How To Solve The Medical And Patient Stalemate In Nanning Hospitals
Since the incident of Dr. Yang Wen of Beijing Civil Aviation General Hospital, the contradiction between doctors and patients has once again been on the cusp of the storm.
After Yang's incident, the regulatory authorities legislate to prevent doctors from causing injuries. The Standing Committee of the National People's Congress voted to adopt the basic law on health care and health promotion, which will be implemented in June 1, 2020. This law prohibits anyone from threatening and endangering the personal safety of medical personnel, and fills in the legal gap of violent injuries.
At the same time, various policies have been introduced to prevent violence in hospitals, and hospitals have constantly strengthened the protection measures for doctors. Nanning second hospital first launched the hospital security inspection channel to prevent dangerous goods from entering the hospital, and the control tool was found on the first day. In addition, a number of tertiary hospitals strengthen security measures to improve security levels and prevent injuries.
Insiders say that this can reduce the probability of hospital violence, but the harmonious doctor-patient relationship can not be solved only by compulsory security checks. In the future, there is still a long way to go for the doctor-patient relationship.
The main reasons for the contradiction between doctors and patients include economic and ideological reasons. - Gan Jun photo
The contradiction between doctors and patients remains to be solved.
In order to prevent violence against doctors, in December 31, 2019, the Nanning municipal health and Health Committee issued an urgent notice on completing the task of establishing performance assessment indicators for "Ping An hospital", requiring all three municipal hospitals in the city to complete the installation of security inspection channels before January 6, 2020, and prevent dangerous goods from entering hospitals.
Recently, the Nanning Second People's hospital security channel has been officially put into use to ensure the safety of medical staff and patients. According to relevant reports, on the first day of inspection, more than ten tools were detected, including control knives.
In recent years, there has been an endless stream of contradictions between doctors and patients. Frequent incidents of injuries and medical treatment have made doctors and patients extremely cool hearted. However, it was not a cold day, but the contradiction between doctors and patients was affected by many complicated factors, and seeds were planted long ago.
The main reasons for the contradiction between doctors and patients include economic and ideological reasons.
In terms of economy, due to the unreasonable distribution of medical resources, the patients with severe diseases tend to choose the top three hospitals, resulting in overcrowding in the top three hospitals and nobody in the small hospitals. Doctors were overwhelmed and the quality of service was reduced, resulting in a two minute queue for two minutes.
In addition, medical insurance is still unable to provide comprehensive protection for major diseases, and poverty often occurs because of illness. In some medical institutions, there is a phenomenon of drug and consumables rebate, which results in a decrease in trust between doctors and patients.
In terms of concept, patients are often in a weak position because of their lack of professional knowledge in the course of treatment. At the same time, because of the lack of communication time and consciousness, doctors and patients often have different cognition about the course and result of disease treatment. They are not satisfied with the medication and treatment result in the treatment process, which brew emotions for the Doctor-patient Conflict. Patients' distrust of doctors is the root of subsequent contradictions.
Finally, under various factors, the contradiction between doctors and patients is characterized by wide scope, large impact, obvious reasons for economic benefits, and difficult to handle. The doctor-patient relationship is at an impasse.
Security check: cut off danger and increase cost
At present, the security inspection for hospitals, doctors and patients will have an impact on the three sides. The biggest beneficiary is the group of doctors.
A doctor who worked in a third grade hospital in Guangzhou for nearly twenty years told the twenty-first Century business news reporter that she felt relieved by the hospital security inspection and hoped that it could be implemented nationwide as soon as possible.
She told the twenty-first Century business news reporter that her hospital had had a lot of medical trouble about ten years ago, and dozens of people rushed to the hospital to smash it. At that time, she and her colleagues were locked up for hours in the office, feeling very hopeless. She said that now there is a lot of medical trouble, but occasionally, we still need to find a hospital security office to solve it. For the hospital security inspection, she expressed great support, and thought that although the security check could not isolate violence, it could at least reduce the occurrence of extreme malignant events.
However, some doctors told the economic news reporters twenty-first Century that security checks may be a storm in a teacup. He said that violence against medical practitioners is a rare extreme event. For all patients, it means putting patients and doctors on the opposite side. It may aggravate ignorance and conflict and increase the distrust between doctors and patients. "The hospital is the place to cure the disease, and security check is like a wall separated between doctors and patients."
In terms of hospitals, we need to strengthen investment in security and increase operating costs to a certain extent. But on the whole, preventing violent injuries is more beneficial than harm to hospitals. On the one hand, it can ensure the personal safety of doctors, and on the other hand, it has a certain protective effect in hospital property and hospital word-of-mouth.
Patients may be the most vocal group. Whether it is expensive to see a doctor and long to wait, will the security check increase the time cost of seeing a doctor, or even delay the best rescue time for some seriously ill patients?
From the situation of the second hospitals in Nanning, the increase of visiting time is more worrying. After several days of operation, there was no queue for security inspection at the gate of the second hospital of Nanning. Most of the time, it was possible to go directly to security inspection. As for emergency treatment and other special emergency treatment, Nanning second hospital has also set up a green passage. Patients can go directly to the hospital without security check.
Temporary solution is difficult to cure
On the whole, setting up security inspection in hospitals is helpless.
There is an endless stream of violent injuries, and it is difficult for doctors to devote themselves to their work when doctors are unable to maintain their personal safety. Ultimately, hospitals choose to use this method to solve the problems of human nature and system. First, dangerous goods such as knives are cut off outside the hospital gate.
As for the establishment of security inspection in hospitals, some people on the Internet say that this is a solution to the problem. Indeed, this can only ensure that dangerous goods do not enter the hospital, and even if there are no dangerous goods, injuries can occur. Although it is impossible to prevent the occurrence of injuries from the source, it can be dealt with at the first time when a dangerous incident occurs.
Although hospital safety check is not effective, it is also a step in policy attempt. Hospital security inspection is a relatively simple and feasible solution. It may be replaced by a better solution in the future.
A doctor from a Affiliated Hospital of a university in Southern China told the economic news reporters twenty-first Century that security inspection can not reduce the contradiction between doctors and patients, but at the moment, it is possible to establish a relatively safe medical environment at the moment. Although it is difficult to cure the disease, it is still worth encouraging and promoting. In the long run, there is still a long way to go for harmonious doctor-patient relationship. This step by step attempt can gradually change the current situation of prominent contradictions between doctors and patients.
Insiders said that the establishment of security inspection is more conscious. "Security checks can help people establish some idea that hospitals are places to save lives, and that doctors and patients need to work together to maintain a harmonious environment instead of making random noises or even violence." He said that in this case, it will help ease emotions, make doctors and patients talk calmly and to a certain extent, reduce the factors that stimulate violence.
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