At the World Cancer Conference held in Shenzhen, China from August 18 to 21, 2010, the central vocabulary mentioned by the Minister of Health Chen Zhu in his opening speech describing China’s current medical reform is “System change”. At this meeting, some international health policy decision makers and clinicians discussed the principles and actions of medical reform, but almost no doctors from China participated in such discussions.
To understand why Chinese doctors are more willing to participate in meetings about treating patients rather than participating in discussions on "system change", you must first understand that Chinese doctors are more concerned about their own safety issues, and Chinese doctors today are often victims of terrorist violence. Author: In June this year, a doctor and a nurse in Shandong Province were killed by the son of a patient who died of liver cancer 13 years ago (fatally stabbed or dead? Media reports that the doctor died and the nurse was seriously injured) Fujian Province A pediatrician jumped from the fifth floor and was injured in order to escape the angry relatives of the newborn who had just been treated by him. Therefore, it is not surprising that in July, 27 hospitals in Shenyang invited the police to serve as vice presidents. When the hospital became a battlefield, Chinese doctors have become a threatening profession.
One of the main opinions on this issue is that Chinese patients believe that doctors and hospitals increase their income by adding unnecessary examinations, tests, and treatments for patients. And some doctors accept red packets in violation of regulations. Many patients condemned the doctor's depravity, lack of dedication, and poor technical skills. In the past, the ancient Chinese saying "If you are not a good doctor, you are a good doctor", but now it respects doctors and nurses as "white angels." So how do doctors now fall?
The Chinese media is undoubtedly the main cause of tension between doctors and patients. Newspapers, TV and the Internet are full of reports about bad doctors deceiving patients: A few weeks ago, the Southern Metropolis Daily (the largest newspaper in Guangdong, China) wrongly accused one The act of the midwife to treat the hemorrhoids of the patient after childbirth is to deliberately sewn the patient's anus. In November 2009, China's most authoritative media, CCTV, reported that a well-known hospital in China, Peking University First Hospital, illegally allowed medical students to participate in surgery, resulting in the death of the patient. Although both the hospital and the Ministry of Health have clarified that it is legal for medical students to engage in medical activities, including operations, under the guidance of doctors with a doctor’s license, the public’s trust in doctors and hospitals has been severely damaged. Whether the Southern Metropolis Daily and CCTV's misreporting was due to lack of common medical knowledge or the desire for sensational stories, we don't know. But the public's misunderstanding of the medical industry ultimately hurts both doctors and patients.
Most hospitals in China, such as Peking University Hospital and Huashan Hospital of Fudan University, are managed by the government. Before 1985, public hospitals were completely funded by the government. After the economic reform, hospitals could only receive very little financial support from the government. Therefore, hospitals had to generate income to maintain themselves. Since the income of hospitals mainly came from diagnosis and treatment, it was easy Produce excessive inspection and treatment. In order to minimize conflicts of interest, the health department has enacted a series of laws to prevent doctors from getting rebates from pharmaceutical companies. Because the income of Chinese doctors is very poor, and even judged by Chinese standards, Chinese doctors need to survive the booming Chinese economic environment. Balance your professional ethics and your income beyond making ends meet. This pressure, coupled with the feeling of being underestimated by the government and society of personal value, has caused many doctors to leave their professions.
If the social and economic status of Chinese doctors is not changed, China's medical system reform cannot be successful, and Chinese doctors should participate more in the reform of medical policies and express their views and constructive opinions on the medical system.