Reflections on medical ethics (1)
Since _, the health system of our city has been carrying out the activities of "cultivating medical ethics, strengthening medical style and casting medical soul". In March this year, at the provincial conference on discipline inspection, supervision and rectification, the provincial health department put forward the requirements of "three musts" and pushed the activity to a climax again. Through in-depth study, I have the following experiences:
Carrying out the theme practice of "cultivating medical ethics, strengthening medical ethics and casting medical soul" is the theme education activity of the provincial health department to thoroughly implement the "three good and one satisfaction" activity of the Ministry of Health, another ideological education to strengthen the values and outlook on life of medical staff in the province, an indispensable and important content to establish and improve the socialist core value system, and a fundamental guarantee to realize the comprehensive, coordinated and sustainable development of our hospital.
In my opinion, "cultivating medical ethics" means strengthening the moral cultivation of health practitioners. Strengthening medical ability means constantly improving medical and health professional skills. To create the soul of medicine is to carry forward the professional spirit of diligent exploration and silent dedication of medical workers from generation to generation. "Cultivating medical ethics" embodies professional attitude; "Strong medical ability" embodies vocational skills; "Casting medical soul" embodies professionalism. "Cultivating medical ethics, enhancing medical ability and cultivating medical spirit" puts forward clear and specific requirements on how to become an excellent medical worker. They complement each other, promote each other, restrict each other, and are indispensable. Only by realizing the coordination and interaction of the three can we continuously improve our ability to serve people's health and economic and social development. In the activities of "cultivating medical ethics, strengthening medical ethics and casting medical ethics", we should take maintaining the purity of the Party as an important content. Integrity is the most direct and realistic standard to measure and test the purity of the Party, and integrity is the bottom line to keep party member's political nature forever. Only by keeping clean and honest can the party maintain its purity forever, and we must implement honesty as an iron discipline. In practical work, we should be strict with ourselves, be honest and upright, strictly abide by the party discipline and state laws, adhere to self-examination, self-respect for power, self-discipline and self-vigilance, and be a good cadre and a good party member who is assured by the organization, supported by the masses, admired by colleagues and proud of his family.
I think cultivating medical ethics is to establish a professional attitude of sincerely serving the people. Being a doctor, morality comes first. Without good medical ethics, all services for people's health will be empty talk. In view of the problems that have been criticized by people for a long time, such as prescribing prescriptions, receiving red envelopes, taking kickbacks and being indifferent to patients, our hospital will continue to build a monitoring mechanism for power operation and formulate a long-term assessment mechanism, so that the monitoring mechanism will not only stay at the level of publicity and education, but also have rigid means. "Strengthening medical ability" means improving service ability, especially for our primary medical staff. It is a long and arduous process to improve their ability to relieve patients' pain and improve their skills, which can never be solved overnight. Strengthening the capacity building of grass-roots health teams is the key to fundamentally solve the problem of seeking medical treatment, and it is also the inevitable requirement of "strengthening medical treatment". Casting the soul of medicine: shaping the professional spirit of dedication to the people. The satisfaction of the masses is the only criterion to evaluate the effectiveness of medical reform. As the most direct window industry to serve the people, only by comprehensively improving the service capacity can we truly provide quality medical services for the people. All departments in our hospital will actively change their work style, adhere to the principle of "being practical, caring and attentive", and strive to make the work more detailed, deeper and more practical, so as to present a generous gift for the victory of the 18th National Congress.
Reflections on Medical Ethics (2)
First, driven by interests, medical ethics is unbalanced. With the continuous improvement of people's material living conditions, traditional medical ethics have changed, and driven by interests, some medical staff's views on right and wrong, advantages and disadvantages, and respect and inferiority have also changed. Originally, the hospital's service aim was to reduce illness and save lives, not just for profit. However, under the condition of market economy, hospitals are mainly engaged in self-operated medical and health services, pursuing both social and economic benefits. Improper handling of the two causes medical ethics imbalance in some units and medical staff. Specifically, it is disorderly inspection, arbitrary charges, indiscriminate use of drugs, receiving red envelopes, and engaging in a second job to generate income, which disrupts the medical order and corrupts the medical ethics.
Second, the backward values lead to the loss of medical ethics. While subsidizing hospitals, the state also marketizes hospital materials. The rise and fall of prices have changed the relationship between supply and demand in the market. When personal interests conflict with collective interests, affected by the market economic system and bad social atmosphere, individual medical personnel may seek immoral compensation when their interests are not realized through proper channels. What's more, it is reasonable to see a doctor, have an examination, have an operation, accept the treatment of patients, and receive red envelopes and gifts from patients. This reflects the distance between market price and value caused by market economy, which leads to the loss of medical ethics.
Third, the conflict of interests leads to the imbalance of medical ethics. In the case of insufficient state compensation, hospitals should pay attention to both economic benefits and social benefits in order to seek development, so they should pay attention to both medical services and medical services. However, the value of medical services cannot be directly measured by money. Facing patients, hospitals have the morality of choosing the best treatment for patients and saving lives, and at the same time, they have the responsibility to maintain the reproduction of hospital labor. In the concrete implementation, the two will inevitably collide, leading to the imbalance of medical ethics.
To sum up, the experience of medical ethics is still very important, and I hope that the majority of medical staff can better understand medical ethics. As one of the highly educated professions, the wisdom of doctors is necessary, but virtue is also indispensable. Medical ethics cannot be separated from humanitarianism. Mencius said that benevolent people love others, and only those who are full of kindness and love are benevolent people with great wisdom and personality charm. In practical work, we must realize that it is a long-term and arduous task to do a good job in building medical ethics. As a new medical worker who has just stepped into his post, he should consciously abide by the socialist medical ethics norms and guidelines, constantly strengthen professional and technical study, work conscientiously in ordinary posts, perform angels in white's duties, save lives with noble medical ethics and skilled medical technology, and make selfless contributions to safeguarding the health of the broad masses of the people. In short, from the political and overall height, we deeply understand the extreme importance and urgency of strengthening the construction of medical ethics. Further strengthen the sense of responsibility and hardship, keep in mind the entrustment of the party and the people, abide by the purpose of serving people's health wholeheartedly, start from ourselves and from now on in the spirit of being enthusiastic for the people and improving technology, and honor the promise of taking patients as the center, thinking of patients' thoughts, being anxious for patients and doing what patients need with their own actions, so as to maintain the good medical service image of Dupi People's Hospital.
Reflections on Medical Ethics (3)
A politician's responsibility lies in his insight into the international situation, his foresight, his efforts to turn the tide, his prosperity and the prosperity of all industries. The responsibility of a scientist lies in invention and creation, in the continuous emergence of scientific and technological achievements and in the continuous progress of human productivity; The responsibility of a medical worker lies in mastering advanced medical technology, having good medical ethics, getting rid of patients and rejuvenating the people. Therefore, when we choose the profession of doctor, we choose sacredness and nobility.
When you see the patient's trusting eyes, the longing for life and the humble prayers of the patient's family, do you feel a great responsibility? The nightingale lit the light of life with a lantern, so we got the name angels in white. To be a real angel requires each of us to have a good professional ethics. The medical industry is a noble industry, because it bears the great responsibility of saving lives.
If a hospital wants to develop, it must be good at finding problems. Patient satisfaction is an objective overall evaluation of hospital medical quality and medical ethics during the patient's visit. In the past, the staff of the competent department often went to wards and outpatient clinics to evaluate the satisfaction. Although the satisfaction is high, patients often have concerns, which can not truly reflect the actual problems existing in the hospital. To improve patients' satisfaction, we should pay attention to small things that are easy to ignore and make the service more detailed and practical. We adhere to the principle that the quality of service is no small matter. After each patient satisfaction evaluation and two visits to four meetings, the results and opinions should be fed back to relevant leaders and departments to help and urge them to implement rectification one by one. _ The Department is very satisfied with each evaluation.
Quantitative evaluation of medical ethics quality is an important way to mobilize the enthusiasm of medical staff to serve patients wholeheartedly. It is necessary and feasible to quantitatively evaluate the medical ethics quality of medical staff. Quantitatively express the basic factors that reflect the medical ethics quality of medical staff, establish corresponding and comparative relationships, and put forward relative measurement standards for quantitative evaluation. This evaluation method can make medical ethics management change from intangible to tangible; From principle requirements to data requirements; Changing from soft index to hard index can objectively and truly reflect the medical ethics level of medical staff. The final result of evaluation is linked to the reward, evaluation, promotion and assessment of professional and technical personnel, which strengthens the education of medical ethics and professional ethics and mobilizes the enthusiasm of medical staff to serve the people wholeheartedly. This is the significance of our evaluation and the expected effect.
Strengthening the construction of medical ethics in the form of carrier education is popular among the masses and effective. Over the past few years, the Party Committee of our hospital has attached great importance to the construction of medical ethics, guided the staff of the hospital to closely focus on the requirements of medical and health reform and development, and carried out in-depth and solid patient-centered professional spirit, professional ethics and professional beliefs education activities.
Although there are various disputes between doctors and patients in the hospital, we should treat them correctly. Doctors are not gods, and they can't pull every patient back from death, but keeping a heart to save the world will definitely win the understanding and love of patients.
It is difficult to be a good doctor. Not only do you always bear great mental pressure, but you are often criticized and misunderstood by patients and their families. However, whenever critically ill patients are successfully treated, I feel a sense of satisfaction from the smiles on the faces of patients' families. From the patient's sad face when he entered the hospital to his smile when he came home, I found my own value and realized the greatness in the ordinary! A casual greeting and a sincere smile can warm patients' hearts and give them confidence to overcome diseases, and our work has been sublimated in the ordinary!
From ancient times to the present, doctors have always been guided by great doctors, leaving many stories in China for thousands of years, enriching the great spiritual culture and national culture of the Chinese nation. The new era has given us a deeper meaning in this profession, and let us know that as medical workers, we should not only have superb medical skills, but also have noble medical ethics. From Bian Que, Hua Tuo and Zhang Zhongjing who saved the world in ancient times to Zhong Nanshan and Liang Shikui who fought against SARS in modern times; From Florence Nightingale medal winners Li Xiufang and Zhang Jinyuan to Ye Xin and Li Xiaohong who died of SARS. They explained the duties and mission of doctors with their hard work and even their precious lives.
Today, we should carry forward the medical ethics of the older generation, master advanced medical technology, forge ahead into the future and make further progress. Think of what the people think, be anxious about what the people are anxious about, need what the people need, work hard, love their jobs and win the trust of the people. There is no grandiose words, only selfless dedication, keeping that sacred oath with a warm smile, and casting the true meaning of great love on earth.
Reflections on Medical Ethics (4)
Our profession is called "angels in white". When I just received my first medical education, my teacher once said that you chose dedication. If at that time, I didn't quite understand the profound meaning of the word "dedication", then from the first time I walked into the ward, I didn't understand how many people were selfless behind the title of angel; From my personal experience, I really feel how hard and tired our work is. Feel the joy of caring for life in suffering; Succession, succession, day and night, holding the rudder of life cycle in fatigue. In the unique smell of the hospital, we have gone through countless days and nights; From blood-stained wounds, we walked through fiery youth; In the white atmosphere, we measured countless nights with a sincere heart; In the expectation of our loved ones and the bitter complaints of our loved ones, we dedicated ourselves to the suffering people ... All kinds of emotions bombarded my mind and found our own value from the sad face when the patient came and the smiling face when he left. I saw my own value. I realized the greatness of the ordinary. I have no regrets in choosing this line!
In recent years, health undertakings are facing the competition and challenges of market economy. The world outlook, outlook on life and values of medical workers are changing, and traditional medical ethics are severely tested, resulting in some hot issues that people are not satisfied with. The construction of medical ethics is an important part of the construction of spiritual civilization and an indispensable spiritual pillar for the construction of Socialism with Chinese characteristics. Medical staff are the guardians of people's health and the window for the party and the government to contact the masses. Whether medical ethics is good or not is closely related to the broad masses of the people, a major event related to the prestige of the party and the government, and even a small challenge to our original values. My personal experience is summarized as follows:
First, deeply understand the importance of strengthening the construction of medical ethics.
The development of medical and health undertakings depends on advanced medical technology and medical equipment, and on a high-quality team. Only by integrating the two can medical and health undertakings develop healthily and protect productivity better. Therefore, while vigorously developing productive forces with economic construction as the center, we must also attach great importance to the construction of spiritual civilization and truly establish the strategic thinking of "two cultures working together and managing together". The construction of socialist spiritual civilization includes two main parts: ideological and moral construction and educational science construction, and medical ethics is one of the important contents of socialist spiritual civilization construction. Strengthening the construction of medical ethics is not only a problem of the construction of industry style, but also a basic project of socialist spiritual civilization construction. The construction of medical ethics is a major event in building a clean and honest party style and fighting corruption, and we must attach great importance to it.
This year, our medical ethics study and other activities have prompted me to fully realize the importance and necessity of strengthening the construction of medical ethics, firmly establish the idea of serving the people wholeheartedly, take patients as the center, serve patients, and contribute angels in white's wisdom and strength to the modernization cause.
Second, correctly understand the current situation of medical ethics. On the medical and health front, consciously abide by the principles and norms of socialist medical ethics, earnestly perform angels in white's duties in ordinary and glorious posts, fight in the front line of saving lives with noble medical ethics and superb medical technology, and make due contributions to safeguarding people's health.
I clearly realize that under the influence of the negative effects of the market economy, our political study in the past was somewhat lax, and the idea of serving the people was somewhat indifferent. There are some misunderstandings about the construction of industry style, such as paying more attention to economic benefits than social benefits, not having a strong sense of service, not carefully examining patients, not being serious about diagnosis and treatment, not obeying rules and regulations, and lacking a sense of responsibility. At present, most of the hot issues are to prescribe large prescriptions for patients, check more, use more drugs, and increase the burden on patients. These problems belong to medical ethics, and their influence should not be underestimated. They create a gap between doctors and patients and even distrust each other, which directly affects the image of the medical and health front.
Marxist talent view tells us that talent training must adhere to two standards, namely, professional stability and political standards. Therefore, we must speed up and strengthen the improvement of the ideological quality and professional quality of the broad masses of workers on the medical and health front. Improving these two qualities is inseparable from education and learning. We have carried out various forms of education and learning mainly from the following aspects:
1, learning documents, rules and regulations
2, to carry out in-depth and lasting ideological education of serving the people, so that workers firmly establish the idea of serving the people wholeheartedly, love, patience, care and responsibility into the brain, and serve the people wholeheartedly.
3. Adhere to anti-corruption education. Enhance the sense of responsibility and dedication, be dedicated to their posts, take patients as the center, and proceed from patients' requirements, so as to truly achieve noble medical ethics, humble medical practice and diligence for the people.
4. Strengthen professional and technical study and constantly update knowledge. The professional and technical level of medical workers is closely related to the quality of people's health services. Therefore, it is necessary to organize professional and technical personnel to carry out various forms of medical technology learning in a planned way, such as continuing education, medical record discussion, and sending personnel to study at home and abroad. Reserve leaders should commend and encourage everyone to study hard and become self-taught, constantly improve their professional level and improve the quality of serving the people. The fifth is self-examination and self-correction and one-on-one talk.
Through study, let us keep in mind the purpose of serving the people wholeheartedly, be Bethune-style medical workers, and establish new trends in health industry such as loyalty, dedication, dedication and civilized medical practice. We strengthened the education of professional ethics, discipline, responsibility and skills, paid attention to the pertinence and effectiveness of education, enhanced the consciousness of self-education, self-management and self-restraint, enhanced the sense of professional responsibility and honor, and improved the professional skills. Strictly regulate the diagnosis and treatment behavior of hospitals and doctors: strictly implement clinical techniques, diagnosis and treatment nursing norms, routines and the Guiding Principles for Clinical Application of Antibacterials, and standardize the diagnosis and treatment behavior of medical staff, so as to promote our rational treatment of diseases, rational examination and rational use of drugs, and prevent excessive examination and prescription. Effectively implement the provisions of the first diagnosis responsibility system, strictly implement the three-level doctor rounds system, preoperative, difficult and critical cases; Death case discussion and consultation system; Strictly implement the basic norms of medical record writing and medical record management regulations; When drugs enter the hospital, the policies and regulations on centralized drug procurement should be fully implemented. Outpatient medication and inpatient medication should be implemented in accordance with the measures and regulations formulated by the hospital on strengthening drug management, and the Guiding Principles for Clinical Application of Antibacterials and the relevant regulations on strengthening the management of single disease charges should be implemented. We strictly control the proportion of drug income to business income, and notify and deal with departments that fail to reach the prescribed proportion. Through the study, the hospital environment has been actively improved, the service process has been optimized, and a clean, comfortable and warm medical environment and convenient service measures have been provided for patients. Improve service attitude, fully respect and consciously safeguard patients' legal rights such as the right to know, the right to choose and the right to privacy, and put an end to unhealthy, indifferent, hard and pushy phenomena. Strengthen communication with patients, listen to their opinions and take the initiative to improve their work. It reduces the occurrence of doctor-patient disputes and builds a harmonious doctor-patient relationship.
Reflections on Medical Ethics (5)
Medical institutions are the main windows of the health system and the construction of social spiritual civilization. The quality of medical ethics is a reflection of social atmosphere and an important embodiment of the overall moral quality of the whole nation. Because medical behavior is related to people's health and life, medical ethics has always been concerned and highly demanded by all walks of life and public opinion, which often constitutes a temporary hot spot. Although there are not many accidents caused by bad medical ethics, they have great influence and are especially hated and condemned. Therefore, the construction of medical ethics is one of the key points of social moral construction.
With the establishment and continuous improvement of the market economy system, the construction and development of hospitals have shifted from relying on to operating and serving. The professional ethics of medical staff is closely related to people's lives. Compared with other professional ethics, it has the characteristics of prominent position, special object and great responsibility. In the market economy service competition, how to strengthen the education of hospital medical ethics, continuously improve the service quality, improve the service attitude and effectively meet the health needs of the people is our constant goal. Due to various reasons, in the current market economy environment, medical ethics has many characteristics:
1, benefit-driven, medical ethics imbalance. With the continuous improvement of people's material living conditions, traditional medical ethics have changed, and driven by interests, some medical staff's views on right and wrong, advantages and disadvantages, and respect and inferiority have also changed. Originally, the hospital's service aim was to reduce illness and save lives, not just for profit. However, under the condition of market economy, hospitals are mainly engaged in self-operated medical and health services, pursuing both social and economic benefits. Improper handling of the two causes medical ethics imbalance in some units and medical staff. Specifically, it is indiscriminate inspection, arbitrary charges, indiscriminate use of drugs, accepting red envelopes, and engaging in a second job to "generate income", which disrupts the medical order and corrupts medical ethics.
2. The return of value leads to the loss of medical ethics. While subsidizing hospitals, the state also marketizes hospital materials. The rise and fall of prices have changed the relationship between supply and demand in the market. When personal interests conflict with group interests, influenced by market economic system and bad social atmosphere, individual medical personnel may seek immoral compensation when their interests are not realized through proper channels. What's more, it is reasonable to see a doctor, have an examination, have an operation, accept the treatment of patients, and receive red envelopes and gifts from patients. This reflects the distance between market price and value caused by market economy, which leads to the loss of medical ethics.
3. Conflict of interests leads to disorder of medical ethics. In the case of insufficient state compensation, in order to seek development, hospitals must attach importance to economic benefits while studying social benefits, so they attach great importance to medical services as well as medical services. However, the value of medical services cannot be directly measured by money. In treating patients, hospitals have the morality of choosing the best among the best, saving lives and treating patients, and at the same time have the responsibility of maintaining the reproduction of hospital labor force, which will inevitably lead to the collision between the two in specific implementation and lead to the imbalance of medical ethics.
It can be seen that the market economy is not only reflected in the institutional binding of the current law, but also in the moral binding based on reputation. Under the condition of market economy, hospitals not only shoulder the task of protecting people's health, but also participate in market competition for their own survival and development. Strengthening the construction of medical ethics and establishing a scientific, reasonable, effective and feasible management system is an important link for hospitals to maintain vigorous vitality in the fierce medical competition.
After more than a month's study and feeling of medical ethics literature and advanced deeds, I deeply realized the importance and urgency of learning medical ethics. At present, in view of the problems existing in the construction of medical ethics in medical and health units, as grass-roots workers in grass-roots units, they should take the lead in clarifying their work ideas and correctly grasping their work orientation.
1. Carry out revolutionary humanitarianism and grasp the direction of medical service. The construction of medical ethics should first heal the wounded and rescue the dying, practice humanitarianism, adhere to the correct direction of medical service, embody the purpose of serving the people everywhere, and show a good medical ethics image to the society. 2. Implement courteous and high-quality service and adhere to the supremacy of social reputation. Medical and health institutions should constantly optimize the service concept, improve the medical environment and work efficiency, and strive to achieve a double harvest of social and economic benefits.
2. Implement reward and punishment measures and establish a new style of strengthening the body and eliminating evil spirits. On the one hand, it is necessary to establish and improve strict supervision and restraint mechanisms and incentive mechanisms, establish and improve medical ethics evaluation rules, reward and punishment mechanisms and supervision networks, not only to give material and spiritual rewards to outstanding medical ethics personnel, but also to increase publicity and establish the spirit of grassroots workers' love for their posts and dedication; If individual medical behaviors are corrupted, we must deal with them seriously in order to really play a warning role. On the other hand, we should combine medical ethics education with solving the practical difficulties of employees, strive to benefit people with medical ethics, and strive to create a good atmosphere for the construction of medical ethics objectively.
With the pace of social progress, the development of medical and health undertakings puts forward higher standards and stricter requirements for hospital administrators. Practice has proved that the construction of medical ethics has played an irreplaceable role as a safeguard measure for scientific management in hospitals. Therefore, as grass-roots personnel of health science and technology and management, it is necessary to further explore new ideas of medical ethics construction, enrich their own materials, improve their own standards, and make due contributions to safeguarding people's health and building socialist spiritual civilization.
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