Interview topic of civil servants: doctor-patient relationship. Ask experts for answers.

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2012 In February, the Dongguan Municipal Government of Guangdong Province issued the Implementation Opinions on Further Strengthening the Safety and Security of Medical Institutions in our city (hereinafter referred to as the Opinions). According to the Opinions, "offensive equipment such as short sticks, long sticks (which can be made into harpoons), tear spray and stab-resistant vests can be properly equipped for emergency use".

2012 On April 30th, the Ministry of Health and the Ministry of Public Security jointly issued the Notice on Maintaining the Order of Medical Institutions. In the future, medical troubles and traffickers will be punished by public security and even investigated for criminal responsibility. According to the circular, it is forbidden for any unit or individual to disturb the normal diagnosis and treatment order of medical institutions for any reason or means, infringe on the legitimate rights and interests of patients, endanger the personal safety of medical personnel and damage the property of medical institutions. The public security organs shall, jointly with relevant departments, do a good job in maintaining public order in medical institutions, and severely crack down on illegal and criminal activities that infringe on the personal safety of medical personnel and patients and disrupt the order of medical institutions according to law.

Standard expression

[Cause]

The emergence of "medical trouble" is caused by many factors, and the nature of "medical trouble" is not similar.

First, a few doctors have a weak sense of responsibility, or their interests are paramount, which leads to dissatisfaction among patients and their families. When the problem is not solved in time, they will take a "noisy" way to solve the problem as soon as possible.

Second, some patients or their families don't know much about the medical industry, and always think that if the treatment doesn't achieve the desired effect, it should be regarded as the responsibility of the doctor, so as to file a claim or vent their anger in a "noisy" way.

Third, some social idlers take "medical troubles" as their profession, or deliberately make a fuss about some problems in treating diseases to embarrass hospitals, or hire people to smash property, set up obstacles to prevent patients from seeking medical treatment, and beat medical staff. To sum up, the author never opposes the use of special means to crack down on professional "medical troubles." However, if we want to crack down on professional "medical troubles" and "prohibit any unit or individual from disturbing the normal diagnosis and treatment order of medical institutions for any reason and means", it is obviously the wrong pulse, the wrong prescription and the wrong treatment.

[Depth analysis]

In recent years, due to the contradiction between doctors and patients, a few family members of patients hang banners, set up mourning halls and even commit crimes in hospitals, which threatens the personal safety of medical staff and interferes with the normal order of hospitals to some extent. However, on this basis, the two ministries jointly issued a notice to crack down. It seems that there is indeed a suspicion of generalizing. The reason why it is resisted by most netizens is that it confuses the logical relationship between doctors and patients.

The emergence of "medical troubles" even the best doctors make mistakes, and hospitals have an unshirkable responsibility for this. Considering the reputation problem or in order to protect doctors, hospitals often hide the truth from patients or their families after medical accidents. Once the family members know the real situation, their feelings can be imagined. In front of the hospital, most patients are vulnerable groups. In the face of powerful hospitals, patients and their families often have hardships and always feel that they can't do it. It is in this case that they have to "make a scene" by burning paper money, setting up a mourning hall, laying wreaths, illegally mortuary and other means, and put some pressure on the hospital. If this is to be punished by "severe attack", it will undoubtedly add insult to injury and make people feel invalid every day!

In the final analysis, the dispute between doctors and patients is a problem of the decline of medical ethics and humanistic spirit, and it is also a problem that the medical accident appraisal system is not perfect enough. If medical staff are not indifferent to patients but full of enthusiasm, if medical institutions do not "justify themselves" after medical accidents, but the results are just and convince patients' families, then "medical troubles" will inevitably have no soil for survival.

[Measures]

To establish a normal doctor-patient relationship is mainly to provide reasonable and good medical services for patients through hospitals, strengthen communication between doctors and patients, and improve the professional ethics of medical staff. Therefore, the Notice cannot fundamentally alleviate the contradiction between doctors and patients and reduce the occurrence of disputes between doctors and patients. In order to fundamentally solve the tense contradiction between doctors and patients and resolve the disputes between doctors and patients, more institutionalized construction must be carried out.

First, we must thoroughly solve the problems of "supporting doctors with medicine" and the opacity of hospital drugs and services from the institutional level;

Second, we should improve the mechanism as soon as possible, completely eliminate some doctors' medical ethics, mercenary and poor technology, improve the quality of medical services from the quality level, and earnestly safeguard the vital interests of patients;

Third, it is necessary to strengthen the education of citizens' medical knowledge and legal awareness, guide the public's copyright awareness in China, and make them have a certain ability to judge right and wrong;

Fourth, while severely cracking down on "occupational medical troubles", we should also do a good job of communication and appeasement between patients and their families;

The fifth is to establish a third-party mediation department independent of medical institutions to ensure that disputes are managed and that handling disputes does not affect doctors' service to other patients.

Cutting down trees requires cutting off roots, and treating diseases requires asking the cause. To alleviate the contradiction between doctors and patients, we can't just focus on "noisy", otherwise there will be unprincipled partiality or unfairness, which will only further stimulate contradictions rather than digest them!

References:

Analysis of Hot Topics in Civil Service Examination Interview: Doctor-patient Relationship

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