Constructing Harmonious Doctor-patient Relationship "New Normal"

2017-03-07

Health newspaper
 

      Chinese Premier Li Keqiang in this year's "government work report" pointed out that to build a harmonious relationship between doctors and patients. Doctor-patient relationship is in recent years, representatives of the two countries, members of the hot topic, this year they have to build a harmonious relationship between doctors and patients to bring what good recipe? Reporters on this interview with some representatives, members.
      To solve the contradiction between doctors and patients need to deepen the medical reform
      "In recent years I went to a lot of places to do research on the relationship between doctors and patients, the current medical trouble than in previous years dropped by about 20%." CPPCC National Committee members, Capital Medical University Xuanwu Hospital neurosurgery chief expert Ling Feng said.
      In this regard, the CPPCC National Committee members, the Chinese Academy of Medical Sciences Fuwai Hospital Arrhythmia Center Director Zhang Shu agreed. He said that the disease is the common enemy of the patient, if the doctor and the patient stood on the opposite, doctors and patients do not trust each other is not conducive to overcome the disease.
      Ling Feng that some people have contradictions, the understanding of the relationship between doctors and patients should also enter the "new normal". Medical side to use benevolence and benevolence to do communication, the patient's awareness of the medical level increased, the two sides have a space for cooperation.
CPPCC National Committee members, Hunan Province Health Committee, former director Zhang Jian believes that in recent years, doctors and patients of contradictory treatment is better, although still occur, but the frequency, severity, compensation and so on are declining. "If the classification of medical work done well, doctors and patients contradictions will be more effective solution."
      National People's Congress, Changsha Medical School Dean He Binsheng also believes that the solution to the contradiction between doctors and patients need to deepen the medical reform, establish a sound referral system, increase financial investment in the hospital to improve the openness and transparency of the medical process, to take effective measures to improve Medical experience, the elimination of patients in the process of waiting for a long time, pay a long time, taking a long time and other issues.
Improve the medical risk insurance sharing mechanism
      In recent years, the relevant departments of the state to take "medical trouble", "set up a third party medical dispute disposal agencies," "buy medical liability insurance" and other measures to a certain extent, ease the contradiction between doctors and patients. But in the CPPCC National Committee members, the 150th Hospital of the People's Liberation Army original director Gao Chunfang view, need to further improve the medical risk insurance sharing mechanism.
      Gao Chunfang said that the statistics of the Chinese Medical Association show that the average rate of medical malpractice in the country is 50%. "That is, half of the medical malpractice has no fault." However, in the judicial practice, the judge to deal with no-fault medical damage and more according to the "fair responsibility" principle, that is, regardless of whether the medical side in the diagnosis and treatment process without fault, as long as there is damage to compensation. But this approach will result in "as long as the litigation will be able to get compensation" error-oriented. "At present, China's no-fault medical damage without a corresponding relief, the patient in order to get compensation, can only emphasize the hospital medical behavior is faulty, to the medical institutions to bring great pressure, dampen the enthusiasm of medical staff, but also intensified the doctor Contradiction is not conducive to the development of medical career.
      Gao Chunfang suggested that the state should establish a medical risk fund as soon as possible in order to solve the problem of compensation for no-fault medical damage, the formation of a comprehensive medical risk insurance sharing mechanism, fundamentally promote the resolution of medical disputes.
      Lin Shaobin, vice chairman of the Second Affiliated Hospital of Xiamen University, suggested that the medical risk sharing mechanism should be established as soon as possible to reflect the government's social services, social responsibility and management functions, the quality management effectiveness of medical institutions, the doctor's responsibility, Risk their own risk and other factors, and these factors combine to promote the formation of a harmonious and civilized social environment.
      Get through the medical trouble into the "last mile"
      "Criminal Law Amendment (9)" provides that gather people disrupt the social order, the circumstances are serious, resulting in medical treatment can not be carried out by the "criminal law" punishment (that is, medical trouble). However, in the CPPCC National Committee members, the Chinese Academy of Traditional Chinese Medicine Wangjing Hospital orthopedic director Wen Jianmin view, this only clear the medical order is part of the social order, not specifically for medical proceedings to adjust the legislation. "There is also a need to get through the last mile.
      Wen Jianmin suggested that in the sixth chapter of the Criminal Law, "the crime of obstruction of social management," Section V "harm to public health" in the "disrupt the medical order crime." He believes that the specific provisions should be set to: the following violations of health care workers, disrupt the medical order of one of the circumstances, punish: (a) beaten health care workers; (b) insult, threatening, intimidating health care workers; (4) destruction of medical facilities, equipment, robbery, damage to medical records, etc.); (4) damage to medical facilities, equipment, robbery, damage to medical records, etc. Medical materials; (5) to take hard or arbitrary damage, occupation of medical institutions other property; (f) other obstruction of medical business, disrupt the medical order.

      (2) hiring others to commit the preceding paragraph; (3) having regard to the conduct of an important or urgent emergency; (3) to engage in any of the following acts: (a) The medical business is exercising violence. The first two acts, while constituting other crimes, in accordance with the provisions of heavier penalties for conviction and punishment. If the use of violence causes medical personnel to be disabled or died, they shall be convicted and punished in accordance with the provisions of Article 234 and Article 232 of this Law.
      National People's Congress, Shanxi Medical University, the second hospital blood department director Yang Linhua also said that medical treatment into the sentence, the relevant laws and regulations are not yet complete. Basic health law has not been introduced, "medical malpractice Ordinance," some of the provisions of the article is not realistic, the burden of proof and so on for medical disputes have hidden risks. "Some patients or families fail to leave the legal process, with the soil approach to the hospital.Many hospitals out of frustration, had to 'settle' disputes, resulting in medical disputes intensified.

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