Tuesday, May 1, 2012

Construct the countermeasure of the harmonious relationship between doctors and patients

Construct the countermeasure of the harmonious relationship between doctors and patients
Construct the countermeasure of the harmonious relationship between doctors and patients
Zhang Yao, secretary of Sichuan Province Yibin discipline inspection commission of Municipal Health Bureau, is at present, some disharmonious factors that exist in relationship between doctors and patients. In order to hold the current situation of the relationship between doctors and patients in an all-round way, we take and hold ways such as the forum, questionnaire investigation,etc. to launch surveying and studying within the range of the whole city, look for the countermeasure of constructing the harmonious relationship between doctors and patients. Yibin the intersection of city and the intersection of relationship between doctors and patients and the intersection of current situation and the intersection of relationship between doctors and patients and overall better investigation this can hold forum, analyze 5 together, release 663 questionnaires, its Chinese medicine is partial to 330 personnel, 333 patients and relatives. The questionnaire result reveals, 79.3% of the patients and relatives think the relation with medical personnel was harmonious while seeking medical advice; 2.7% of the people think worse and very terribler. 52.25% of the patients and relatives think that can keep the relation like the friend with the medical personnel; 79.28% of the people express that has not received the puzzlement with tense relationship between doctors and patients in seeking medical advice. The trust crisis investigation takes place to reveal, when the patient meets medical trouble between doctors and patients, nearly 40% of the people are unwilling to communicate with the medical personnel face to face, so often to the appeal of the hospital or third party. Some patients do not believe the hospital can handle the dispute justly, even does not believe health authorities and the medical treatment appraise the result, thus adopt appealing for help or too drastic behavior to solve the dispute. The square appeal for suffering from, 27.28% of the medical personnel thinks that make trouble wilfully. 64.86% of the medical personnel thinks, the main reason causing the relationship between doctors and patients to be tense, it is the patient that has half knowledge of medical knowledge, exist and misunderstand. The medical dispute is solved and had difficulty in taking a step in 2007 in accordance with the law, 213 medical disputes take place altogether in the medical system of Yibin. Among them, 10 passing malpractice qualification and solving; 6 mediated through health authorities; Pass 2 of court's judgement; The hospital does not have fault, suffer from and then unreasonable pester 22; The hospital does not have fault, suffer from and then adopt 20 too drastic behaviors. The above-mentioned dispute solved in accordance with the law only accounts for 8.5% of the total number of medical disputes. So, in present cases, the difficulty of solving the medical dispute in accordance with the law is still greater. The tense reason of the relationship between doctors and patients analyses and investigates to reveal, there are more reasons causing the relationship between doctors and patients to be tense, mainly have three following respects. Doctor's high pressure causes more irritable investigation of the work to reveal, 46.36% of the medical personnel and 44.14% of the patients, think the large hospital medical worker's work load is too large, often work extra shifts or extra hours, if can't be suffered from square understanding, the service stands up to seem very irritable, it is tense to aggravate the relationship between doctors and patients virtually. It causes the patient of 33.63% of cognitive disparity to think, the medical personnel is displeased to communicate with the patient while seeking medical advice that doctors and patients roles offset, but the doctor hopes to suffer from and then for enough understanding to medical risk and limitation of the medical technology. Passivism corruption influence and medical care lag behind investigation reveal masses which run from opposite directions to deduct a percentage, it takes covert payment, commission bad phenomenon to be opinion relatively loud only, add, manage improperly by a few hospital, service, uncompletely,etc., the intersection of relationship between doctors and patients and nervous important factor. It is an important content of constructing the harmonious society to arrange and develop simultaneously and construct doctors and patients' harmonious relationship between doctors and patients more, the hospital is bearing the public health function of the government, it is very important to handle the relationship between doctors and patients well. Should strengthen the management of the hospital constantly at first. The questionnaire reveals, 71.8% of the medical personnel and 55% of the patients think the hospital should strengthen management, improve the working environment of the medical worker, improve the service quality, should attack the behavior which take commission, covert payment firmly, never soft. Secondly need to be a good doctors and patients and communicate. A lot of medical workers say, there is deficiency in their work, so long as not the main reason causing the patient to be unfortunate, hope patient and relative can forgive. One party of the patient thinks, the medical worker plays a positive role in protecting people's health, hope the medical worker really understands, cares about the patient, avoid misdiagnosing and managing by mistake. The third will improve and cure the thing and legislate. At present, because of the not independence of appraisal organization of the malpractice, in addition, " medical crash handling regulations " do not have tied mechanism, suffer from square and non- high to the trust of expert's conclusion, it is not tall that the court adopts letter rate. The malpractice should issue one cures thing law, carry on all-round adjustment to the civil legal relation between doctors and patients, establish doctors and patients' rights and obligations of both sides, set up the unified standard of medical compensation for damage, ensure doctors and patients' legitimate rights and interests of both sides, protect the healthy development of health care industry.


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