Health: "AIDS patients' surgical difficulty" is

another kind of public welfare inadequate

health

Xiao kang (clerk)

Recently, China HIV carrier alliance in written about solving the AIDS virus infection and AIDS patients "operation to suggest" report released in Beijing. Report shows, surgery difficult is HIV treatment facing the most prominent problems, at various levels in hospital has occurred. (May 22 "jinghua times

Many people regard the muzzle aimed at the doctor medical ethics, which actually is not the whole story. AIDS patients surgery is difficult, the first is a management problem. Accept surgery AIDS patients in hospital? Many medical institutions have own expressly management regulations. At present, most of the hospital is not willing, also do not "habits" receiving such cases, doctors just in the implementation of the hospital internal management regulations. Beijing youan hospital infection, the attending physician check had revealed: "AIDS the existence of a hospital surely become some medical institutions or refusing to provide for infections shuffle conventional medical service excuse."

Some doctors put forward refused to. In fact, it is a realistic root. At present are not yet available for occupational exposures and HIV medical staff, the compensation or subsidies to compensate the laws. Although HIV surgery, but the chance to very low risk also should get full consideration and reflect, it will be possible to exempt from the doctors worry. This also talk with the whole society "change" have relations ai color. Once the hospital treated AIDS patients, a doctor will not eliminate the concerns of other patients, which will give doctors bring too heavy burden. The media have reported such extreme example: henan had a hospital, total of AIDS patients, the other patients all ran away.

There is no doubt that this is a kind of disadvantages behavior. Because the medical risk looks very, very scary, very troublesome, buck is taking a position, with the attitude of the result of the whole society, makes likely become overwhelmed. We watched such patients did not receive timely surgery and death, or to find another path. Many of them will end up forced to choose to private clinics and does not measure the basic-level medical institutions, blood or choose to go to the hospital, monitoring blood disease, hide themselves in a state of "underground" seek medical attention. But this added new infection risk, and will this risk shifting to more people's body.

Not long ago, the ministry of health issued a report on the epidemic situation points out, from the start of 2008, AIDS deaths has three consecutive years top in infectious disease death. Experts think, a considerable number of infections incurred because of fears of social discrimination, have been afraid to detection of in the hidden states. But it was found too late, late due to at time of diagnosis, the patient was too late to arv drugs. Nearly five years in the number of reported HIV/AIDS deaths, as much as 80% of the people have not received any antiretroviral treatment. And in all the various social discrimination, this kind of medical discrimination is undoubtedly the most damage.

How to change the attitude and the hospital position? The rights and obligations of the boundary must have more distinctive expression. System

First, though, before the state issued in HIV/AIDS prevention and control ordinance is specified, medical institutions must not for medical patients infected with the virus that causes AIDS, or AIDS patients to its other shuffle or refused to treat disease. But this rule has been relatively too general. We should follow the practice of some developed countries, with qualification expressly medical institutions and the doctor, and may not refuse admitted such patient. Once the offense, will the deserving responsibility.

Secondly, a penalty should also have a reward. For hospitals and doctors in the risk compensation and incentive mechanism, should be further improved to avoid the healers who use our products. Only in this way can we avoid the disadvantages, and to let providers are to see such a complex cases and patients, no longer the fear and retreated.