Does the doctor-patient dispute reduce the willingness to seek medical treatment?

Thanks for inviting me. First of all, I firmly oppose all kinds of violence in doctor-patient disputes. Any violence, especially violence against doctors, should be condemned. The following answer only represents my understanding of "Does the doctor-patient relationship reduce the willingness to become a doctor?" It doesn't involve anything else. In my opinion, although the doctor-patient dispute may reduce the willingness to seek medical treatment, the effect is still questionable. Here I want to remind you that when we see a phenomenon and then find the reason for it, we must make clear the difference between "economic significance" and "statistical significance". Many people pay special attention to the latter, that is, whether the coefficient of a certain factor is significant in the statistical model. But what is more important is "economic significance", that is, whether this factor is "important". In many cases, although a certain factor is statistically significant, it is of little practical significance in the economic sense. Take this example for example. There are many reasons for the decrease of medical scores. The first one is the demand for doctors. The following figure shows the number of doctors per 10,000 people in China: my data here is as of 20 1 1 year. It can be seen that around 2003, the number of doctors per 10,000 people in China reached the lowest. It is conceivable that this time should be the most valuable time for doctors. However, after 2003, the number of doctors soared to 20 1 1, with 19 doctors per 10,000 people. What is the concept of 0/9 doctor per 10,000 people? Let's look at the number of G7 countries: the definition of "doctor" here is: a doctor is defined as a graduate of any institution or medical school who works in any medical field (practice, teaching and research) in the country. I am not very professional, such as whether foreign dentists are doctors, but whether dentists are included in China and so on. There may be a direct deviation between domestic figures and foreign figures, but the deviation should not be too big. In other words, the number of doctors at 20 1 1 has reached the level of Japan in 2002. In addition, different medical systems may lead to different needs for doctors. I think the number of patients admitted to our national hospital every day far exceeds that of developed countries such as the United States. So by 20 1 1 year, will the demand for doctors in our country be saturated? In addition, training a doctor is very time-consuming, unlike other professions. It may take at least eight years from undergraduate study, internship, master's degree to doctor's degree. From the bottom of the number of doctors per 10,000 people in 2003 to 20 1 1, it should be almost exactly a cycle. And there may be more students studying medicine around 2005. What should they do when they graduate with a doctorate? Doctors, like us, must calculate the costs and benefits when choosing a major. After spending so much time, you may not get a job as a doctor in the end, so why study medicine? So what if you look at different areas? For example, the above countries say the score line of Hebei, so the number of doctors in each city must be different, right? Look at the picture: except Shanghai, basically all other cities can observe the trough in 2003. And the bigger the city, the higher the number of doctors per 10,000 people. The level of doctors in Beijing has even surpassed the average level in Italy, while Shanghai has always maintained the level of 30 doctors per 10,000 people. On the other hand, in second-tier cities, this value is around 20 1 1, which is generally not less than 20. It can be considered that many people go to college to stay in big cities, where the number of doctors is relatively saturated. After more than eight years of study, they may not even become doctors. If you study finance, computer and other popular subjects and look for a job after graduation, why choose medicine? On the other hand, in recent years, it can be said that the pet market in China has developed rapidly. When people are rich, it is common to keep a cat and a dog. Especially in big cities, there are many kinds of expensive pets, and the demand for veterinarians is naturally high. If it's easier to stay in a big city with shorter time and higher income, why not choose a veterinarian? Tell a joke. Veterinary medicine is a little more difficult than human medicine. Life is sick. You can ask him: where does it hurt? The dog is ill. Can you ask him? Wang ~ after that, let's review the influence of "doctor-patient dispute" on the willingness to become a doctor. Does it matter? There should be. But how big is it? I think not. When students apply for volunteers, the first question to consider is: Can I be a doctor? Then there is: will you encounter medical troubles when you become a doctor? Under the present conditions, if the average person does not graduate from a prestigious school and can't even guarantee to work in a larger hospital, how many people will consider the problem of medical trouble first? In other words, it can be said that when students volunteer, whether they can find a job in the future, how much money they earn, and where they work are the first-order considerations, while the problem of medical troubles should be the second-order consideration. This is the so-called "economic significance". Perhaps this causal relationship exists, but the impact is very limited. It is easy to ignore more obvious economic reasons and exaggerate the influence of medical troubles on medical willingness by simply explaining why medical troubles are so low. = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = First of all, let me explain why I wrote this. The background of this answer is that someone shared this year's medical scores in Hebei Province and found them very low. Then I came to the conclusion that it was the relationship between doctors and patients. Later, after verification by friends in the comment area, the score line was not true, so I deleted that part of the score line. So the background of my writing this answer here is: the score of medical college entrance examination has decreased. Secondly, let me sort out my arguments and arguments: arguments: 1. The doctor-patient dispute may indeed reduce the willingness to seek medical treatment, but it may not be the main reason. 2. It is difficult to find a doctor after graduation, which may be the main reason for the decrease of willingness to seek medical treatment. Independent variable: 1. Since 2003, the number of doctors has increased greatly. 2. Compared with developed countries, the number of doctors in China seems to have reached a good level. Thank you. I post his data here: When China Municipal Health Planning Commission makes statistics, it usually includes both practicing doctors and assistant practicing doctors. The former is only qualified to take the exam after one year of undergraduate clinical practice or several years of practicing as a medical practitioner. The latter has no undergraduate degree, the threshold is much lower, and there is no qualification for medical practice. Only the former can be called a doctor, that is, the doctor in the foreign materials you quoted. In addition, dentists and Chinese medicine practitioners (oral practitioners, Chinese medicine) are counted in this caliber of the Health Planning Commission. However, the data of other countries you quoted do not include these. If you want to use data to prove it, you must have the same data source to be meaningful. I suggest using WHO data: Global Health Watch data warehouse (maybe over the wall? In this case, the gap between China and developed countries is still very large. Take Japan with similar data as an example. At present, China has 1.49 doctors per thousand people, while Japan has 2.30. Japan in 2002, you said it was also 2.06. Correct comparison: China 1.49, Britain 2.8 1, USA 2.45, Australia 3.27, North Korea 3.29 and Cuba 6.72. As I am not a medical major, I believe his data here, so my second argument is self-defeating. However, I think the doubts including @ Chen Hao still haven't changed my conclusion. Why? First of all, how many doctors does our country need? I can't answer this question. However, there is another sentence in my original text. The present situation in China is that every doctor receives many patients every day. This figure should be much higher than that of developed countries. Is it difficult for China people to see a doctor? I don't think this is true at all. If you have experienced the American medical system, I think it is not difficult for China people to see a doctor to some extent. Why is there the illusion that it is difficult to see a doctor? Because everyone is going to a big hospital. It is difficult to see a doctor in a big hospital, so there is a queue. Why does everyone go to the big hospital? Because the medical conditions and the quality of doctors are very different. So I never deny that there is a lack of high-quality doctors in China, but what I am discussing here is the college entrance examination score. In China, there are many small medical universities all over the country, such as various "universities of traditional Chinese medicine" and so on. Practitioners should know better than I do how many medical students who have graduated from primary schools can actually practice medicine. In addition, if international comparison is meaningless, then domestic comparison is always meaningful. Judging from the time trend, the number of doctors has indeed increased significantly since 2003. There is no answer to the question of saturation, but at least, medical students can't find a job as doctors around 2003 after graduation. I don't think there should be much objection to this. Another point is the time factor. It is very important for a doctor to spend at least seven or eight years from the college entrance examination to the final job. You have to think about it. Over the past seven or eight years, many of your seniors have become doctors. How many jobs can you leave in the end? How many doctor positions are left for you in 2023? I think this is the main reason why the willingness to become a doctor is not high. To sum up my argument again, it was because of several medical troubles, and then I came to the conclusion that medical troubles led to a decrease in medical scores, which was equivalent to sesame losing watermelon. Back to my previous language, maybe medical trouble is indeed a reason, but is it the main reason and how big is this influence? I feel suspicious. Perhaps, it will be more intuitive to think about this question from another angle: if there were no medical troubles, how many people would be willing to apply for medical majors compared with now?