The patient does not approve medical responsibility becomes furnishings by inches

The patient does not approve medical responsibility becomes furnishings by inches
The patient does not approve medical responsibility becomes furnishings by inches
Patient relatives draw banners, seal the door at the gate of hospital, such incidents will happen often at the gate of many hospitals of Nanjing. Deal with the pressure of doctors and patients' dispute in order to relieve the hospital, the department of public health of Jiangsu Province proposes at the hygiene working conference of the whole province at the beginning of this year clearly, the rate of joining insurance of the medical liability insurance of above- first -class medical organization is up to 100% within the year. This medical responsibility which look very captivating is dangerous, let the hospital think that waste money, but the patient does not approve. The insider analyzes that is thought, it has no question itself that medical responsibility is dangerous, the more important thing is the related system is not complete. After the baby Xu of the current situation incident before the dispute of doctors and patients in Nanjing rises by 30%-40%, some the intersection of hospital and doctors and patients link up in the center, find Li Bin in Nanjing as reporter ' Assumed name) When, this doctors and patients having dealings with patient everyday link up the centre director and receive a patient. "When on earth will you deal with my thing? " One middle aged woman claim dish towards Li Bin. "The opinion of the hospital has given to you for a long time, you can choose any domestic hospital to see the doctor, any expenses happening during this time are paid by the hospital. " Li Bin is pressing down temper to answer. But " negotiate " Not reaching an agreement, the other side has improved the voice by eight degrees, but Li Bin has chosen to " flee from " . "This patient's question, the courts have all sentenced, ones that should be dealt with have been dealt with too, but she does not forgive without listening, comes to the hospital to make a noise by irregular steps, it has not good to say one's own disease yet, we let her look, she does not go, really have no idea "Li Bin sighs with all sorts of feeling shaking the head. Bin Li link up at the the position, director of centre, already for 56 years in doctors and patients, the such to him one " The old man " To say, dealing with doctors and patients' dispute should be said experiencedly, " I am regarded as a good person by oneself, try hard to consider from the view of patient too frequently, but only you wear the white overall, the patient treats you as the bad person. " Talk about the feeling while dealing with doctors and patients' dispute, Li Bin seems very helpless. "Having received 4 patients in a whole morning of today, this was similar to work load at ordinary times. " Li Bin says, since children's hospital " Xu BaoBao incident " last year After taking place, the dispute of doctors and patients of all hospital of Nanjing obviously rise, the dispute quantity in one year of the hospital of the first, second and third is in one or two hundred, the hospital that he locates is no exception. "Guard and estimate, the total amount of doctors and patients' dispute has risen by 30%-40%. " The dispute of doctors and patients having more visitors or business than one can attend to in the face of every day, Li Bin reveals: "I will not take sleeping pill in the evening now, it is unable to sleep at all. " The information asymmetry patient thinks wants to solve the problem must make a noise though the hospital quite has a headache to doctors and patients' dispute, but reporters, while interviewing a patient, everybody generally think, this is that there is no alternative but for it. Recently, Nanjing one large hospital take place late person who take place irritated to cause incident of death penicillin. The patient goes to see doctor because of upper airway infection, the doctor lets him hang water after diagnosing, among them there are penicillin medicines. According to the regulation, nurses have made the skin of penicillin to try for this patient first, after the skin is tried, this patient does not have any bad reaction, medicines have been input in patient's body so slowly. The nurse will often go over and observe too to use medicine in the course, still everything is normal. In consideration of security, half an hour after finish liquid, this patient is still demanded to stay in the hospital by the nurse and observed for a moment, there is not any symptom. After checking on step by step, patients were " released " by the nurse at last ,that expect but no one,it takes place that penicillin is irritated go home patient, appear shock quickly, finally because all rescue measures proved ineffectual and death. "One people well, think a cold, walk in this way! " The relatives who lose the relative bitterly are unable to accept this fact really, " the hospital manages the people very much, why is not responsible! " Patient relatives query. The hospital has their reasons too: "This fault or do one's duty, lead to the fact of us, why want us to be responsible for? " The communication is unable to reach common understanding again and again with the hospital, even if the hospital insures for medical responsibility, the insurance company will not settle a claim either. As a result, patient relatives have only a route - --" make a noise " . "Doctors and patients have asymmetric information seriously, patients are in weak status all the time, if doctors and patients' dispute takes place, can't solve the problem at all without making a noise. " Mr. Zhang waiting in province the People's Hospital has issued one's own view. "Medical treatment determines that is organized by medical association, this is unable to let people believe that make sure fair, just all the time, unable to seek the regular route to solve, does that patient have method of other settlement doctors and patients' disputes? " Mr. Xu of ones that are interviewed by reporter too, someone has gone through doctors and patients' dispute in the friend, he says with deep feeling, the compensation of hundreds of thousands easily of some hospitals instantly, let those patients in doctors and patients' dispute know " Covet " ,Thus has bred " Medicine makes a noise " This special colony, they are helping the patient family members to make a noise, should divide finally a big chunk is compensated, in fact the patient family members are difficult to extricate oneself from a most embarrassing situation too finally. In addition, a reporter knows while interviewing, the reason why doctors and patients' dispute does not reduce increasing instead now, because a lot of patients are very non- satisfied with relationship between doctors and patients instantly. "The doctor diagnoses the illness and writes a prescription beyond prescribing and checking, does not communicate with the patient at all, not finishing saying even condition sometimes, the doctor checks and justs already open. It is so expensive to see a disease, it is not good to see frequently, can the patient not have grievance? " However, a rational patient points out, if doctors and patients' disputes are still so many, the relationship between doctors and patients is certainly unable to take a favorable turn, the doctor, in order to protect oneself, will open more inspections naturally, by time, the doctor, in order to protect oneself, the disease that no has not been seen if some feels, so first class first grade pushes away up, maybe which day there is no place to see the doctor. A reporter knows that but the dispute that the hospital deals with of spending money buying insurance has not been reduced while interviewing, in order to let the medical worker break away from the ceaseless medical dispute, our province is gradual " Try water " Medical responsibility is dangerous. At the hygiene working conference of the whole province at the beginning of this year, the department of public health of the province points out clearly even more, the rate of joining insurance of the medical liability insurance of above- first -class medical organization is up to 100% within the year. The reporter learns, already 78 medical organizations have insured for medical responsibility in Nanjing at present, will insure the medical organization and sharply increase to 178 next year. But it is dangerous to talk about medical responsibility, the relevant person in charge of every hospital shakes the head directly. "Insuring for medical responsibility just has a route to solve dispute, lighten our pressure to a certain extent, but it is impossible want to reduce, relieve or avoid doctors and patients' dispute through any system at present, doctors and patients' dispute is a social contradiction. " Some the first, second and third and a medical matters place director insisting on anonymity of hospital in Nanjing says. Even if there is psychological preparation like this, those " fight bravely " The medical personnel dealing with the first line in doctors and patients' dispute says frankly: "If not The hard and fast rule of responsible institution of the hygiene should be bought, we do not buy! " As to reason that does not buy, among them one doctors and patients link up in the center director, explain: "Hospital it buys medical responsibility to be dangerous, want, bear more 30% more than expenses, but patient problematic to come on, look for hospital, why buy this insurance in that hospital! " This director says for example: "If our hospital buys the insurance of 1 million, insurance agent's company should take away 15% of the service charges from it, the insurance company will leave 15% by oneself, the ones that settled a claim finally and got in the hospital are 700,000. " It makes hospital to be unacceptable to be even more, medical responsibility dangerous to give them " lighten the burden " . A director insisting on anonymity of hospital of some the first, second and third of Nanjing says to reporters: "After investing the insurance, the hospital can deal with the trouble of doctors and patients' dispute very much. It seems now at least that the insurance company solves dispute respect meanings of doctors and patients not big for the hospital. " She further analyzes, the hope that medical responsibility is dangerous and initial exists and comes in and goes out, its very great reason is, in the current medical dispute solution at present, the patient does not approve of the insurance company. As to the reason not approving of the insurance company, the patient interviewed by reporter thinks, "it is hospital and patient that the relation happens directly in the malpractice, accidents happened to to certainly firmly believe the hospital, why take a lot of trouble to look for the insurance company! " 1:1 such as loss ratio. is 4-1.8 medical responsibility last " it is buy and sell to lose money " "In fact the insurance company is unwilling to receive this dangerous form of medical responsibility too. " It is one insurance corporation lawyer in Nanjing that Jiangsu will enlarge the yellow big root of lawyer of lawyer's office tomorrow, his main duty is responsible for the dangerous settling a claim of medical responsibility. While seeing yellow big root in one provincial hospital, he is participating in mediating doctors and patients' dispute. "My present work is to rush about and insure the hospital to every one, assist them to deal with big doctors and patients' dispute of the difficulty. " Huang HongGen says, after the lawyer gets involved, a lot of disputes will be easy to deal with a lot. "A hospital has met the dispute, talked 8 times and did not talk about combing during doctors and patients, the patient thinks all the time the hospital is the whole responsibility, but the hospital does not approve, later on they invite and mediate me, I have mediated for two hours, the patient agrees finally responsibility is half and half. " Deal with doctors and patients these behind the dispute, yellow big root conclude: "Not how good my eloquence is, reason and school in fact spoken have no differences, the key lies in I have not worn the white overall. " But yellow big root admits, with his own's strength, the function played is limited. "I am responsible for dozens of hospitals alone, can not run over at all. " Yellow big root points out, more important reason with the complaint of insurance company is that have lost money to buy and sell. "There are at 1:1 on loss ratio on now is medical responsibility dangerous. 4-1.8,that is to say whether there aren't hospital, what the insurance company compensated out actually is 1,400,000-1,800,000. " For fact of proving fully, yellow big root give reporter an example, having handed in 260,000 at some premium of section hospital of Nanjing, has already compensated 150,000 at present, an accident has happened again recently to this institute, demand to compensate 180,000. A hospital personage says what it is in one's hands to settle a claim is much saying fewer than ones that insured actually, yellow big root is explained, " this is because this institute has the dispute in course of dealing with, have not finished compensating. " Successful experience Tianjin stipulates ten thousand yuan hospital of the above dispute can't compensate by oneself A reporter knows while interviewing, implement a dangerous and similar one of medical responsibility with our province, Tianjin issue " Tianjin medical dispute handle way " by decree of government, and begin to implement in 2009, among them it is dangerous to require the medical organization to implement medical responsibility, get applauding unanimously in the industry. "They have set up the professional medical dispute people's mediation committee of market, this committee is under the jurisdiction of the bureau of justice of Tianjin, is made up of personnel with respect qualification such as clinical medicine, pharmacy, law, do not have membership with the health bureau. Not as here, there are medical dispute people's mediation committees in each district, and some members of the people's mediation committee of every district are residents committee members, it is not they that do not do one's duty, just while dealing with the such high doctors and patients' dispute of the professional intensity, they have congenital defects, so it is very difficult to strike home while mediating. " Yellow big root lawyer says. What in addition let all hospital persons in charge of Consultation Center of doctors and patients in Nanjing envy is, Tianjin still stipulates with the decree of government, the amount of claim is lower than 10,000 yuan, doctors and patients both sides can resolve through consultation by oneself; The claim exceeds 10,000 yuan, doctors and patients both sides have no right to solve by oneself, must apply to mediate or bring a suit before people's court to the medical dispute people's mediation committee. If doctors and patients both sides solve by oneself, will examine a ticket and reject making to the medical organization, not only investigate the responsibility of the hospital, the president's " black gauze cap " Will not protect either. "There is this hard and fast rule of the government, the medical dispute is very natural and has been led to the people's mediation committee. Moreover, Tianjin is in charge of the Vice Mayor of the hygiene, will participate in the mediation of the great doctors and patients' disputes about 20 cases every year, sit even if he just at that,can words and deeds of person who mediates norm,and then not to suffering from, also think more fairly that can believe. " The insider talks about this method of Tianjin, thumb up all without exception. Fact prove issue of " Tianjin medical dispute handle way " make the good result too, implement for over one year from February of 2009 to January of 2010, 324 medical disputes which the tertiary hospital of this city has compensated altogether, the quantity takes place and compensate the amount of money to compare with the same period last year in the medical dispute of Tianjin, having dropped by 62.4% and 61.2% separately, it is up to 86% to mediate success rate. Each side proposes setting up doctors and nurses to appraise the system and improve medical personnel's accomplishment "The foreign general surgeon should pay premium of 20,000 dollars in one year, doctors of stomatology department should pay premium of 50,000-60,000 dollars, if has met accident for two years in succession, will be refused to protect by the insurance company, once insurance company does not accept insurance, this doctor does not just have hospital that will be invited. " Yellow big the intersection of root and lawyer the insurance in foreign countries system to praise highly very when being interviewed by reporter, "not big with his relation that accidents happened to our present doctor, it is single that anyway sustain economic losses by the hospital ' bury ', this certainly will not cause medical personnel's enough attention. " So yellow big the intersection of root and lawyer think, domestic to should set up, appraise the system by first intact doctors and nurses too, lead the medical personnel to improve job accomplishment, impel the medical personnel to be careful again carefully in the course of practising medicine, the carefulness is more prudent, the doctor should force oneself to think of various possible accidents, could reduce the emergence of doctors and patients' dispute from source only in this way. Establish the mediation committees to avoid the successful experience of Tianjin in the hospital in charge while mediating the dispute, Let Nanjing medical the intersection of circle and personage to approve very, everybody think Nanjing should establish such a only medical dispute people's mediation committee of the whole city too unanimously, but not disperse to each district. "Should this committee be by the judicial circle personage? �� of moisture in the soil of chlorine temple of pen O �� of moisture in the soil of �� fragrant-flowered garlic of the exhibition Gou's flounder all defends the flat stone with ropes attached at the sides of �� and hands in the greedy vertebra Nao in season Wait for the fine and soft mallet mulberry �� of the towering health to closely question the greedy money of Gu Xi and protect ��'s cheek Shen and smell of fish All messy rammer torr Peng of Ke's bucktooth pen! Coin stir cough, hold in the mouth the intersection of ���� and the intersection of Su and the intersection of shelf and the intersection of �� and You Huan blame �� burnt ��� curtain fat sincere to comb �� while being towering while being elaborate while being flat � protruding Zhang sodium is blue to expose one's misdeeds or crimes spring largely Greedy the intersection of vertebra and man the intersection of calamity and room invite ��� of fragrant plant Xie the intersection of Wan and the intersection of decayed tooth and quiet the intersection of Ju and the intersection of value and mu, emperor of ���, eh, badger contrary to �� neglect the intersection of Ju and the intersection of value and wood, slough off Kong's badger scrupulously? Medical responsibility dangerous premium patients and governments should be born present medical responsibility dangerously to undertake by the hospital, relevant professional personages think, this premium should actually be by hospital, doctor, patient and commitments of 4 cubic meters of government. "The patient should invest one to protect for oneself too while diagnosing the illness. " One the intersection of the first, second and third and the intersection of heart and head of the department of hospital give an example dish with coronary bypass surgery: "The mortality of coronary bypass surgery, in 7%-8%, this might not be a doctor's technological question, who but these 7-8 death patients will be, no one knows, so should insure before the operation by the patient good for technology of putting up a bridge of coronary artery, share the risk for the victim. " Certainly, the premium that the patient pays is totally determined by the fact that the risk of receiving treatment is all kinds of more or less, if but the clinic sees the doctor, it is enough to pay 1-5 mao. "Should be drawn a part to insure while shutting from the medical insurance and newly and agriculturally every year by the government, let relative of that kind of patient of the issuing allergic death of penicillin if late can get certain economic compensation. " A provincial hospital of relevant experts have proposed such view. Certainly, as insurance doctor and hospital of subject, should bear " the major part " in medical responsibility is dangerous . "Doctor may calculate the risk from his previous surgery quantity, dispute quantity,etc. taking place in year while paying the insurance, thus confirm the premium. " The professional personage thinks. Author: Hua LinYue / source: Morning paper of Nanjing


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