The doctor is behind enthusiasts authority with the

Health reporter WeiLiPei

Recently, a copy of the 2010 edition jinan doctors called "red HeiBang" post become net friend hot held "doctor guideline", net friend spare no effort to discredit "and" holding "red", hope to distinguish real authority doctor. In fact, in the network BBS, always have all kinds of patients with "anxiously inquired where doctors most authoritative". So, what is authoritative doctor? The patient sought what authority? How can out of blind adored authoritative error? With these questions, the reporter interviewed.

Patients showed obvious seek authority orientation

Ms. Wang several joint pain, a hospital near at home. The doctor diagnosed according to their symptoms for rheumatoid arthritis, using western medicine therapy for a period of time but no effect. Wang went to see more than 40 clothing, take medicine, traditional Chinese medicine after illness aggravate. Later, she after setbacks to please a 3 armour hospital kidney disease diagnosis FengShiKe professor. Professor examination, carefully observe her finger, say: "you don't like rheumatoid arthritis, may be lupus erythematosus." After tests, this diagnosis is confirmed. Symptomatic treatment, illness soon get control. Ms. Wang moved to say: "not the kui is authoritative experts, let I no longer detours."

No detours or avoid detours is many patients the important enthusiasts authority doctor intention. However, blindly seek authority also let some patients healed more twists and turns of the road.

Patients from elsewhere because Mr. Li, coming to tianjin to tianjin general hospital of an expert, hang. Things not coincidence, the experts just went abroad, and half month 10 days can come back. In order to experts back, economically are not bounteous patients had to rent a house near the hospital. Finally, experts have a liking for, but treatment with local doctor's diagnosis suggestion specimens.

Not long ago, jilin university medical school professor led flexor and Bethune, a survey medical treatment in patients showed obvious during the authoritative orientation, most patients tend to big hospital seeking authority doctor.

Flexor and explained, "the doctor authority" refers to doctors have medical knowledge, skills and influence, can be divided into inner authority and external authority. Inherent authority refers to the doctor's actual medical level, external authority refers to the doctor's business titles, academic titles and administrative title. Survey results show that the patients think "doctor 68.3% authority" refers to the actual medical level, doctor refers to the patients think fiberoptic ductoscopy doctor business titles, academic titles and administrative title.

It is a doctor's authority over half of the patients tend to let go to the big hospital first. Survey results showed that when patients are 57.7% of the doctor first go above city-level large hospital, among them, the first choice to university hospital or the at or above the provincial level 22.5% hospital. Survey data also shows, 58.1% patients think hospitals have medical technology level is a doctor choose the main factor, hospital patients think doctors 72.4% treatment technology level is the main consideration choose a doctor.

Unknown little doctor also can solve big problems

Health education experts, Shanghai famous former director of zhongshan hospital YangBingHui said, what kind of doctor's authority is a difficult to define problems. "Some people take it for granted that, hospital director or department director must be a certain areas of authority. There's just one problem: President easy to ignore, or director or are acquired by business good position, but is not necessarily the best doctor of the technical level. Some people also adored professors, but the professor is teaching titles, lesson teach well don't represent clinical experience and medical technology is the best." Professor flexor and, also said the individual doctors exist with the name, such as inconsistent as, doctoral tutor, professor, its clinical diagnosis department director level are not necessarily high.

Beijing union hospital professor of obstetrics and gynaecology YuQi often accepts to those blunt "union" signs, and hardship to pay at the patients. "Now, our patients seek authority approach is first network, books and periodicals and by word of mouth between patients. These pathways are more or less true, such as newspapers published false-positives is a personal ads, and different the patient have individuality difference. On the other hand, our country medical level, patients are great differences don't know, I'll rely on" a chance ". An infertility patients desperately seeking, visited the national greatly small city, hear which experts, which works will go to try, effective treatment ought to delay the." YuQi remind patients, to so-called authorities have certain resolution, don't be experts, professors title, also cannot make rush decisions live trick.

YuQi said: "adored authority is a common fault countrymen. People there is a common as long as ill will find the best doctor of psychology, this is understandable. But as long as going to town, grassroots also have a lot of can solve the problem of the good doctor."

2006 spring, ZhangDaMa self-induction chest tightness pain, examination took the electrocardiogram find the attending doctor suspected, but must do heart bypass surgery. Family frighten helpless, are going to the dermatological department of big hospital seeking experts watch, but met an experienced doctor wang. In wang's careful inspection and guidance, ZhangDaMa coronary heart disease, she improved obviously every person said the unknown small the doctor gave her solve a big problem.

Patients, experts have authority to chase the responsibility

The flexor and professor survey also found that 70 percent more patients want doctor, with close by relations, enjoy high-quality medical resources authority. He said: "the cause analysis of two aspects: one is the medical resources allocation is not reasonable. 80% of our medical care resources are concentrated in cities, and 80 percent of the city and the resources concentrated in large hospital, especially the advantage resources in big hospitals almost all urban and rural patients. Doctor flow naturally to the big city hospital. Two is concentrated on health value and with the improving of economic capacity to pay, patients MingYuan seeks blindly, name branch, famous doctors, ailment also must go to large hospital look, also must find experts see the authority. Was hospitalized patients with whether a serious illness or orientation, disease or illness lighter ailments are first choose go to large hospital that resulted in a degree of overpopulation." big hospitals

Tianjin general hospital nurse jinxin, blind adored authority that not only, also caused the costly medical resources tension, to a certain extent also exacerbate the difficulties in getting and doctor expensive. She had witnessed many for the sake of authoritative diagnosis and treatment of patients at cut-throat find relationship.

Beijing xuanwu hospital, director of the practice of thoracic PE team is all make an appointment outpatient number per consultation can generally see, 8 ~ 10 patients. So inevitable will have part of the patients want look at his clinic, but not about. Had such a patient, about a long time about no. Not found by relationship experts sister. A PE think this would not repair, because patients could start to hang hospital of thoracic surgery of ordinary number, after finish related inspection, such as the illness needs, the doctor will inform the director for the patients unconditional plus.

A fix, to solve the patients that jether, blind adored authority needs to the competent department of health, medical association and physicians, each professional associations section highly, strict supervision medical advertising, strict new drug approval and new technology access, and encourages the continuing medical education specialist learn to strengthen and encourage and promote multidisciplinary cooperation disease center mode, emphasize and strengthen the common diseases prevention science popularization work. In addition, establishment conforms to modern demand level 3 medical service network and medical institutions provide assistance mechanism is also very important. YuQi says, authoritative experts quantity is limited, their energy is limited, and can't solve all patients with problems. So, the real authority should be selfless to leave their own experiences to grassroots doctor, improve the level of grass-roots doctor, tap patients.

"Patients adored authority, experts also have certain responsibilities. Now, chronic patients accounted for a large proportion of many times, and they all needed medical attention. Some doctors like to trust their patients, and in so doing grip on. Experts could give eqation condition isn't too heavy, not certain blame he looks cannot patients introduced to qualifications relatively shallow doctor. So, young doctor can grow up faster. I often take my patients introduced to my students, and tell patients, the doctor also can trust." YangBingHui said.