The occurrence of medical disputes in addition to technical reasons, most of them are triggered by the service, for this reason, must be resolved through two methods, one to strengthen the professional ethics education of medical personnel, and the other to establish rules and regulations to standardize and constrain the service behavior of medical personnel, in order to control disputes caused by poor service. Professional ethics education is an effective way to change the service concept of medical personnel and enhance the sense of service. Carrying out hospital culture construction activities, post star evaluation activities, ten best doctors, ten best nurses evaluation activities, as well as the socialist concept of honor and shame education activities, etc., can greatly mobilize the enthusiasm of the majority of medical staff, so that the patient's satisfaction continues to improve, the image of the hospital has been upgraded.
Dealing with medical disputes should be serious, calm and adhere to the principle. Hospitals should set up a special department to receive patient complaints, the patient's complaints, should be in the spirit of seriousness and responsibility, seeking truth from facts, and promptly find out the truth, and distinguish responsibility. For controversial professional issues, can organize internal and external expert consultation or consult relevant experts, and make full use of a variety of legal and regulatory documents, the formation of a more meticulous and rigorous written opinions. For medical disputes do not take sides, do not cover up, order the parties concerned to apologize to the affected party, to obtain their understanding, and take timely remedial measures; on the seriousness of the situation, leading to certain adverse consequences, depending on the circumstances of the affected party to a certain degree of economic compensation, and according to the hospital regulations on the responsible person to be punished, and even pursue legal responsibility. If the disputes are caused by the lack of medical knowledge of the patient, such as: taking the adverse consequences of normal complications and unpredictable medical accidents as medical malpractice, etc., the staff can send the investigation of the hospital and the relevant opinions of the experts to the patient in writing, and actively communicate with the patient to patiently publicize the relevant medical knowledge and strive for the understanding of the patient. In addition, it is best to notarize the results of medical disputes to increase the legal effect. When the two sides still can not reach a unanimous agreement after repeated receptions, when the patient insists on demanding high compensation, when the patient has been unreasonably interfering with normal work, we must adhere to the principle, and firmly reject their unreasonable demands, and can not allow them to hold on to any hope. Hospitals in the patient's written opinion served to the hospital, should inform the patient can apply for medical incident identification, such as the patient pestered, and does not put forward the identification of the application, the hospital should take the initiative to apply for an accident identification, if necessary, can be resolved through legal channels. In this regard, the medical party should prepare a variety of evidence and related materials, do a good job of communication with the attorney, and actively cooperate with the judicial organs of the investigation and evidence collection work, ready to respond to the lawsuit.
Medical and health work is closely related to the people's health and life, people tend to see the results of economic and social development through medical and health services, to see the construction of the party style and political style, to see the *** management level, to see the social justice and harmony. Medical services to save lives, treating the sick and saving lives, in a certain sense, determines the survival of the patient. Medical personnel and patients have a *** with the same goal is to overcome the disease, reduce pain, to protect health and safety of life. Therefore, medical personnel and patients must trust each other, mutual respect, mutual understanding, mutual help.
Doctors should start by strengthening doctor-patient communication to build a harmonious doctor-patient relationship. In medical work, communication is also an art. Greek famous doctor Hippocrates once said: "doctors have two things can cure, one is medicine, the second is language." It can be seen how important doctor-patient communication is! Doctors should respect the patient's right to know about the disease and the right to choose, the treatment plan, surgical program, the use of special drugs, special tests and special materials, as well as the condition of difficult and critical patients, etc., should be timely and adequate communication with the patient or his family to obtain the cooperation of the affected party. Doctor-patient communication is a kind of information transfer process of medical understanding, which is carried out for the patient's health needs, and it enables doctors and patients to fully and effectively express their understanding of the activities, wishes and requirements, and the generalized doctor-patient communication here should also include nurse-patient communication and doctor-patient communication. Good doctor-patient communication helps medical personnel to adjust their own or the patient's medical concepts, but also helps doctors and patients to understand each other correctly, coordinate the relationship to ensure the smooth progress of medical activities. Sufferers in the establishment of a good doctor-patient relationship in the first place, is to have a correct mindset about the disease, old age, sickness and death is the law of nature. No matter how developed modern medicine, hospitals or doctors do not have 100% certainty of the treatment of disease. Patients only in a rational understanding of the basis ...... >>
Question 2: What do you think of the doctor-patient relationship? How do you deal with conflicts between doctors and patients? Listen more to the patient's opinion, communicate to the patient. With the idea and rectify institutional problems, the root causes of the intensification of conflicts between doctors and patients are being explored. Witness the various programs of health care reform in various countries, but can't find the total best answer. Regardless of the right decision or decision-making mistakes, to be wise people governance capacity.
Question 3: How to solve the contradiction between doctors and patients? Everyone is discussing how to solve the contradiction between doctors and patients. My point of view or hospitals as the dominant party, we must make it clear to the patients and their families: for many diseases, doctors can not help, not all diseases can be good. In fact, for cancer, some immune system diseases, and even some cardiovascular diseases, the hospital's treatment means are limited, and the treatment of many diseases is basically a blind cat meets a dead mouse, and it is luck that it can be cured, and it is the patient's bad luck that it can't be cured. As long as the hospitals tell the patients and their families about the situation and do make efforts to save their lives, I believe that most of the patients and their families will surely understand. Then again, the hospital should really put more energy on summarizing the examination and treatment process to see if there is a need to improve the aspects, do not just focus on making money and patients indiscriminate examination and treatment. Of course, as a patient, do not keep a close eye on the medical staff, although relative to the patient, they are professionals, but now the disease is really more and more complex, the patient really need to know, a lot of diseases for the doctor is not good to see, more often than not, the doctor can only be regarded as a professional consultant, they can only tell you some professional knowledge, and the final judgment is still rely on the patient's own. I know that most people can't accept this kind of words, because how can the patient judge without knowing the specialized knowledge? But this is the current situation in China, because doctors, like patients, are becoming less and less specialized in the science of medicine, and what they know, you can find out on the computer. But the problem is in the patient himself, the exact feeling is only known to the patient himself, so the final judgment can only rely on the patient himself. Otherwise, the higher your expectations of the doctor, the greater the disappointment later. Especially for diseases like cancer, if you follow the doctor's instructions completely, then the final result will be a loss of both human and financial resources! Only the doctor is no longer simply to earn money and practice medicine, the patient can also rationally treat their own sick this objective fact, that the doctor-patient relationship can be truly alleviated.
Question 4: What is the root cause of the current contradiction between doctors and patients, how to solve the human psychological, spiritual, cultural, economic, social needs are weakened, as well as the one-way curing thinking of the medical side. Also, the degree of feeling of the patient is high, and the subjective degree of feeling of the doctor is not high. This is coupled with the frequent occurrence of vicious injuries to doctors, non-objective reports dominated by online media, and overloaded medical care in large and medium-sized public hospitals. And the patient side of the many factors are focused on your medical staff, medical and patient communication is poor, can not be caused by mutual understanding and trust.
Focus on humanistic care, doctor-patient relationship is not empty, not others, but the reality, pay more attention to the psychological needs of patients and their families, more understanding and more feelings, more thinking and more comprehension, give care, and then around the diagnosis and treatment of technical problems to establish a relationship of trust and cooperation.
Question 5: How to effectively resolve the conflict between doctors and patients in China Since this year, violent conflicts between doctors and patients have occurred frequently, causing concern in all walks of life. 15 September, a tragic bloodbath occurred in Beijing Tongren Hospital, 43-year-old female doctor Xu Wen was a patient stabbed 17 times, fell in a pool of blood. A week later, another ophthalmologist was injured by a patient.On September 21, a violent clash occurred at Wuhan Union Hospital in Hubei. A patient in his seventies died due to complex medical conditions and failure to rescue, and his family disagreed with the hospital's conclusions and gathered dozens of people armed and stormed the hospital.On August 23rd, a bloody brawl broke out at the first hospital in Nanchang, Jiangxi Province. Hundreds of people armed with sticks, fishing forks, steel pipe to the hospital trouble, and security clashes. In recent times, the problem of doctor-patient conflicts has attracted much attention, we pondered: why is there a wave of doctor-patient conflicts in China? How to solve the doctor-patient conflict in China? The doctor-patient relationship is the medical staff and patients in the medical process to produce a specific medical relationship, is the key to medical interpersonal relations.
The famous medical historian Sigris once said: "Every medical action always involves two types of parties: physicians and patients, or more broadly speaking, the medical community society, medicine is nothing more than a multifaceted relationship between these two groups of people". This passage elucidates that the most essential thing of the whole medicine is the relationship between physicians and patients. Famous enterprise management expert Mr. Tan Xiaofang believes that the high development of modern medicine has expanded this concept even more, and the "medical" has been expanded from a purely medical group to all the employees of hospitals participating in medical activities; the "patient" has also been expanded from a purely medical group to all the employees of hospitals participating in medical activities; and the "patient" has also been expanded from a purely medical group to the whole staff of hospitals. The "patient" has been expanded from a mere medical group to all hospital staff involved in medical activities; the "patient" has also been expanded from a mere medical seeker to every kind of social relationship related to it. The doctor-patient relationship in medical activities consists of two major parts: the technical relationship and the non-technical relationship. Non-technical relationship refers to the process of seeking medical treatment medical staff and patients of social and psychological aspects of the relationship, in the medical process of medical effects have an invisible role.
Mr. Tan Xiaofang, a famous enterprise management expert, said that the essence of the doctor-patient relationship is "benefit **** the same body". Because the "doctor" and "patients" not only have "overcome the disease, early recovery" *** with the same goal, and to overcome the disease not only rely on the doctor's excellent medical skills, but also rely on the patient to overcome the disease Confidence and active cooperation. Against the disease is the doctor and the patient *** with the responsibility, only the doctor and the patient *** with the cooperation, active treatment, in order to seek a better therapeutic effect. Doctors and patients in the process of resisting and treating the disease are in a key position, the patient's desire to recover through the doctor to realize, the doctor is also in the process of diagnosis and treatment of the disease to deepen the understanding of medical science and knowledge, to enhance the diagnosis and treatment skills. In front of the disease, doctors and patients are allies and a united front, doctors and patients should encourage each other, *** with the victory over the disease.
Maintaining a good relationship between doctors and patients as a pair of interests **** the same body, need to doctors and patients **** the same efforts. An interesting folk legend can serve as a footnote. The Tang Dynasty, the king of medicine Sun Simiao went out to collect medicine, encountered a mother tiger open mouth stopping the road, the attendant thought that the tiger wants to devour people and escape, Sun Simiao, but the tiger has an unspeakable disease. It turned out that the tiger was stuck in the throat by a long bone, and came to stop the road to seek medical treatment. Sun Simiao removes the foreign object for her and the tiger leaves happily. A few days later, Sun Simiao passed by this place on his way back, and the tiger and its cubs waited by the roadside to pay their respects to him.
According to Ms. Tan Xiaofang, this story illustrates at least two truths: first, even if a man-eating tiger is sick, the doctor should treat it with benevolence and justice, not to mention the sick; second, even if a man-eating tiger is grateful to the doctor who relieved it of its illness, he responded politely. In a sense, mutual respect, mutual cooperation, interdependence is the most basic features of the doctor-patient relationship.
In the past, doctors and patients were really like family. The doctor is *** all-inclusive, the doctor does not think about making money, what medicine to use what medicine, the patient is not now so much, the doctor can ask very carefully, unlike now a few minutes on the "get it done" a patient. New Year's festivals, the hospital has a lot of old patients will come back to 'go to relatives', to some of the old Chinese doctors to send some taro, chickens and ducks, very close. The new health care reform focuses on the return of the medical cause of public welfare, *** to increase investment in health care and supervision, doctors can not only focus on money, to vigorously advocate the "benevolence and benevolence", to promote the harmony between doctors and patients.
Mr. Tan learned that *** is promoting the new health care reform, increasing health investment, reforming the system of "medicine for medicine", and realizing the full coverage of the health insurance, and gradually let the masses enjoy the basic health care services. In addition to the reform of the health care system, medical ethics should also be unremitting, "people-oriented, medical is a benevolent art, the great doctor is sincere" is the core value of traditional Chinese medical culture, these principles are not just simply engraved in the plaque, but also to keep in mind. This can effectively ease the tension between doctors and patients.
With the popularization of the biopsychosocial medical model and the new century ...... >>
Question 6: What is the root cause of the current contradiction between doctors and patients and how to solve the root cause of the current contradiction between doctors and patients is the lack of national investment in health care
In textbook language, it is: the contradiction between the growing material and cultural needs of the people and the backwardness of the social production in the field of health care is reflected.
There are only two ways to solve this problem, one is to increase social productivity and make the pie bigger, and the other is to give more to healthcare when dividing the pie
Question 7: How to strengthen doctor-patient communication and reduce doctor-patient conflicts Improve doctor-patient communication skills, reduce doctor-patient conflicts, and create a harmonious healthcare environment
The World Health Organization (WHO) conducted a survey and found that on average, a doctor interrupts patients within 18 seconds of the patient's presentation of his/her condition. 18 seconds to be interrupted by the doctor. When the patient wants to express their views on the treatment, the doctor has been pre-disposed to prescribe a good prescription ...... Hefei One Plus One ** hospital senior experts said, more than 90% of the doctor-patient disputes from the improper communication between the doctor and the patient, so each medical staff should master the skills of communication with the patient to strengthen the humanistic attention to the patient's social and psychological needs and other aspects. Studies show that patients and the public are most dissatisfied with doctors, often their poor communication skills, rather than their professional skills. According to reports, some doctors tend to start from their own point of view in the diagnosis and treatment, rarely consider the patient's idea; even in the diagnosis and treatment of over-reliance on some high-tech instruments, but not willing to spend time to communicate with the patient.
In addition to communicating with patients, medical staff should also master communication skills. The communication between doctors and patients is professional, so the doctor should play a leading role in complaining about the patient's poor expression is wrong. Doctors must be sincere, approachable, and have the desire and motivation to help patients alleviate pain and promote recovery. It is not an exaggeration to say that communication skills are essential for doctors. The following focuses on communication skills:
1. Listening: This is one of the most important and basic skills, but unfortunately, it is often neglected by busy doctors. Doctors must listen to the patient's complaints as patiently, attentively and caringly as possible, and have a response, such as changing expressions and eyes, nodding for "um, um" sound, or simply insert a "I hear you clearly" and so on. Especially patients suffering from toothache, often worried that the doctor's treatment will be painful, especially the sound of the dental drill and dental instruments fear and doubt, the doctor needs to patiently explain, make it clear that now the regular hospital dental treatment has been from "painless treatment" to "comfortable treatment", to eliminate unnecessary fear. Eliminate unnecessary fear. Of course, the patient's account should not be too far from the topic, the doctor can politely remind the patient, please return to the subject. In short, listening is the most important step in developing a good relationship between doctor and patient. Diagnostic errors are often caused by doctors not listening enough.
2. Acceptance: the letter for the doctor, the patient should trust the doctor, accept the doctor, the patient or his family do not trust the doctor and accept the doctor's diagnosis and treatment is most likely to be disputes. The doctor should also accept the patient unconditionally, there can not be any refusal, disgust, dislike and impatience.
3. Affirmation: This refers to the affirmation of the authenticity of the patient's feelings, and must not be presumed to deny. For example, the patient complained that "my side of the tooth is always jumping and jumping pain". The doctor must first confirm the authenticity of the patient's throbbing sensation and express understanding of the patient's discomfort and concern. As for the patient's idea, even if it is obviously pathological, do not take a negative attitude, and do not argue with the patient.
4. Encouragement: Appropriate appreciation and encouragement can narrow the distance between doctors and patients.
5. Choice: As the saying goes, all roads lead to Rome. Doctors may have a variety of treatment options, its advantages and disadvantages to tell the patient, the patient can be based on their own ideas, time schedules, economic situation, etc. to make different choices, the doctor in the therapeutic effect on the basis of full respect for the patient's choice. Of course, the doctor can not accommodate the patient's unreasonable or unrealistic demands, because the doctor can not accurately predict the "future".
To make the communication between doctors and patients more smooth and want to get more comprehensive information, doctors should mainly do the following aspects of work: (1) improve their own quality, increase the communication of knowledge and popularity; (2) according to the person to person, increase the flexibility of communication and sense of intimacy; (3) listen carefully, encourage the patient to actively provide information; (4) truth-seeking to ensure that the communication of information authenticity (5) to establish a good medical ethics, medical ethics, and the patient to ensure that the communication of information (5) to establish a good medical ethics, medical ethics and the patient to ensure that the communication of information (5) to establish a good medical ethics. ) to establish good medical ethics, consciously *** detrimental to the image of the medical institutions of the unhealthy wind, respect for the rights and interests of patients, starting from themselves, to improve the language art of communication with patients, *** with the creation of a harmonious doctor-patient relationship.
Medical institutions should also be strict self-discipline, first of all, to lead a good team, to the unit in recent years, the occurrence of medical disputes carefully sorted out, from which to learn from experience, improve the measures and methods, to take a variety of forms to strengthen the laws and regulations of the staff and professional ethics education, we must really carry out the "patient-centered" activities in practice, to further improve the quality of medical care, improve service attitude, to improve the quality of medical care. To further improve the quality of medical care, improve service attitude. The second is to strengthen the communication and training of medical workers, and organize more lectures and seminars. Thirdly, *** relevant functional departments should create a good practice environment for hospitals to provide protection and support, medical units should take the initiative to communicate with the relevant departments to seek social understanding and support. Fourth, increase *** investment in health, increase advanced equipment, especially ...... >>
Question 8: Doctor-patient conflict: how to see and do Doctor-patient conflict, this is a big social problem, need the whole society *** with to solve.