The National Health Office Medical Letter [20 17]No. 139 stated: "It is necessary to build a harmonious doctor-patient relationship, further promote the establishment of a" safe hospital ",and continue to carry out special actions to severely crack down on medical-related crimes to ensure the safety of medical personnel. Further improve the legal system for the prevention and handling of medical disputes, and improve the medical dispute handling system and guarantee mechanism of "three adjustments and one guarantee". " Throughout the world, medical troubles are everywhere and medical injuries are frequent. It should be said that the working environment of medical staff is completely exposed to the space-time environment without security. In addition, the social governance of medical disputes is not tough, and civil dispute mediation is often used to deal with medical disputes and even medical disputes, which will inevitably lead to more frequent medical disputes. Doctors, nurses and other operators who directly serve patients have a serious lack of sense of security, which poses a great threat to the occupational health of their medical staff.
Challenge 2: professional ethics confusion
On the one hand, by vigorously grasping the construction of medical and health ethics, increasing the propaganda of "nine prohibitions", carrying out professional ethics training for medical staff, and establishing a good atmosphere in the industry, the pressure of positive education environment is increasing; On the other hand, it is difficult to solve the problem of relatively low social status, dignity and salary of medical staff. This makes the professional ethics criticism with "drug kickback" and "accepting red envelopes" as the main problems interfere with and affect the professional health of medical staff.
Medical professional ethics should not only standardize the behavior of medical staff, but also standardize the behavior of patients and their families who come to see a doctor, and also clearly protect the interests and needs of medical profession. The "party member Integrity and Self-discipline Guidelines" clearly States that "insist on suffering first and then being happy, and be willing to contribute." This shows that bitterness and pleasure are also a corresponding ethical relationship. Should medical staff receive corresponding ethical rewards after performing their professional behaviors?
Challenge 3: Occupational risks are difficult to control.
Due to the lag of medical reform, the pressure of medical safety risk prevention and control is still only on both doctors and patients, and the society has not yet taken effective responsibility for medical safety risks. Medical safety risk management has not been included in the basic medical security system, and medical accident insurance has not been widely implemented in social commercial insurance. Medical safety is still a matter for doctors and patients themselves. Medical treatment is the industry with the greatest personal safety risk. With such a lack of insurance system, how can medical occupational risks be small?
Challenge 4: The pressure of medical reform is increasing.
Due to the restriction of "patient-centered" service theory, it is simply considered that medical reform is to meet the interests of patients, but in actual reform, the interests of medical staff are always sacrificed. Medical reform should also ensure that the interests and rights of medical staff are not harmed, because without the enthusiasm of medical staff, medical reform will not succeed. The price difference of drugs has been zero, and the reform of medical service price is still in the pilot stage. Reform must be systematic and balanced. The zero price difference of drugs and the adjustment of medical service price or the compensation system of medical institutions are two aspects of medical reform. Move one side and delay moving the other? How can the interests of medical staff not be affected?
Challenge 5: the formation of social emotional outlet
During the period of social transformation, social contradictions are constantly accumulating, especially in the process of establishing socialist market economy and social reform, many social fairness and justice problems have emerged. In a society that stresses politics and actively builds the legal system, the subconscious of dissatisfaction with many societies is projected through the window of venting medical care. Just like a dammed lake, there is only one medical port left. The author believes that social groups who are nostalgic for the traditional socialist system may regard medical treatment as the only public welfare, and the formation of the concept of "difficult and expensive medical treatment" is the concrete manifestation of this thinking.
Challenge 6: Lack of occupational health management
Although the document of National Health Office [20 17] 139 mentioned that "the working environment of medical staff is warm", it is only a point in occupational health. Occupational health involves not only the working environment, but also the sense of security, "three views", career growth and physical and mental health of medical staff. As a guardian engaged in medical health, his own health is more important. In order to ensure the health of psychological counselors, psychological counseling industry has specialized psychological supervisors to do psychological supervision. The professional work done by medical staff,