.

        China's health care system is like a pyramid, the pinnacle of our very hard, but is still very weak bottom

        So, why the three career can be respected? Because be pastor, a doctor or a teacher, first they starting point is for all services, they get respect for giving. Now, our medical industry appear a series of questions, in foreign countries is extremely rare. For example, the following the old doctor is low head case report, a group of people is surrounded a few cut his knife. Not long ago, Beijing tongren hospital, director of the XuWen was cut by people remember. Why the doctor-patient relationship will make to this point?

        I believe that there are three reasons: the first is the lack of public health system. Although we do a lot of effort, but not enough. In 2009 the national health funding government investment ratio to 27.5%, the patient pays 37.5%. Estimates that by 2014, the national medical the funds investment will increase, the government increased to 30%, and the common people pay ratio will to around 30%. If medical system public welfare not enough, lead to the medical service market, people see a doctor to themselves to pay a lot of money, it will cause problems.

        How to improve the government's medical investment, is a worldwide problem. With over 1.3 billion people in the Chinese suddenly solve this problem, I can't think very practical. The United States has spent on medical care accounts for 15% of the national economy, still can't solve all problems. And in 2009, the data shows that Chinese medical expenditure in GDP was only 4.89%. The world is very low. So to solve the problem of public welfare, it must increase government investment. But at the same time, we also want to consideration for the government, understand the policy of the country.

        The second is fairness. At present our country of uneven distribution of medical resources, big hospital the technical level is high, but the communities to the hospital sent, equipment is bad, the level of foundation is bad, cause the people generally don't look at ailment, ailment pulls a serious illness; A serious illness in basic-level hospitals and see not, have to all crowded to big hospital to see, you see a doctor to see a doctor, the consequent difficult. China's health care system is like a pyramid, the pinnacle of our very hard, but is still very weak bottom, and tower body (such as the county hospital) is the worst of all. In this respect, I'm for play the lead role of pointed pyramid, give full play to the role of large hospital, a big hospital take several community hospital, and the supporting the performance of the work as a cure to judge, will bottom, tower body construction firm.

        Not long ago, I joined the people's hospital, foshan city, the first of YuanQing activities, heard the hospital every year MenZhenLiang of how many additional report, how many additional income. But I think, it's nothing to be proud of. Big hospital MenZhenLiang more and more, is good or bad? My view is that, the big hospital to basic-level medical institutions under the jurisdiction of the people with up, big hospital MenZhenLiang less and less, more and more difficult case, prevention work better, is the right direction.

        Our technology is not bad, ability is not bad, bad for patients is to think of the humanistic spirit

        Third, we have to admit that, because the marketization and so on various reasons, in recent years to the medical humanities medical catch enough. Recently the medical industry happen some examples, medical humanities spirit is reduced. In the market is the dominant influence, part of the medical staff of doctors simply is behavior of the sacred duty of blasphemy.

        To improve doctor-patient relationship, the doctor first begin with yourself. Now some doctors even at least the bottom line of all didn't, give a person the feeling is the medical industry humanistic spirit we inherit and promote hippocratic spirit, Bethune spirit is reduced. Just as some people say, our technology is not bad, ability is not bad, bad for patients is to think of the humanistic spirit.

        In the final analysis, we can't wait for system reform, and then to improve doctor-patient relationship. If don't strengthen medical humanities education, don't improve the doctor's humanities cultivated manners, the doctor-patient relationship problems I'm afraid it is difficult to solve.

        "The door" event I have experience greatly. About 30% of patients will come to see me with a camera. Some may just want to take pictures souvenir, but I know that some of the backpack put LuYinBi. For this, I am very doesn't matter. I think the most important thing is that, as long as my heart is for the patient, will not have to worry about these.

        Humanistic medicine spirit??? What??? In my own experience, one is love, is a responsibility, one is the initiative. Do the doctor, first should have love and sense of responsibility. Why now many famous big hospital experts, to those of larger risk generally choose not to do surgery? Because of poor health care environment, pressure is too great. But in the long run, China's medical career will be standing still.

        I was during the SARS in such pressure. The SARS virus who haven't seen, we take a lot of risks. It gave my inspiration is, is not whether success salving, as long as you work hard, no matter success or not, can have a clear conscience. When we take some means, likely to be successful, but some will be condemned, how to do? Finally, we chose to make, and successful.

        Once we have a young female doctor to a hospital consultation. At that time, a SARS patient trachea cut has more than two weeks, is very sick. The female doctor after reading this, give me a call: "the patient is very bad, multiple organ failure. They hope to turn courtyard, and I think we can try." I say: "you think is hope side's words, he fought the he turned it." Later I asked the female doctor at that time is how to consider, she said: "see a patient that desire to live of look in the eyes, my heart can't stand it. As a doctor, I wanted to save him." With this love, sense of responsibility and the motivation, the doctor will know well the doctor-patient communication, would think of a way to solve the problem for patients.

        Please don't blame the social from all walks of life to the doctor is not fair, I think we should first start from self

        I hope the humanities spirit finally reflect is this: we medical staff and patients is not two parties. We are a party with patients, the other party is disease. We and the common fight against disease patients. Beijing union medical college hospital organized a lymphatic fibroids disease patients club. The disease occurs more often in 30 to 40 year old the female, the patient respiratory function will worsen last failure death. And this phase of the female is in robust life span, and it should take care of children, parents responsibility. The patient is very desperate, he organized a club to encourage each other. Every time the club activities, I can feel intensely doctors and patients is a mind. Patients on the doctor is absolute trust, cooperate a doctor to develop some clinical trials. Even some patients for care and encourage, life extension. So, do human doctors, the first to be learning how fellowship with patients. A doctor is sincere to the patient, the patient is see come out of it, he'll believe you!

        Please don't blame the social from all walks of life to the doctor is not fair. I think we should first start from self. We do, our love, responsibility, growing ambition, media and social can be fairly doctors and medical industry. As a doctor, as long as feel hope, it must be in line with the spirit of saving to save. Maybe system optimization need time, now start from self is fundamental.