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2012 柳叶刀杂志:如何终结中国医生面对的暴力

已有 6601 次阅读 2012-8-30 11:05 |系统分类:观点评述| 暴力, 杂志, 医患关系, 柳叶刀

How to end violence against doctors in China

如何终结中国医生面对的暴力

 
We are grateful to The Lancet for the Editorial on violence against Chinese doctors (May 12, p 1764).1, 2 In the past two decades, the incidence and severity of medical disputes have greatly increased in China. We believe that the following could help end violence against Chinese doctors.
 
First, investment in health resources should be increased. According to the Ministry of Public Health, China, with 20% of the world's population, has a health expenditure that accounts for only 3% of the world's total.3 After the economic reforms of 1985, the Chinese Government contributed very limited finances to health. There were very few medical disputes before 1985 because most hospitals enjoyed full government funding.
第一,增加医疗卫生资源。据卫生部报道,拥有20%世界人口的中国,可医疗卫生资源却只占世界医疗总费用3%。经济改革之后,中国政府大幅减少对医院的财政拨款。在1985年之前,中国很少发生医疗纠纷,因为那时候大部分医院都享受政府的全额资助。
 
Second, the health literacy of Chinese adults should be improved. The poor public understanding of medicine could be an important factor in communication barriers between doctors and patients.
第二,提高中国国民的健康素养。较差的健康素养是造成医患之间沟通障碍的重要原因之一。
 
Third, the professional ethics of doctors should be strengthened. According to Yin Dakui, Director of the Chinese Medical Doctors' Association, 80% of medical disputes in China are caused by the bad attitude of health care professionals, ethical problems, and poor communication with patients.4
第三,加强医务人员的职业道德。中国医师协会殷大奎会长:在中国,80%的医疗纠纷缘于医师的服务态度、医德医风和语言沟通和问题。
Finally, the professional morality of media workers should be addressed. To increase audience ratings, some Chinese media workers write negative or even false reports of medical disputes.
最后,提升新闻媒体工作者的职业道德。中国的一些新闻媒体工作者为了提高观众的关注率,经常报道医疗纠纷的负面新闻,甚至错误报道。
We hope that the government, patients, doctors, and media workers reflect on their individual responsibilities to reduce the violence against Chinese doctors.
我们希望政府、患者、医生和媒体工作者都应该反思中国医生面临暴力的这个问题。
We declare that we have no conflicts of interest.
 
References
1 The Lancet. Ending violence against doctors in China. Lancet 2012; 379: 1764. Full Text | PDF(93KB) | CrossRef | PubMed
2 The Lancet. Chinese doctors are under threat. Lancet 2010; 376: 657. Full Text | PDF(70KB) | CrossRef | PubMed
3 China News Service. Chen Zhu: most of 8·6 million doctors are good in China. http://www.chinanews.com/jk/2012/03-14/3744342.shtml. (accessed July 25, 2012).
4 Yin D. Law-regulated practice and evidence-based self-protection. Chinese J Evidence-Based Med 2005; 5: 1-2. PubMed
 
 
Wang XQ,Wang XT, Zheng JJ. How to end violence against doctors in China. The Lancet, Volume 380, issue 9842 (August 18 - 24 2012), p. 647-648.


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