Personal perception is nine. A open, the hospital or the doctor's responsibility accounts for 90%, the patient or the patient's family accounted for 10%. The reason is that the patient into the hospital do not know what to do for the disadvantaged party is basically to listen to, believe the doctor's every word, which dare to have the right to talk back? Even if there are a few patients or family quality and bad-tempered people and the doctor had a quarrel that is made to the doctor dissatisfied with too many things so that can not see or intolerable will have a quarrel with the doctor, under normal circumstances, the patient or the patient's family members in front of the doctor are grandchildren, no one dares to go to the doctor and the doctor's argument. So I have been in the hospital as an ordinary person not once or twice, by virtue of their own feelings or seen and heard most of the responsibility is certainly in the hospital or the doctor, the patient or the family's responsibility is very little.
Doctor-patient disputes have three reasons, first of all, the doctor is not to stay out of it, a lot of lack of medical ethics of doctors intentionally or unintentionally bring unnecessary accidental casualties to the patient is not surprising, causing serious consequences after some patients and their families and do not know, or know that after choosing to make peace with it, if you can't accept that it is easy to produce disputes or medical malpractice.
The second aspect is that the patient, the society of the big no wonder, regardless of good people and bad people will be sick, and usually like to nitpick or often dissatisfied with the society of other people to go to the clinic is very easy to dispute with the doctor, even if it is sometimes not to blame the doctor for unnecessary disputes. This is happening more and more as society becomes more prejudiced and distrustful of doctors.
The third reason is that the system, the entire health care system has problems, from the circulation of drugs to the diagnosis and treatment process are problematic, and the anti-corruption efforts over the years has improved. The first is that the price of medicines has been increased to the hands of patients, and the price has become sky-high. It is common for doctors to take red packets and receive gifts. Some doctors are almost businessmen, their main purpose is to earn money, no disease as a disease, a small disease big treatment ... such a starting point inevitably does not produce doctor-patient disputes.
Originally, doctors save lives, teachers are respected professions, now? The relevant regulatory authorities should pay attention to the deep-rooted reasons behind the sharp increase in doctor-patient conflicts is the problem.
Such a question, how do you answer, are problematic.
Because the answer to such an either/or question is different for everyone, it is related to his own experience as a doctor, a relative or a friend, and also related to his perception of some cases in the community, the answer is more or less preconceived notions, and inevitably with bias or one-sidedness.
In recent years, the doctor-patient relationship in some parts of China has not been so harmonious. The country thought a lot of this issue has also explored a lot, basically no unified view, I am here to talk about their own views, doctor-patient tensions, I think the problem is not in the medical itself, but out of the ideological and moral, honesty and integrity level.
Decades of reform and opening up, China's economy, society, technology and other aspects of the overall rapid development, but in the rapid growth of economic wealth at the same time, some of the profit-oriented, profit to the idea of corrosion of the normal body of society, between members of the community, the lack of minimum honesty, resulting in extreme events, from time to time. In some cases, doctors, less benevolent heart, consider the economic factors more, no matter what your situation, no money, no treatment, less money to stop treatment. Patients, everything is not, is the doctor's fault, do not examine their own problems, and even put forward some of the requirements against common sense, and so on these phenomena, resulting in the doctor and the patient between the collusion is not smooth, sharp contradictions.
To solve this problem, first of all, we have to start from the ideological and moral level, to establish a social integrity system.
Second, the establishment of a variety of rules and regulations to regulate the behavior of doctors and patients.
Third, increase the penalty for cases of doctors and patients, adjust the relationship between doctors and patients.
The frequent occurrence of medical disputes, the main problem is not in the doctor, not in the patient, lies in the costs incurred to see a doctor. If the cost problem can be solved, I think medical disputes can be reduced by at least 90%.
This cost issue, I think we can talk about it from both the patient and the doctor.
1. Patients
What do patients look forward to most when they see a doctor? Less money, good results.
If you spend more money, the patient and his family will be under pressure, and when there is pressure, there will be changes in emotions, and sometimes a small problem may be magnified, resulting in medical disputes. I have encountered such a thing, there is an old gentleman, has stomach cancer, the family did not tell him the actual condition, after the operation, always refused to cooperate with the doctor's treatment. Every time the nurse went to hook him up to water, he would always pick faults and sometimes even refused to take the infusion. At first, everyone thought that this patient was really unreasonable. Finally, because the retention needle for the infusion was clogged, a new retention needle was needed. The old man became furious and insisted that the nurse had not given the indwelling needle properly. Although the doctors and nurses repeatedly explained, the old man did not listen, and finally even cursed. Later, the family explained to us the reason, the old man is usually very frugal, this hospitalization bill is sent to him every day, he looked at the heartbroken, do not cooperate with the treatment is to want to not hang the water to save money, in fact, there is no other meaning. In this way, everyone understands, it is all about the cost.
It is difficult to say whether the treatment is good or not. No doctor dares to guarantee that the disease will be treated well. Especially surgeons, complications after surgery can not be avoided. Once out of the complications, the hospitalization time is long, the treatment cost is high. Patients and their families will have ideas and medical disputes will arise. If all the costs do not have to bear the patient, by the insurance company or the government to pay the bill, then, even if there are complications, the patient and his family will be sensible, waiting for the condition to improve, as for whose responsibility, this can be identified by the authority, medical disputes can be greatly reduced.
2. Doctors
In addition to the clinical diagnosis and treatment work, doctors also have to deal with the problem of costs. In today's healthcare environment, if a patient is in arrears, the doctor may have to collect the fees, which can make both parties unhappy, and even lead to medical disputes.
Every profession is the same, and the quality and level of doctors vary. So sometimes, the fault for medical disputes does lie with the doctor. Once this happens, the patient refuses to pay for the hospitalization because it is the doctor's fault for the added cost of hospitalization. Then the hospital and the doctor will have to pay for this cost. Will the doctor not have emotions in his heart? It just so happens that the patient has emotions too, and a medical dispute erupts. If the doctor does not need to worry about the cost, and focus on making up for their faults, and strive for a good outcome, the probability of medical disputes will be very low.
3. Summarizing
If healthcare reform can solve the problem of cost, and really make it less expensive and more effective, I think medical disputes can be greatly reduced.
This problem is really not simply a matter of which side of the story, can not be said to be the doctor's reasons or the patient's reasons. As the saying goes, a slap in the face is not enough, things are two-sided. There is also an important reason for the problem of the healthcare system.
Domestic doctors can be said to be the world's cheapest medical labor, each doctor is overloaded. Like this epidemic, tens of thousands of doctors from all over the country rushed to Wuhan, Hubei province, to support the infected area, regardless of their own safety. Some doctors have been infected, and some have been cured and continue to fight on the front line after collapsing. But the sad thing is that some doctors never got up after they fell.
Now that the epidemic is raging, there are still injuries to doctors. Before this, there were frequent cases of injuring and even killing doctors. There is no bed to beat the medical care, no separate ward to beat the medical care, think the medical care attitude is not good to beat the medical care, do not give the transfer of wards to beat the medical care and so on.
If you slap someone outside, you may not only have to pay for the money but also a few days of detention. But beat the health care, may need to verbally apologize to pull to. Some of the knife injuries to medical care, may also be according to the doctor-patient disputes and exempted from criminal responsibility. Of course, injuring a doctor is now a criminal offense.
Chinese doctors have to see more than a hundred people a day in outpatient clinics, and no one dares to drink during work for fear of going to the bathroom. A doctor is only a few minutes time, encountered a patient who does not understand the dispute will occur. Most of the hospitals want to make peace with the situation, and in the end, the doctors can only apologize in turn.
Of course, the problem is not all in the patient, indeed, some doctors have problems with medical ethics. The problem is that some doctors have a problem with their own medical ethics. They treat their patients poorly, and some of them are even overmedicated. There are also times when the doctor does not explain to the patient to understand, resulting in a misunderstanding between each other.
Now the health care system, quality medical resources are concentrated in the big cities, three hospitals. Patients are concentrated in these large hospitals, the following two hospitals are, township hospitals can not be found. This has resulted in the top of the squeeze in, the following idle nothing to do. Resource constraints, naturally, more likely to cause conflicts.
So, the reasons for frequent doctor-patient disputes are manifold. I hope that the future healthcare reform will gradually solve these problems, and doctors and patients will understand each other, and doctor-patient disputes will no longer occur.
I am a senior surgeon from the National Top 100 Hospitals, in the third, second, first hospitals have worked, but also as a medical management for many years, contact with a variety of patients, dealing with a variety of medical disputes, the following I will talk about their own experience in the work.
1, sincere communication is the doctor and patient to establish trust and prevention of medical disputes basis.
I don't know if you notice an interesting phenomenon: doctors for their relatives or familiar friends to see a doctor surgery, even if sometimes the patient's recovery process is not ideal, and even complications, but rarely heard of the two sides of the medical disputes. Why? Because these patients know that the doctor who treats them must be genuinely serious about helping them, and must be using the best treatment methods. Even if his condition does not recover well, it is definitely the disease itself, not the doctor. The doctor also dares to adopt the best treatment for the patient because he will not worry that the patient will complain against him. It is when there is sufficient trust between the two parties that naturally there will be no medical disputes. So the level of trust between doctor and patient is the key to preventing medical disputes. And this trust between doctors and their friends and relatives is formed over a long period of time, and there is even a blood relationship. Not doctors and every patient have.
2, the doctor said: I did which heart, so good to the patient? Why is still being complained about?
From a human point of view, in fact, any health care workers like to treat their own patients, surgery to do more perfect. And all with the heart to help patients. Perhaps because of the lack of knowledge and experience, doctors and nurses have not well thought out or mistakes, are not doctors and nurses hope, and must be something they are ashamed of. It is precisely for this reason that medical staff feel particularly aggrieved and upset when patients complain against them. This type of medical complaints is also the hospital received the most complaints of medical disputes, this type of complaints by the results of the investigation are mostly similar, that is, doctors and nurses have been trying to help patients to cure the disease, because of the busy did not communicate with the patient seriously, so that the patient has a misunderstanding. So this kind of medical complaints and disputes, deal with it is also simple, is to call the medical staff patiently explain to the patient, the problem will be solved. Therefore, the doctor to the patient, not only to heal the disease, but also to heal the heart. Only in this way, will become a good doctor of public satisfaction.
3, what is the reason that patients will have medical disputes with the hospital?
Due to the serious lack of medical science knowledge in the country, coupled with the complexity of the disease and medical treatment, patients simply do not understand the real situation of the disease and medical treatment, such as the disease in the end how heavy, how complex? Why are there complications? Why can't a "good person" be cured? Is there any guarantee that this disease will be treated in this hospital? Can you trust the doctors at the hospital? Which doctor is the best? Are the hospital charges reasonable? Is the hospital's testing equipment good? And so on the lack of information, so that patients do not have a sense of security. And for many years in the medical system hospitals and patients have a direct relationship of interest, so that the patient has a hospital will not profit and pit their own consumer concept. This further increases the crisis of confidence of patients and their families. The doctor and patient communication is not in place, the patient's illness and the pressure of life, coupled with some of the media's biased propaganda, so that this crisis of confidence into a doctor-patient conflict, resulting in the outbreak of medical disputes.
4. How do European and American countries prevent medical disputes?
In Europe and the United States, doctors and patients are contracted with the insurance company and purchase insurance, the patient to buy a disease insurance, the doctor to buy is medical liability insurance, doctors and patients do not have a direct interest in the relationship between the two sides, both sides are through the insurance company to benefit. In order to ensure the maximization of their own interests, insurance companies have established a set of mature medical credit system through medical big data, which is accurate, true, objective and fair to dynamically evaluate the value of each contracted doctor, and this information can be accessed by patients at any time. Therefore, patients do not have to worry that doctors will treat them badly for their own interests. So, in a word, the key to preventing medical disputes in Europe and the United States is to have a set of mature medical credit protection system recognized by both doctors and patients.
4. Winter is going to pass, and spring is coming soon.
With the rapid development of China's economy, the country's system is gradually improving, our country's national health insurance system has been sound, medical single-disease charging is about to be rolled out in the country, the foreign medical treatment is also common landing, doctors and patients will not have a direct interest in the future. Therefore, in this set of comparable to Europe and the United States, and even beyond the European and American national health care system, the patient no longer need to worry about health care workers are not good for them, and the implementation of a series of national health care policies such as strengthening the grassroots level, the major diseases do not go out of the county, medical counterparts to help the poor and group specialties and regional construction of the National Medical Center, so that the patient no longer need to travel long distances, rest assured that in their hometowns to seek medical treatment. It can be said that regardless of the doctor, or patient, the spring of the national health care is coming.
5, before the arrival of spring, how to have a warm winter?
Although the national health insurance policy has been sound, single-disease charging has begun in more than 10 cities, medical counterpart poverty alleviation policy has also been insisted on for many years, however, the establishment of this set of comparable to Europe and the United States, and even beyond the United States and Europe of the country's health care system still needs time, in this national health care before the arrival of the spring, our hospitals should be strictly required to medical staff: one to explain the condition clearly, two to 24 hours to care for the patient, the third is the management of charges according to the disease, strict control of drugs and consumables, to prevent unreasonable charges, to give the patient a safe and secure protection. In this way, I think both doctors and patients can have a good warm winter before the spring!
My point of view is also nine one open, but the patient's family nine.
As a doctor's family, too many times my daughter-in-law went home and complained about how uncooperative the patient was, but the doctor still had to be nice, two days ago there was a patient, myosin 700 +, the day of all kinds of uncooperative, the next day resuscitation into the icu, and then died in a few days. There are so many similar cases, I often have to comfort my daughter-in-law.
Domestic by a variety of doctors intentionally prescribe more drugs and more checks of the marketing number fooled too much, feel that today they are okay to think that the doctor deliberately fooled you.
Do not rule out the domestic medical ethics of the doctor, and very responsible doctor a lot, at the same time which only to buy drugs to make money doctors, do not talk about medical ethics and even the minimum conscience are replaced by interests. A child with skin allergies hospitalized, go in on a variety of blood draws, three consecutive days, urine and feces are tested, said to be a different laboratory project, I can understand, the child's pain also endured with, the results, opened the needle hanging non-stop for a week, hanging 6 to 10 hours a day, the drug also ate a lot, we have cooperated. To the fifth day all the results came out, the morning doctor came over to check in and asked what the problem, said waiting for the attending doctor to know, the attending doctor came over and asked him, actually said he was not sure what the cause is! He said he would draw blood again, I asked him why he still drew blood when the results of biochemistry and routine blood tests were out and he didn't know what the cause was. He not only didn't answer, but also said that it was necessary to confirm the diagnosis. If you want to continue to draw blood even after three tests with no result, which family member would be happy to do so? Which family member is not heartbroken? There is another indicator, sodium chloride is low 0.2, 6 packets of saline continuously, until the seventh day and then prescribed 3 packets, I asked what effect this value is low why continuous saline? The doctor came to a "good for the patient's appetite", I really want to thank him, the child hospitalized appetite has not been bad, the beginning of hospitalization told the doctor.
There is also a variety of results out of the doctor never take the initiative to perceive the reason, and even go to ask not to say, on the prescription of drugs, the fierce prescription of drugs.
This situation is not the root cause of the manufacture of medical malpractice?
In the past, the level of medical care is low, fever and cold is not a big disease, the town of private clinics, a shot, open a few cents of medicine, at most half a day, now go to the hospital no matter what, first of all, blood say, and then the doctor receives the patient, casually look at the two eyes, on the prescription of medication, two bags of medicine, ah, even the needle, more than three hundred dollars. Not out of the clinic before the doctor said, "first go back to take medication, not yet good and then come over", worthy of being a doctor ah, people have not gone to know but also to come over, prescribed medication to eat in the morning fever subsided a little bit in the afternoon not only did not subside much but also aggravated. Then hurry to go to the hospital to see the doctor again, again casually look at a few times and then prescribe drugs, so more than 500 dollars of medicine finally cured the fever. The first thing I've noticed is that I'm not sure how much I'm going to be able to get out of this.
I use a practical example to let you analyze and judge. Last year, because my partner often fire, I took her to a township hospital to see a doctor, the seemingly stable doctor first opened a blood check of the list, I asked the lab technician after the test came out, there is a problem? The lab technician replied dryly that there was no problem and that it was normal. I took the laboratory test to the outpatient doctor, the doctor looked at the laboratory test, very surprised to ask my old lady, you have not menopausal ah, how the red blood cells have problems, or do a cT test! My partner did not hear the back of the ear, I was listening to the clear, almost did not laugh out loud, out of respect for the doctor, I did not object, let the doctor wrote a checklist, I took my partner out of the clinic, laughing, to my partner said what happened, my partner said that the doctor may have a problem with the brain! The registration form clearly states that my partner's age is 69 years old! If any doctor sees this thing I said, can give me a clear explanation?
Doctors and patients have problems, one is that individual doctors do not have the patience to explain the cause of the patient's illness and need to pay attention to what, a face of disdain cold feel not a trace of warmth and so on, this is the first to let the patient heart upset triggers. Secondly, individual patients living and working under great pressure, the body is not good mood is even worse, if the family members are sick, they do not have time to accompany and watch the heartache. There are other reasons for bad mood nowhere to release. It is recommended that health care providers are able to understand the hearts of patients and their families to do heart course training for health care workers, and truly anxious patients and their families want to think about what they want.