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试论医患关系和医疗纠纷

热度 1已有 640 次阅读2014-2-16 09:19 |个人分类:医生园地| 医患关系



 
        医患关系是个永久性 的话题,古时候称医生为患者之再生父母,医生称患者为衣食父母,这种互为父母的关系,可见二者关系之紧密。还有一句俗语“有不孝的儿女,没有不尽心的医生,可见患者对医生的信任程度。这种医患互尊互爱,水乳交融的医患关系令人神往。                                                                                                  
        然而,时至今日,看到医患之间,互不信任,互疑互防,互相伤害的局面,实在令人痛心,痛定思痛!是什么原因造成如此不堪的局面呢?不能不引起人们的深思。有人甚至官方媒体也把其原因归罪于看病难看病贵,是问题的实质和症结吗?非也!从发展的眼光,用对比的方法去看看病难并不算真难。应该说过去的人因为社会的落后,医学的落后,交通的不便看病更难。好多人都在村医的诊治下“寿终正寝”在家中,现在物质条件改善了,对医疗的期望值高了,动辄就到大医院,大城市诊治。现代的医疗设备的应用,在提高诊治水平的同时也自然的增加诊治成本,但国家的医疗保险医疗救助的实施,自己不用全部自掏腰包,也减轻了患者及其家人的许多负担,应该说看病贵的问题也并不突出。                                                       
       我做为一个一生为医,半生为患的具有双重身份的人,我对医院里发生的许多问题有非同一般人的看法。                                                                                                          作为医生,我认为在医界,占绝大部分的医护人员都是好的,都是医德高尚,尽职尽责的,尽管中国医生拿着比外国医生少得多的工资,干着满负荷甚至超负荷的工作,担当着救死扶伤的责任,还遭受着医疗纠纷的困扰和煎熬,用鲁迅的一句话,中国医生“吃的是草,挤出来的是奶”评价中国医生是再贴切不过到了。因此说中国医生是世界上最好最廉价的医生。                                                                                         在SARS疫情发生的时候,看到为事业献身的医生,公众和媒体都把医生美化成“天使”,是“最可爱的人”。疫情过后不久,记得是哈尔滨医科大学医院发生了“天價医疗费”的问题,还没搞清楚是特例,还是普遍现象,就在许多媒体大肆炒作,把医院里发生的不尽人意的问题全部归罪于医生,把昨天的“天使”和“最可爱的人”的医生丑化为“白眼狼”。(实际上那只是一种十分罕见的特例,是有权人或有钱人在医院里为所欲为,横行无忌的恶作剧,应该是社会上腐败现象在医院里的表现)平心而论,发生在医院里的腐败也好,商业贿赂也罢,医生到底应负多大的责任?医生能负多大的责任?医生只是医院利益链条里的细微末节部分,医生也是一个普通劳动者,他的所作所为受到多方面的制约,医生不应该也付不起医院问题太大的责任,何况,医院是社会的一部分,社会问题总会在医院里表现。把他们当替罪羊是不公允的。随后,有人甚至官方媒体也把医院里发生的问题(还有根本就不是问题的问题,如广州儿童医院巨结肠诊治事件就是一例)肆意放大,炒作渲染!挑起医患矛盾并不断升级。引发医疗纠纷的频发,职业医闹的介入更是推波助澜,使处于风口浪尖上的医生备受煎熬。更有甚者,引起全国的疑医,仇医,恨医,伤医,害医的舆论氛围,使过去备受尊重的医生,人格得不到起码的尊重,人身安全得不到起码的保障,生命财产备受威胁!正像2014年1月24日,健康报的人文版块里,上海交大的王一飞协同北京等地的四位权威教授联合发文《给病人的第一味药是医生自己》中,把目前的医生定位为“弱势群体”那样,不管您医生如何处置患者,患者和/或家属,都可以找到你的不是。医生对患者检查,不检查,开药,不开药,开药多,开药少,让住院,不让住院,患者都能找到指责甚至告发你的理由,患者再加上家属可以说是百人百性。常说“一人难称百人意!在当前医患关系紧张的情势下,做个好医生可真难!医学博大精深,医学发展永远赶不上人们对医术的过高奢求!医学难能包治百病,更难让人永生不死,误诊误治在所难免(健康报称西方发达国家误诊率在百分之四十),出现并发症并不稀罕,医院里病人死亡也是常事!但是目前是误诊误治闹医院,出现并发症闹医院,病人死亡闹医院。现在,就我所知,有的医生,包括有些获得硕士,博士学位的医生都有离开医疗行业的情况。不少医生的子女不愿意报考医学院校。如此,医院如何开,医学如何发展?自古谁能不生病,是人谁能不看医生。                                                                                         
       做为我一个患多种疾病,多次住院的病人,我深知医生和护士对病人的重要,好的医生能使病人减少病痛,起死回生。                                                                         个别患者和、或家属,以个人私利为出发点的医闹行为,使医院的工作受到干扰,使医生的感情受到伤害,使医生的权益受到侵犯。使医学的发展遭遇阻碍。           长此以往,医患双方都将深受其害。再往大处说国计民生都会受影响。                    现在,是应该全社会都认真地理性梳理和解决这个问题的时候了。

The doctor patient relationship and medical disputes

The doctor-patient relationship is a permanent topic, in ancient times known as the second doctor patients, doctors say patients for God, the mutual relation of parents, visible two closely. There is a saying "unfilial children, not your doctor, visible patient trust degree to the doctor. The physician-patient mutual respect and mutual love, get along swimmingly with each other the doctor-patient relationship look attractive.

However, today, see between doctor and patient, do not trust each other, mutual trust, mutual protection, hurt each other with the situation, it really hurts, as a warning for the future! What causes such a miserable situation? Can cause people to ponder. Some people even the official media have put the blame on the medical treatment is difficult and expensive, is the essence and the crux of the problem? Not at all! From the perspective of development, through the method of comparison is not difficult to see a doctor difficult. It should be said that people in the past because of backwardness, medicine backwardness, traffic inconvenience see more difficult. A lot of people in the village medical treatment "die in one's bed" in the home, living conditions improved, the medical expectations high, prone to large hospital, diagnosis and treatment of large city. The application of modern medical equipment, to improve the level of diagnosis and treatment and natural increase treatment costs, but the state medical assistance for the implementation of the medical insurance, they need not all out of pocket, but also reduce the burden of patients and their families, it should be said that the problem of expensive medical treatment is not prominent.

I as a life for the medical, life has dual identity of people suffering from, I have unusual people's views on many issues happened in the hospital. As a doctor, I think in the medical community, the majority of doctors and nurses are good, are noble medical ethics, conscientious, although China doctor takes much less than foreign doctors wage, doing the full load or overload of work, take responsibility of heal the wounded and rescue the dying, also suffered from the medical dispute worry and suffering, in Lu Xun's words, China doctor "eat grass, squeezed out the milk" evaluation Chinese doctor is apt to. Therefore China doctor is the world's best and most expensive doctor. During the SARS outbreak, to see the doctor to devote ourselves to the cause, the public and the media to the doctor up into "angel", is "the most lovable people". Epidemic soon after, remember the "sky high price of medical fee" of Harbin Medical University hospital, not clear is a special case, or the universal phenomenon, in many media hype, the hospital had problems all blame the doctor, to yesterday's "angel" and "the most lovable person" doctor to vilify the "supercilious look wolf". (in fact, it is a very rare exception, is the right man or rich people do as one pleases, in the hospital run amuck's practical joke, should be the performance of corruption in the hospital) be honest, takes place in a hospital or commercial bribery or corruption, doctor, what should take much responsibility? The doctor can negative much responsibility? The doctor just the details part of hospital interests in the chain, the doctor is an ordinary worker, his the doings has been restricted in many ways, the doctor should not and cannot afford to pay the hospital too much responsibility, moreover, the hospital is a part of the society, social problems will exhibit in the hospital. When their scapegoat is not fair. Then, some people even the official media are the hospital problem (and not the problem, such as Hirschsprung disease treatment in Guangzhou Children's Hospital event is an example) were amplified, hype! Stir the doctor-patient contradiction and constantly upgrade. Frequent occurrence of medical disputes caused by occupation, medical intervention is adding fuel to the flames, so that in the in the teeth of the storm's doctor suffering. What is more, cause the doubt medicine, Chou medicine, hate medicine, wound healing, damage and atmosphere of public opinion, the highly respected doctor, personality is not at least respect, personal safety can not get at least guarantee, life and property of threat! As of January 24, 2014, reported health cultural forum, Shanghai Jiaotong University Wang Yifei Co Beijing and other places of the four leading professor jointly issued a document "to the patient's first drug is your doctor", the doctor present as "vulnerable groups" that, regardless of your doctor how to dispose of the patients, patients and / or their families, can find you not. The doctor to patient, do not check, drugs, not drugs, prescription, medicine, hospital, do not let the hospital, patients can find the accused even on your reasons, patients and families can be said to be a hundred hundred. Used to say "one hundred meaning to say! In the current doctor-patient relationship tense situation, be a good doctor is very difficult! Medicine is broad and profound, the development of medicine will never catch up with the skill of a high luxury! Medicine to cure, more difficult to make people live forever, misdiagnosis can hardly be avoided (Health reported in western developed countries the rate of misdiagnosis in forty percent), complications are not rare, hospital deaths are also common! But at present is the misdiagnosis and mistreatment downtown hospital, a hospital patient died of complications, make hospital. Now

, as far as I know, some doctors,including some master, doctor's degree doctor has left the medical profession situation. Many doctors children unwilling to enter oneself for an examination in medical colleges. So, how to run a hospital, medicine, how to develop? Since ancient times, who can not get sick, is the person who can not see a doctor.

As I am a suffering from various diseases, repeatedly hospitalized patients, I knowthe doctor and nurse to patient, good doctor that patients can reduce pain, make the dead come back to life. Individual patients and family members, or bypersonal gain, as the starting point of the medical behavior, make the hospitalwork interference, make the doctor's feelings were hurt, the rights and interests have been infringed. The development of medical science have encountered obstacles. If things go on like this, both sides will suffer. And then to the Department beneficial to the people's livelihood are affected. Now, when the whole society should be serious geographical combing and solve this problem.

发表评论 评论 (1 个评论)

回复 皖闽 2014-2-16 11:07
医生也是人,需要社会的关爱。

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