Imitate abroad perhaps Huaibei is a trifoliate orange Melt the solid ice of doctors and patients only according to curing the responsibility dangerously and difficultly

Imitate abroad perhaps Huaibei is a trifoliate orange Melt the solid ice of doctors and patients only according to curing the responsibility dangerously and difficultly
Imitate abroad perhaps Huaibei is a trifoliate orange Melt the solid ice of doctors and patients only according to curing the responsibility dangerously and difficultly
The taking place frequently of increase and extreme incident of doctors and patients' dispute, force people to find and relax the method of the relationship between doctors and patients as soon as possible. Medical responsibility is dangerous and is considered to be the appropriate prescription again. However, this insurance kind wastes swords in China not to succeed yet in ten years, among them the twists still need people to scrutinize carefully. "Medical responsibility looks very beautiful by inches, but if there is not relevant back-up environment, that is only the flowers in mirror and the moon's reflection inwater too, can't solve the problem that during doctors and patients. " Dean of Central University of Finance Economics insurance Hao perform Su, say. So-called " medical liability insurance " ,Mean within certain time limits and circumscriptions, the assured (generally medical organizations or medical practitioners) Engaged in, conform with qualification make a diagnosis nursery work, cause the economic compensation responsibility that should be undertaken by him in accordance with the law by the fact that the malpractice or medical mistake happens in the fault, by the insurer (insurance company) Arrange in insurance that is responsible for compensating for. As far back as 1999, our country tried in the specific area through the government decree, and then was pursued nationwide by People's Insurance Company of China. However, even to this day, medical responsibility is dangerous and still in embryonic state, many insurance companies still withdraw from this field. The this and difference on day of people's hope to it are left. Shenzhen insures the medical organization and is fewer than 5% Known as in June of the past just now " The black June of doctors and patients " . During this month, a lot of malignant incidents happen in provinces such as Henan, Zhejiang, Hubei and Fujian,etc.. Striking violently between doctors and patients, some even blood spatter on the spot. A lot of experts and scholars write out a prescription to say, should think doctors and patients get along harmoniously in hindsight, there must be the third party and get involved, that is that (force) Medical responsibility is dangerous. This is not a very fresh idea. In recent years, get to the whole country " two Conferences " each time ,It is dangerous that deputies to the National People's Congress, member of the CPPCC National Committee propose letting a doctor buy medical responsibility. " two Conferences " of 2009 Go, economic group's committee member, safe group's Chairman CEO Ma MingZhe in China of Chinese People's Political Consultative Conference(CPPCC) submit the proposal promptly, propose setting up and forcing the medical liability insurance system in our country, promote the health care industry of our country to develop in a healthy way continuously. The reason why Ma Ming is wise does not have great difference with others: Manage the medical risk, relieve the contradictions of doctors and patients, solve important route and strong tool of doctors and patients' dispute in medical liability insurance, also the strong guarantee of advancing the reform of health care system, protecting the healthy development of medical industry smoothly. In the developed country, this insurance kind has already been generally popularized, " the function of solving the medical dispute is prominent " . Our country also has this need, will imitate it. Taking U.S.A. as examples, the doctor participates in the mandatory obligation that the professional insurance system is the legal provision. 8% of a medical service charge are given to the insurance company, the doctor with good achievement can reduce to 4%, the achievement is bad and may rise to 15%, until being refused to insure. This just means the end of its career. Generally nearly 1/ 3 of the incomes for a doctor is used for buying the insurance, and once present the malpractice or medical mistake, compensation responsibility falls to the insurance company on one's body. However, his motion has been defended the opposition of a group of many committee members by medicine of Chinese People's Political Consultative Conference(CPPCC). This kind of " objection " Also scrutinize " Responsibility rescues the relationship between doctors and patients by inches " A mirror of the prescription. Medicine of Chinese People's Political Consultative Conference(CPPCC) defends group's committee member, oral cavity oral implantology center of medical college director Lin Ye in Peking University to tell reporters, to medical organization and medical trade, insuring for medical responsibility can shift the operation risk, lighten the financial burden, some developed countries have really taken the compulsory form too, but it is be so at our country,at least improve a present situation can't. "I have contacted the personnel of the insurance company, the products that they promoted have no attractiveness at all. Frankly speaking, only want to charge the money, does not miss the secretary. Unfavorable to the clause of the hospital in the contract, this kind of situation, they leave alone; That kind of situation, they leave alone too. Once happen medical dispute, 90% work must hospital make. Why insure and look for the insurance company in that hospital? " Lin Ye says. Lin Ye's view rather prevails among the medical workers. Medicine of Chinese People's Political Consultative Conference(CPPCC) is defended group's committee member, former secretary Yao NaiLi of Chinese Academy of Traditional Chinese Medicine and said, limited to the human understanding of disease, the risk of medical treatment exists objectively, moreover the doctor may make a mistake too, so the one that shifted this kind of risk existed. "But the service that the insurance company offers can not reach the purpose of the hospital now, so hospital and medical worker have no enthusiasm. " One regards medical worker as insurance of marriage partner, the medical worker has not insured enthusiasm, its result can be well imagined. In one of the most developed areas of market of our country's insurance Shenzhen, in 1999 - -Among four years of 2003, the medical liability insurance only added up to premium incomes more than 2 million yuan, it is fewer than 5% to insure the medical organization. It is extremely incongruous that this and market of Shenzhen insurance is close to 20% premium growth rate every year. Why " Huainan is a tangerine, a trifoliate orange in Huaibei " Study a expert as the insurance, difficult to the dangerous promotion of medical responsibility, Hao has one's own views to perform the Soviet Union. He thinks, the insurance company attracts the motive force that the customer expands sales to exist, the medical worker buys the hope of evading risk of the insurance and exists, buy and sell, reason inside that, or except both sides. "Huainan is a tangerine, a trifoliate orange in Huaibei, not the trouble of the tree, it is the climate that changes. " Hao perform Su, say medical course it belongs to to be highly specialized technological category, it is impossible for insurance company to have the ability, judge medical dispute, want the medical trade to solve finally. "If the insurance company sets up the team of expert evaluating medical treatment and compensating for, the insurance premium rate may be up to the stage that any hospital can't bear, so if the hospital hopes to let the insurance company solve a large number of medical disputes existing, that is impossible. " However, different from a lot of developed countries, since one of the reasons why medical dispute happens frequently that our country lacks an independent malpractice appraisal organization (this for a long time, also one of the difficulties to mediate) after the medical dispute appears . While medical treatment appraises, the medical worker has already worked as " sportsmen " Work as " referee " again ,Cause people to be inconceivable and appraise the result, so is even if is that the insurance company appears, also unable to avoid the suspicion that is shielded each other. In this case, settle a claim and lack the essential intermediate link between the accident. "Does an accident believed in determine how to bring a convincing claims settlement result? If you object to claims settlement result, the function that the insurance that people expected relieved nervous relations of doctors and patients has just lost the foundation, in rain to draw the insurance company in the dispute too, the circumstances will not be improved. " In addition, there is a piece of " China's actual conditions " Doing mischief. The dispute has happened, if both sides are tested and appraised and confirm the malpractice, then hospital Face will receive being old injury,and if you can't influence, examine and grade until the end of the year, this impels the medical organization to incline to pour oil on troubled waters, choose to solve privately. As to this, even like to compensate, can not find the compensation basis either the insurance company insured. There are a lot of medical organizations, especially the large-scale hospital, often think the probability of the accident happens it is very small, totally have the ability to compensate by oneself, it is unnecessary to buy insurance. Hao perform Su, think, want, save relationship between doctors and patients by inches according to medical responsibility, must face China a lot of reality, can't copy the foreign method at will. For example, in countries such as U.S.A.,etc., most doctors are freelancers, they leave different from China doctor in depending on state, in order to gain patients, they must have first-class engineering levels, first-class service quality, and the insurance company that wins a high reputation would like to accept insurance for it, it is to its engineering level, affirmation of service quality. So, he proposes, if hope medical responsibility is dangerous to bring the miracle, should offer the essential condition that it gives play to the efficiency first then, especially set up a specialized agency independent of administrative organ of the hygiene and deal with the medical dispute, appraisal organization of the coroner with certain qualification condition and professional take on the technical appraisement subject of the malpractice. In addition, Hao perform Su, think imitate way that great calamity succours, our country can set up the relief fund of doctors and patients too, appointed to have organization of public trust manage operation, give difficult patient and their the intersection of relative and certain the intersection of fund and help, perhaps can bring some tender feeling to relationship between doctors and patients tightened too.


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