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Chinese people and Americans have very different ideas about the same medical treatment
2013-06-10 Source: Dalian View comments in the Evening News
Dr. Ding Xueda, a Chinese-American who has been engaged in clinical neurosurgery in the United States for 16 years, was invited by Dalian Central Hospital to start practicing in Dalian Central Hospital last month and launched " Ding Xueda Clinic". Speaking of the medical attitudes of Chinese and Americans, Dr. Ding Xueda’s biggest emotion is that “cultural differences and understanding of medicine make the attitudes of Chinese and American people very different.”
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Cultural differences make Chinese people and Americans have very different concepts of medical treatment
Whether it is Chinese movies, TV series or real life, we will all see and encounter a scene - doctors treat patients The family members of the patient came alone and told the patient's condition in detail, but the patient himself may not know his true condition until his death. "In the United States, this situation does not exist, because American doctors will tell patients clearly and clearly all information about the patient." According to Dr. Ding Xueda, in the United States, the doctor's responsibility is to "serve patients", including using professional capabilities. Make judgments about the disease, explain the disease to the patient, and give treatment suggestions and opinions. However, the next step of treatment choice is decided by the patient himself. "To put it simply, in China, the treatment of diseases is led by doctors, but in the United States, patients are led, and doctors are more professional in meeting the treatment needs of patients."
"In China, The last question in the medical consultation is usually asked by the patient, and it mainly focuses on "should I take medicine?" In the United States, the last question in the medical consultation is usually asked by the doctor, and the content is only one "and" How can I help you?'. It should be said that there are many reasons for this, such as cultural differences, differences in concepts, differences in environment, etc. "
Take the cold as an example. In the United States, if you get a cold. , as long as there are no complications, the patient usually rests at home, uses physical methods to cool down, rarely gets injections, even less infusions, and even no medicine is prescribed. Because "if you can take medicine, don't give injections; if you can give muscle injections, don't give intravenous drips" is the current mainstream understanding in the medical community. However, in China, excessive medical treatment represented by the overuse of antibiotics has become very common. "All doctor-patient behaviors must be placed in the context of social culture, economic development, etc. The United States has the most advanced medical technology and medical equipment in the world, but there is also the problem of over-medication. What we need to focus on is how Under the existing environment, medical treatment should be carried out scientifically, rationally and appropriately. ”
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What we introduce is not only a talent but also a resource
In Dr. Ding Xueda’s resume, there is this passage: “In 16 years of clinical work in neurosurgery in the United States, there were an average of 2 outpatient days per week, 1 emergency day, and the rest of the time was for surgery and preoperative and postoperative treatment. On average, There are 350 to 450 surgical cases per year. He is proficient in the diagnosis and treatment of various neurosurgery cases. He has independently completed various operations on routine and difficult cases, and has never had any medical errors or accidents since he took office. " The text actually contains "heavyweight" information - as a neurosurgeon, with more than 5,600 surgeries, Dr. Ding Xueda has rich surgical experience; the comment that "no medical errors or accidents have ever occurred" is The best comment on Dr. Ding Xueda’s technical level.
Regarding the invitation of Dr. Ding Xueda to practice at Dalian Central Hospital, President Sun Xizhuo gave the following explanation: "Dr. Ding Xueda has rich surgical experience and masters the most advanced technology. His appearance will not only make Dalian People can enjoy the most advanced medical achievements at present, and it will also become a bridge. It is a kind of advantageous resource that can attract more outstanding foreign experts, advanced medical technology and equipment to enter Dalian Central Hospital, benefiting more Dalian people. .
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The ultimate goal of all forms of cooperation is to benefit the people of Dalian
“Patient-centered” is the philosophy of Dalian Central Hospital , today, this concept has been integrated into the hospital's operations, policies, decisions, resource allocation and culture. Since last year, Dalian Central Hospital has adopted a three-dimensional development model of learning thinking from abroad, learning technology from China, and building a base internally. Initial results have been achieved. The Central Hospital not only signed cooperation agreements with well-known domestic hospitals such as Beijing Tiantan Hospital, but also established the "China-US International Network International Imaging Diagnostic Base" in cooperation with Cedars Sinai Imaging Medical Center in Los Angeles, which ranks fourth in the United States. He said: “The improvement of subject technology must start from scratch. Whether it cooperates with top medical institutions at home or abroad, the central hospital’s learning focus is to allow doctors to more directly learn the thinking patterns of the top colleagues. Only by learning the thinking Model can change the concept of discipline construction, and concept is the basis for determining the future direction of the discipline. Dr. Ding Xueda practices in the Central Hospital, which allows Chinese doctors to directly experience the professionalism of American doctors. This is the most direct learning for Chinese colleagues. Like other forms of cooperation, everything we do is to allow the people of Dalian to enjoy world-class medical services without leaving Dalian. ”