注册 登录  
 加关注
   显示下一条  |  关闭
温馨提示!由于新浪微博认证机制调整,您的新浪微博帐号绑定已过期,请重新绑定!立即重新绑定新浪微博》  |  关闭

Finster Forst

Do you believe in destiny?

 
 
 

日志

 
 

Seeking Solutions to the Dilemma of Doctor-Patient Relationship and Dispute  

2015-07-31 22:22:04|  分类: SYSU |  标签: |举报 |字号 订阅

  下载LOFTER 我的照片书  |

写残了的公选论文,老师说遣词造句没问题但文体写错了QAQ把Exploratory写成了Informative。。。各位将就着看吧。。。

It was October 25, 2013, which should have been a perfectly ordinary day for Doctor Wang in Zhejiang Province, China. He could have diagnosed dozens of patients and returned home just as before, but a sharp knife that penetrated into his chest from a hysterical patient ended the routine. The doctor in charge of the patient remarked in grief, “The operation had been really, really successful, but how come that he refused to believe it?”

Over 30 similar cases have been reported within the same year, but these are just a tip of the iceberg. In fact, the number of medical dispute cases in China has been drastically increasing during the past two decades. According to National Population and Family Planning Commission, approximately 70 thousand cases of medical dispute have occurred out of 7.3 billion outpatients nationwide in 2013, almost 14 times more than that of ten years ago. 1/100000 appears to be a fairly low proportion, yet when it comes to a specific patient who failed to be cured or saved, it would be 100%.

Accordingly, the complexity of the relationship between patient and doctor has been reflected gradually by numerous cases varying from medical malpractices to severe riots launched by irritated patients and even their families. The good old days are dead and gone when doctor symbolized the second parent of the civilians and had been highly respected by people from all walks of life. From a survey conducted among ten major cities of China, 7.7% indicated that doctors and patients are antagonistic towards each other concerning their respective interests while 16.3% agreed that doctors are to patients what sellers are to buyers. Those who maintained the idea that the doctor-patient relationship remains normal only occupied scarcely half of the interviewees and less than 40% remained optimistic to it.

"To cure sometimes, to relieve often, to comfort always ", as famous American doctor E. L. Trudeau left on his tombstone, was once an apt description of the role doctors should be playing and the ideal image of doctors from the perspective of patients. However, nowadays in China, doctors as well as patients have both been deprived of the respects that they deserved, simply because the growing intensity of the relationship between them. No more efficient communications, no more concrete explanations, no more sincere apologies, no more rational negotiations, only fear for being cheated, wrath towards sorrowful results, greed motivated by the pressure of making a living, and agony attributed to the dilemma created by both sides. Do these descriptions seem to exaggerate the fact? Sometimes, they are indeed the fact.


Facing the bitter reality, civilians have kept charging the negative trend of materialism and the deterioration of morality by expressing their complaints and condemnations towards doctors and hospitals, yet voices from the latter have a tendency to protect themselves by listing their difficulties. Why did all these disputes happen? Who is to blame? Considering the complexity of the issue, reasons can be listed as follows from different level of analysis.

?   Doctor

Doctors are directly responsible for medical treatments and reasonably become the first to blame in their patients' mind. Though most doctors are professional and dedicated enough, chances are that there are still many problems that occur during their communication with patient and other staffs in the hospital. For example, disputes invariably arise when nurses ignore patients' special demands, or when doctors do not amply present the situation of patients which leads to misunderstanding.

Worse still, professional ethic problems are turning acute. It is not abnormal that some doctors, money-oriented, prescribe expensive medicines and abuse examinations of all kinds that occupy a large proportion of medical cost. Besides, as doctors have got used to death, they may unconsciously show indifference to a certain death that is nearly the same with previous ones. "Beside treatment, we fail to comfort our patient when necessary, " said a medical student. On the contrary, a dead man's life means almost everything to his desperate relatives, which results in the disaffection to his doctor.

?   Patient and their relatives

With great pressure physically, mentally and economically, some patients and their families are so eager to seek for a solution that they usually have much too high expectations. What they expect might be some kind of instant cure to their diseases, yet such easy ways seldom exist since diagnosis rate is supposed to be only 70%. They are afraid that their money spent on the treatment could not contribute to the healing, and seriously doubt whether doctors are qualified enough to bring a dying man back to life since success rate of rescuing is usually lower than 80%. All above lead to distrust and sometimes even hatred to doctors. "A man will never die because of diseases, but will die because of the carelessness of doctors ", is only one of those irrational conclusions drawn by paranoids.

Similar to doctors, there are several typical ethic problems among patients. Those who regard all doctors as mercenary men hardly have respect for the latter and even offend them with rude remarks. More absurdly, a few patients even hire professional trouble makers to destroy public facilities and demonstrate their demands right in front of the hospital so as to get a large amount of compensation. In recent criminal cases related to hospital, several suspects confessed that they didn't even know the patient before. It reminds us that patients don't appear to be innocent all the time.

?   Medical system and society

With demands of medical care zooming, shortage and unreasonable distribution of health resources become an increasingly serious problem. "There are problems in the orientation and operation of public hospitals," said Zhang Qiang, a doctor in Shanghai. Funds allocated by the government couldn't cater for the needs of hospitals which means that the consumption of hospital couldn't be remedied adequately in time.

Imperfect medical system adds to the dilemma. On the one hand, medical insurance system couldn't perfectly cover the basic treatments of patients. On the other hand, inappropriate charge policy has aggravated the situation. Doctor's income is closely related to the price of medicine, directly leading to increasingly high medical cost.

Essentially, the polarization of income proves to be the fundamental cause of unfair distribution and results in a situation where high income means ample healthy resources and good health condition and vice versa.

 

Dealing with such disputes appears to be extremely difficult due to the constantly shifting situations and the complexity of doctor-patient relationship. In order to solve the serious problem, the government as well as hospitals have strived to establish relevant laws and regulations targeting at protecting both doctors and patients from being hurt.

For instance, Lin Wei District of Wei Nan, Shan Xi Province has founded the Mediation Center for Doctor-Patient Dispute, which claims to consult, accept cases and mediate objectively for both hospitals and patients free of charge. To cater for the need of the center, 46 doctors, 24 lawyers, 3 judges, 3 policemen and 3 notaries have been hired to participate in mediation with joint efforts. “We can get professional solutions to almost every problems from here”, said Yu Jianmin, a patient whose problem was settled once and for all. Another typical model is the Mediation Centre of Nan Chang. Since its establishment, it has successfully mediated 484 cases of doctor-patient dispute attributed to a team comprised of 750 professors ranging from professional and amateur mediators to lawyers. They reported that the number of medical dispute falls about 20% since the operation of the center.

However, mediation centers couldn’t solve any problem. Even though mediators have strived to negotiate with both sides, chances are that they are not authentic and convincing enough for the latter to believe in. It is shown by Dong Guan Health Bureau that almost 87% patients choose to threaten the hospital by undertaking a series of violent behaviors instead of taking legal actions to gain their rights. Worse still, since the center is affiliated with the Health Bureau, it is difficult to convince people who have long been suspicious of the government.

Beside mediation centers, numerous solutions have been carried out, but most of them present theoretical ideas rather than practical suggestions. The lack of concrete procedures when dealing medical disputes makes it increasingly confusing until viable and efficient steps are proposed.

 

By and large, medical dispute is a reflection of social conflicts and its complexity should be perceived with caution. Blaming any single side is supposed to be improper. On the contrary, only when we tackle relevant problems with regard of both doctors and patients can such problems be settled appropriately with our joint efforts.

  评论这张
 
阅读(40)| 评论(0)
推荐 转载

历史上的今天

评论

<#--最新日志,群博日志--> <#--推荐日志--> <#--引用记录--> <#--博主推荐--> <#--随机阅读--> <#--首页推荐--> <#--历史上的今天--> <#--被推荐日志--> <#--上一篇,下一篇--> <#-- 热度 --> <#-- 网易新闻广告 --> <#--右边模块结构--> <#--评论模块结构--> <#--引用模块结构--> <#--博主发起的投票-->
 
 
 
 
 
 
 
 
 
 
 
 
 
 

页脚

网易公司版权所有 ©1997-2017