How to strengthen the construction of medical ethics, focus on building a harmonious doctor-patient relationship

"No virtue is no medicine". Medical ethics construction is an important work of the construction of socialist spiritual civilization, is an important part of building a harmonious society, directly related to the image of the medical and health sector, survival and development and the majority of patients' health and safety. In today's rapid socio-economic development, medical reform continues to deepen the new period, more attention should be paid to the construction of medical ethics and medical style, with good medical ethics and medical style norms, shaping the new image of medical personnel, build up a harmonious doctor-patient relationship, and make every effort to promote the orderly and healthy development of health care.

(A) deeper understanding of some of the ideological, medical ethics and medical style construction engraved in the heart

In recent years, the county health administrative departments and medical and health units attach great importance to professional ethics education and ethical construction, education and guidance of the majority of medical personnel adhere to the people's health and safety of life in the first place, not afraid of danger, rise to the challenge, to comply with the overall situation, and the courage to take on the heavy burden, dedicated, dedicated, and effectively guarantee the health and safety of the people, and to protect the people's health.

The county's medical personnel have been guided to put the people's health and life safety in the first place.

While seeing the achievements, but there are problems that can not be ignored, mainly in: a small number of medical units and medical staff quality of service is not high, bad service attitude, poor sense of responsibility, disregard for the interests of the masses; health care institutions and medical personnel to eat kickbacks, accept red packets repeatedly; medicine purchase and sale of the field of unethical and illegal violations of the serious problem; medical disputes and accidents occur frequently, Medical disputes and liability accidents are frequent, and the doctor-patient relationship is tense. Must face up to the problem, recognize the situation, and fully understand the necessity and urgency of strengthening the construction of medical ethics.

1. Strengthen the construction of medical ethics, is the objective requirements of the development of the new period of health care. At present, China's health undertakings face the competition and challenges of the market economy, medical personnel's world view, outlook on life, values continue to change, the traditional medical ethics undergo a severe test. In this context, the party and the country to strengthen medical ethics and medical style construction in the new period of health care in an important work. The report of the 18th National Congress of the CPC clearly puts forward: to improve the service capacity of medical and health care team, and to strengthen the construction of medical ethics. Health development "Twelfth Five-Year Plan" also clearly requires: to strengthen the construction of medical ethics, and establish a good image of the health industry. We must fully understand the importance of strengthening the construction of medical ethics, as the current and future period of the county's medical and health care in the field of a major event to grasp, grasp, grasp and achieve results.

2. Strengthening medical ethics and medical style construction, is an important part of the party's clean government construction. Medical and health work for the whole society, involving thousands of families. Medical ethics is the main embodiment of the health profession. The success or failure of the construction of medical ethics, not only about the reputation of the health care industry and the rise and fall, but more importantly, the relationship between the image of the party and the government, the relationship between the people's hearts, the relationship between social harmony. We must be from a high degree of politics, the construction of health practices, medical ethics, medical construction, into the overall situation of the party's clean government, a profound understanding, attach great importance to, and seriously implement, focus on solving the medical staff in the medical ethics of the outstanding problems, focus on solving the hotspots and difficult problems reflected by the masses, and constantly improve the majority of medical workers clean practice, civilized practice of self-consciousness, to build a firm ideological and moral Line of defense, to save for a rainy day, precautionary in the first place, to prevent and reduce the occurrence of unethical practices in the health industry.

3. Strengthen the construction of medical ethics, is the construction of happy Wannian of the subject. The county party committee Zhang Aiping secretary in the county party committee twelve ten plenary session, to promote the development of upgrading, accelerate the green rise, and concentrate on the construction of happy Wannian. Imagine, a medical disputes, medical incidents often occur in Wannian, is not happy Wannian? A difficult to see the doctor, the doctor is expensive, the masses are full of complaints Wannian, is not happy Wannian? In my opinion, a happy Wannian must be a harmonious doctor-patient relationship Wannian, must be a Wannian that the public's health and life safety are effectively protected. Therefore, we must unify our thoughts to the county government's decision-making and deployment, and constantly strengthen the construction of medical ethics and medical style, and effectively improve the level of medical services, to provide strong medical support for the construction of happy Wannian.

(2) work initiatives more practical, the construction of medical ethics in the hands

To carry out the construction of medical ethics, we must focus on solving the current outstanding problems in the health system style, and effectively improve the overall quality of all medical and health workers, enhance the people's acceptance of the health industry, satisfaction, and constantly improve the health care service capacity, level of service and good image of the health Good image of the industry.

1. Strengthen education, focus on guidance, in medical ethics education. First, focus on professional ethics education. Education of the majority of medical workers to establish a correct outlook on life, values, inherit the traditional virtues of doctors, abide by the doctor's professional ethics, improve the doctor's professionalism and spirituality, the establishment of noble medical ethics and good medical style. In particular, to strengthen the health system of new personnel pre-service medical ethics education and training, education, they set up a correct world view, outlook on life, values and saving lives, wholeheartedly serve the people's sense of purpose. In the county to carry out medical ethics and medical ethics theme of educational activities, the purpose is to strengthen medical ethics and medical ethics construction as a hand to comprehensively enhance the professional ethics and professionalism of the majority of medical workers, and to promote the medical service attitude, quality of service and level of service to the next level. The second is to focus on typical exemplary education. In recent years, our county health system has emerged a number of advanced models, such as the national excellent rural doctors - Pei Mei Township, Heqiao village doctor Shao Qiangyuan, "the first moving Wannian top ten" candidate - Qi Bu Township on the wang village. -Qibu Township on the Wang village doctor Qi Hailin, are the county's health system's pride, but also an example for us to learn. This year, we are about to carry out in the county-wide "most beautiful doctors and nurses" to find the selection activities, the purpose is to vigorously publicize around the medical ethics, clean practice of medicine, play a good role in guiding the demonstration of advanced models to promote the construction of medical ethics and medical style to a deep level. Third, pay attention to the law and regulations education. Organize medical staff to study the national health laws and regulations, study the technical operation standards, study the rules and regulations of the hospital, so that medical staff know the law and discipline, understand the law and discipline, abide by the law and discipline, and resolutely abide by the laws and regulations of the bottom line, the bottom line of professional ethics and the bottom line of quality and safety. Fourth, focus on warning education. Using typical cases investigated and dealt with to educate the majority of medical staff to enhance the awareness of law and discipline and public morality, combined with the international pharmaceutical giants GlaxoSmithKline and Sanofi in China "Briberygate", "Fuping abduction of babies" and Guangdong Province, Gaozhou City, the People's Hospital of commercial bribery case and other typical cases, to carry out warning education. In addition, it has carried out warning education to cultivate medical personnel's respect for law and discipline, consciously resist the influence of all kinds of erroneous thinking and undesirable social trends, and endeavor to be exemplary practitioners and active promoters of noble medical ethics and morals.

2. Strengthen the management, strengthen the constraints, in the medical ethics and medical style mechanism. First, the establishment of medical ethics and medical style construction responsibility system. County health administrative departments and medical and health institutions focus on the establishment of the main leader is responsible for the total, the leaders in charge of the division of responsibility, one level to one level, one level to one level is responsible for the construction of medical ethics and medical ethics work responsibility system; signing of the target at all levels of responsibility, so that the task is broken down to the department, the responsibility is clear to the individual. At the same time, we are actively exploring the establishment of a long-term mechanism for the construction of medical ethics and medical style, and constantly improving the scientific, targeted and effective construction of medical ethics and medical style. The second is to improve the evaluation system of medical ethics. Conscientiously summarize the successful experience and effective practices of medical ethics and medical style construction, improve and perfect the evaluation system of medical ethics and medical style, explore evaluation methods, establish evaluation files, and take the results of medical ethics and medical style evaluation as an important basis for annual appraisal, appraisal of excellence and promotion of titles, and implement the one-vote veto system of medical ethics and medical style, so that the construction of medical ethics and medical style will be pushed to a deeper level. Third, the implementation of medical ethics and medical supervision mechanism. Through the hiring of medical ethics and medical style supervisors, the establishment of a report box, complaint telephone, accept the higher departments, sister units, news and public opinion, the National People's Congress deputies, CPPCC members and the people's supervision, to promote the construction of medical ethics and medical style of continuous improvement.

3. Improve the quality, standardize the service, and work on the content of medical ethics. First, strengthen the business knowledge learning. In today's era, the knowledge update rapidly changing, do not learn, do not master new knowledge can not keep up with the times beat. The majority of medical workers should adhere to a variety of ways, learning theory, strong literacy, learning business, strong skills, carry forward the spirit of dedication to save lives and improve the ability to treat the sick and save people. Each health care unit should guide, encourage and create conditions to support cadres and workers to learn. Second, improve the quality of medical services. Conscientiously implement standardized quality service, starting from standardized service facilities, standardized service procedures, standardized service behavior, standardized service quality, standardized service standards, standardized quality service activities in medical and health units, and build an all-round quality monitoring system. Third, strictly regulate the behavior of medical services. Adhere to the treatment of diseases, rational use of medicines, reasonable inspection, reasonable charges, cut off the direct interest relationship between medical institutions and medical personnel and drug sales, reduce the burden of the masses of medical costs. It has earnestly implemented the national basic drug system, strengthened the management of fees and charges in medical institutions, and carried out special inspections of the prices of medical services to correct and prevent indiscriminate charging. It has actively promoted the centralized procurement of medical consumables and reagents, especially high-value medical consumables, and urged medical institutions to gradually establish an open, transparent, and democratic decision-making mechanism for the procurement and use management of large-scale medical equipment and high-value medical consumables, and to reduce the cost of large-scale equipment inspections. Fourth, strengthening comprehensive internal management. It has actively promoted openness in medical care and widely accepted supervision by society and the public. It has improved the system of patients choosing doctors and hospitals, the list system for hospitalization costs, and the system for publicizing and inquiring about medical charges and drug prices. It further implements rules and regulations on physician assessment, technical access, pharmacy management, infection control, blood management, medical waste disposal, medical disputes, fire safety, and doctor-patient communication, so that hospital management keeps pace with medical technology and social development. Especially for those staff members who do not follow the rules and regulations and job duties, the hospital should dare to manage and penalize them to guarantee the real implementation of the unit's rules and regulations. 

(C) organizational leadership stronger, the construction of medical ethics in practice

To carry out the construction of medical ethics, is related to the overall situation of health work is an important work, is the majority of medical workers to devote themselves to the construction of happy Wannian an important carrier, the relationship between the overall image of the health and the long-term development of the significance of great significance, arduous task. Must strengthen the leadership, implementation of the responsibility, carefully organized, and seriously grasp the implementation of the work to ensure that the construction of medical ethics and medical style to achieve practical results.

1. Implement the leadership responsibility. In the past, there is an old adage, called "the wind into the upper, popular in the lower". A place, an industry style of good or bad, the first is to look at the leadership, look at the team. Strengthening medical ethics and medical style construction, the County Health Bureau and the medical and health units, "a hand" is the first person responsible for, must personally grasp, take overall responsibility, really do the ideological understanding in place, the arrangements for the deployment in place, the leadership responsibility in place, the work in place. Correctly handle the construction of medical ethics and the relationship between the development of health undertakings, the construction of medical ethics into the overall work of the overall work of the deployment, and the overall consideration of the work of the business, integrated planning, coordination and promotion. Adhere to the health reform and development, one hand to grasp the style of construction, always the construction of medical ethics throughout the entire process of health development.

2. Strengthen supervision and inspection. Health system is a "window" industry, but also a service industry. To take the initiative to accept the community, the masses and public opinion supervision, the masses reflect strong hot spots, difficult problems, attach great importance to them, thematic analysis, rectification. County Health Bureau to effectively strengthen the supervision and guidance, take the open and secret, regular supervision, tracking and inspection and other forms to ensure that the work does not go through the motions. The implementation of poor, formal units, resolutely be informed and criticized; do not seriously perform their duties, resulting in adverse effects, and strictly pursue the responsibility of the relevant personnel. Strive to strengthen the construction of medical ethics, so that the county health system cadres and workers have touched, pressure, motivation, vigor and energy.

3. Strict accountability and investigation. In recent years, the county health bureau and the medical and health units in the medical ethics and medical style construction has also developed a lot of rules and regulations, but the implementation of the strength is obviously not enough, some even in form. It can be seen that the system is not in how many, the key is in the strict implementation. County Health Bureau and the leadership of the medical and health units, the system, the unit occurs in the disciplinary violations of people and things, must be dealt with impartially, without favoritism, strict investigation and punishment without leniency. Prescribing, billing commission, abusive inspection, indiscriminate charging and receipt of "red packets", "kickbacks" and other issues, found one investigation and punishment, never tolerate. To reflect the outstanding medical ethics problems not timely investigation and handling, first of all, the leadership of the unit responsible.

Strengthening medical ethics construction is a long-term, systematic and complex project. We must closely around the "personnel appear a new look, the industry to establish a new image, work to open a new situation, the masses to enjoy the new benefits" this goal, unity of thought, pragmatic, and solidly promote the construction of medical ethics and medical style, and strive to promote the sustainable and healthy development of health undertakings in the county, to achieve the construction of a happy Wannian this grand goal.