Health: radical excessive medical treatment need to all

ZhangHaiTong (the doctor)

Sources: health

        On December 26,, the ministry of health issued "the medical treatment organization practitioners code of conduct (draft)", the draft respectively to management, physicians, nurses, medical technician, pharmaceutical technical personnel and other staff put forward clear code of conduct, including provisions shall not be excessive medical doctors, and shall not be involved in illegal medical advertisement publicity and drug medical apparatus and instruments sales promotion. (December 27, "the Beijing morning paper")

        There is no denying the fact that excessive medical treatment is a very normal, but are widespread in the domestic medical industry, and long-term hard to get the effect a radical cure phenomenon. Not only does it increase the patient's medical burden, also will give patients bring a variety of health threats and damage, further worsen the already very tense doctor-patient relationship, so special for the public hate. Therefore, the relevant departments to publish relevant measures to control excessive medical phenomenon, of course, let the public expecting.

        But, this kind of medical personnel in the code of conduct can make excessive medical treatment effectively curb? The author was suspected. Want to know, in the medical industry, the relevant departments on the introduction of the such regulations actually has a lot of, however, the result is often not satisfactory. For example, antibiotics abuse phenomenon is not started in today, strict management regulations, severe punishment measures also introduced many, however, the public can still in pharmacy in without a prescription can buy all kinds of antibiotics, various senior antibiotics in medical organizations by excessive use, and even abuse phenomenon still can't get fundamental change.

        This opinion draft respectively on the management personnel, physicians, nurses, medical technician, pharmaceutical technical personnel and other staff put forward clear code of conduct, which calls physicians should use appropriate diagnosis and treatment technology and drug, due to illness customs, not excessive medical treatment. But, how to define the appropriate diagnosis and treatment technology and drug? This is a big problem.

        Engaged in clinical work for such a person will have a deep impression that - patients not according to medical textbooks to be sick. This statement is thorough popular feeling, because it revealed the essence of medicine and difficulties. On the one hand, human beings have medical knowledge and understanding of the disease is still very limited. According to medical textbook diagnosis and treatment method and can't cure-all, clinically to properly flexibility and innovation. On the other hand, even suffer from a disease, due to the constitution and pathogeny of difference, the course of both common also have individual character. Ancient Chinese medical scientist will put forward some still guides clinical medical principles, such as: different disease with disease pathogenesis, different governance, three for condition and so on. That is to say, according to differentiation of disease, the same kind of disease should adopt different treatment, different disease can also be the same kind of therapy. Three because it emphasizes organizational doctors cure full consideration should be given to the patient's constitution, regional and seasonal climate differences, flexibility to suit making.

        In addition, excessive medical phenomenon is actually medical system malpractice concentrated reflection. Domestic secondary and above in public hospital operation cost the government financial appropriation is less than 10%, the money is not enough even pay enrolled worker's basic salary. And a line of the medical staff basic wage and fixed quite low. If you can't medical service revenue, the vast majority of medical personnel light against the basic wage life would be difficult. Visible, as long as large and medium-sized public hospitals have been carrying around a heavy load of operation pressure, whether medical staff code of conduct, or clinical pathway management, it is difficult to eliminate all kinds of excessive medical phenomenon.

        Obviously, health management department only on issued "the doctor may not be excessive medical treatment" such regulation, it is to cannot effect a radical cure of excessive medical treatment. Thoroughly improvement excessive medical treatment, still have to all, the specimen. On the one hand, the relevant departments should increase in public hospital investment, actively promote the reform of public hospitals, reveal public hospital public welfare, let the hospital, the doctor "need not to make money". On the other hand, should also be fully follow the particularity of medical industry itself, respect for medical personnel's subjective intention and the professional dignity. So, to make improvement excessive medical phenomenon measures more scientific, reasonable and operable and to obtain the anticipated ideal effect.