This is a commentary report on Chinese doctors written by a foreign reporter, which was translated by enthusiastic netizens. Now repost it! On the occasion of the Mid-Autumn Festival, I have a hard time saying to our medical colleagues, I send my most sincere blessings to our patients and their families for a speedy recovery, and to those who silently care for and help us, say a good life to peace!
The World Anti-Cancer Congress was held in Shenzhen from August 18th to 21st. Minister of Health Chen Zhu introduced China's current medical and health system reforms in his opening speech. System reform is also one of the themes of this conference. Although a large number of international medical and health policy makers and doctors have led discussions on the framework and regulations involved in system reforms, there are few voices from local doctors in China.
Many Chinese delegates at the conference pay more attention to special reports involving patients and diseases, rather than plenary reports involving institutional reforms. One's own safety is the most concerned issue of Chinese doctors. Chinese doctors often fall victim to violence in medical disputes. In June this year, a doctor and a nurse in Shandong Province were stabbed to death by the son of a patient who died of liver cancer 13 years ago. In another case, a Fujian pediatrician jumped from a broken window on the 15th floor and escaped from a broken window on the 15th floor to avoid being besieged by the relatives of his deceased newborn. Therefore, it is not surprising that in July this year, 27 hospitals in Shenyang hired police-cha as the vice president. When the hospital was surrounded by medical violence, doctors became a dangerous profession. One of the main reasons for the tension between doctors and patients is that many Chinese patients believe that doctors and hospitals have done unnecessary examinations, treatments and treatments on themselves, resulting in increased medical expenses for patients. In addition, the illegal receipt of red packets by doctors has aggravated the occurrence of medical disputes and violence. Many patients blame the doctor for lack of love and professional skills, which directly leads to the deterioration of the patient's own condition. Doctor is a beautiful profession with a beautiful metaphor. For example, in ancient times, many people dreamed of becoming prime ministers or good doctors. In modern times, medical staff are called angels in white.
Why has the status quo of Chinese doctors become so precarious? There is no doubt that the Chinese media have played an important role, and they have exacerbated the tensions in the doctor-patient relationship today. There are numerous reports on how health professionals and doctors deceive patients in newspapers, television, and the Internet. A few weeks ago, the influential Southern Metropolis Daily in Guangdong province untruely reported that a middle-aged woman had a hemorrhoid surgery and had her anus sewn after giving birth. In November 2009, Chinese state media CC-TV reported that medical students of Peking University School of Medicine illegally practiced medical treatment, resulting in the death of the patient after surgery. On the contrary, the hospital and the Ministry of Health stated that it is legal for medical students to perform surgical operations on patients under the supervision of doctors with medical licenses. Such false reports have severely affected the reputation of doctors and hospitals. At present, in these two cases, it is difficult to judge whether it is the false report caused by the reporter's lack of medical knowledge, or whether the reporter and the media have deliberately made grandstanding. However, the report caused misunderstandings among the public. In the end, it was the doctors and patients who hurt.
In China, most hospitals, especially super-large hospitals, are government-run public hospitals. Public hospitals enjoyed full government funding before 1985. After the economic reform, hospitals received government financial subsidies drastically reduced, and hospitals need to increase revenue and reduce expenditure to support their operations. The main income of the hospital comes from diagnosis and examination. And hospitals have corresponding incentive policies to encourage such over-diagnosis and over-treatment. In order to avoid improper conflicts of interest, the Chinese government has issued laws prohibiting doctors from taking kickbacks from drug dealers. Even according to Chinese standards, the wages of Chinese doctors are low. Many Chinese doctors strive to find a balance between the requirements of professional ethics and the current situation of China's rapid economic development. Some of this pressure is intertwined with the devaluation of the doctor profession by society and the government, driving many doctors to switch careers. If the social and economic status of doctors is not improved, China's medical and health system reform will not succeed. Chinese doctors should be more involved in the medical reform process, make their own voices, and use their own experience and constructive opinions to help improve the medical reform system.