Dispelling doctors and patients' trust crisis must depend on deepening the medical reform

Dispelling doctors and patients' trust crisis must depend on deepening the medical reform
Dispelling doctors and patients' trust crisis must depend on deepening the medical reform
The doctor is defending a patient, the patient is taking precautions against a doctor too. In a rational medical treatment system, the interests of doctor and patient are identical. If you want to dispel doctors and patients' trust crisis from origin, must depend on deepening the medical reform, let the doctor live on technology, but not lived on selling medicines recently, a hot model has spread on the net - -" doctor's self-protection must be read 31 pieces of truth ". A doctor wrote like this: " diagnose it must be prudent, try hard to be overall but fuzzy, leave the room for maneuver " ; " the operation having a big risk is not done, the unreasonable person does not do " ; " whether should leave critically ill to leave critically ill, should leave seriously ill to down seriously ill, then let relatives sign " ; " does not dare to sign, you prefer not doing this operation " ; " remember patients are not the parents, not friends " ; " thinking constantly, this patient at the moment of yours may reach the person who the court complains to you next week " . Though this is only a doctor " The personal experience " ,But reflected the current situation with tense relationship between doctors and patients truly. Not long ago, the world-famous " lancet " magazine published an article <>, the article claims: "The Chinese doctor's security question causes anxiety, they often become the victim of the incident of violence of the medical dispute. " "In China, the doctor has become high to endanger the job! " The doctor is defending a patient, the patient is taking precautions against a doctor too. A lot of patients send the card on the net, reveal darkness and the doctor's indifference of the hospital. Some patients think the doctor is in order to make money, carry on unnecessary checking and making a diagnosis on purpose, increase patients to bear. Other patients criticize a doctor for not curing the skill, there is no medical ethics. Thus, the intersection of doctors and patients and both sides suspect, set up defences each other each other, one may well say " rough stalk fight the wolf - -Fear of both ends " . People's life, from cradle to grave, everyone is due to a doctor. So, the relationship between doctors and patients should be the most intimate relation in the world. But, why is the relationship between doctors and patients of our country so tense? After all, the origin lies in the system. The medical treatment system twisted, expedite the emergence of the medical behavior twisted, has caused the relationship between doctors and patients twisted. The economist likes talking about heroes with the victory or defeat. From the viewpoint of economics, it is a kind of game relation too between doctors and patients. The game generally, there must be three kinds of shapes: First, you input me and won " Zero sum plays chess " ,Second, one pair of one that fails " Shoulder and play chess " ,Third, win-win " With playing chess " . At present, the relationship between doctors and patients of our country is basically presented and set against the state, " zero sum plays chess " Or " shoulder and play chess " . Doctors and patients are body of a pair of contradictions, both sides cure disease, get well, the common purpose which retrieve the life, there is antithesis on economic benefits. Under the prerequisite of the result of guaranteeing to make a diagnosis, the patient hopes to stint on expenses to the maximum extent, but the doctor hopes to utilize technological power to increase the economic income. In an unreasonable medical treatment system, the doctor obtains the larger income by the medical expense expenditure which increases the patient, this is " Zero sum plays chess " ; In a rational medical treatment system, the interests of doctor and patient are identical, the lower cost the patient cured the disease, the less medical expenditure of the society is, the more reward what the government got for the doctor is, this is " With playing chess " . At present, the greatest disadvantage of health care system of our country lies in, the cap of public service is worn in a lot of public hospitals, doing the thing of chasing the profit. And the government encourages the public hospital to raise medicine, raise medicine with the tool instrument with medicine wrongly in a situation that it is insufficient to be put into, but not raise medicine with the skill. Because the intersection of labor service and technological value of doctor underestimate seriously, can only check, make money of while being excessive, by the great prescription, result in excessively treating and overflowing, has aggravated the diagnosing the illness and bearing of the patient. Under such a system, the doctor regards patient as the tool making money, the patient regards doctor as the businessman making profit, the relationship between doctors and patients degrades as the relation between a kind of economic benefits, but not the relation of healing the wounded, rescue the dying. So, once the therapeutic effect is unsatisfactory or the medical accident takes place, some patients will vent one's spleen on who is not to blame to the doctor, adopt the intersection of violence and means injure doctor even, make copy fragile relationship between doctors and patients disasters pile up on one another already. It is obvious, " fear of both ends " between doctors and patients Behind,yes deep system reason. If you want to dispel doctors and patients' trust crisis from origin, must depend on deepening the medical reform, turn back the odd-shaped system of raising medicine, raising medicine with the tool instrument with medicine completely, let the doctor live on technology, but not live on selling medicines, dispel the economy between doctors and patients to set against. For the moment, the public hospital reform becomes the focus paid close attention by society. However, the core of the public hospital reform has been already in " put into again " ," building the mechanism " . If the government set up one more inclusive operating mechanism of kind of encouragement on the premise of guaranteeing the basic funds of the hospital, namely the doctor happens to realize the maximization of social value while pursuing the individual interests and maximizing, then, doctor and patient will become interests communities. For example, implement the payment system with rational science and include total value is paid, paid, paid for the fee, paying according to the therapeutic effect etc. on day according to the bed according to number, restrain the excessively medical behavior with the economic means, make more doctors cure the disease according to the technology and conscience. If really also need to set up defences during doctors and patients so? (white sword peak)


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