Before the medical dispute liability is determined, the medical institution shall not lose money; strengthen the police-medical linkage; report the death incident within 12 hours... The National Health and Family Planning Commission, the Central Comprehensive Management Office, the Ministry of Public Security, and the Ministry of Justice jointly issued the The Notice on Doing a Good Job in Maintaining Medical Orders has clarified a number of measures to prevent and rectify “medical troublesâ€.
Can this series of measures cure the contradiction between doctors and patients? Can the "medical trouble" phenomenon that repeatedly stimulates the public's nerves be effectively curbed?
It is forbidden to "losing money and doing things" and pursuing the phenomenon of "medical trouble"
A patient in Yunnan died suddenly during the infusion process. Afterwards, the family asked the hospital to compensate, and refused to identify the medical accident. He also went to the hospital for several days to make trouble. In the end, the hospital agreed to pay compensation.
Such a thing is not a case. When talking about this issue, many hospital officials said that "more than one thing is less than one thing", "no energy and 'medical troubles' consumption, and some should not lose more or less." The psychology of "the crying child has milk to eat" also makes some family members take a fierce approach.
Although the National Health and Family Planning Commission data shows that the number of medical disputes in the country has declined in the past two years, the "medical troubles" are still a big problem that lingers in the minds of doctors.
This notice clearly stated that medical institutions must not lose money until the medical disputes are not determined.
"Before the illegal acts of the troubled personnel have not been stopped, the public security organs may not conduct mediation of cases, and shall not lose money before the medical disputes are determined, and clearly stipulate the process of handling medical disputes." Wang Dong, chief physician of the Department of Urology, Sichuan Provincial People's Hospital "Two unavoidable" breaks the illusion that "medical trouble" wants to satisfy the appeal through losing money, so that medical disputes can truly return to the track of legal treatment.
Deng Liqiang, director of the Legal Affairs Department of the Chinese Medical Doctor Association, believes that the document clearly prohibits "private" and requires both the hospital and the patient to respect the legal process. "In practice, the legal process of medical disputes does not mean that people are not informed. Judging on the basis of accurately identifying the condition and responsibility can better protect the rights of both doctors and patients."
Liu Wenying, director of the Children's Medical Center of Sichuan Provincial People's Hospital and director of pediatric surgery, believes that with this provision, the hospital is more responsive to medical disputes. However, the current relationship between doctors and patients is not ideal. To truly do this, hospitals need to introduce operational rules to form a standardized medical dispute handling mechanism.
"To improve the functions of third-party medical appraisal institutions, the hospital can have the courage to face medical disputes, and the family members of patients can be convinced, effectively avoiding the occurrence of 'medical troubles'." Liu Wenying said.
Strengthening the cooperation of police doctors to quickly respond to "medical troubles"
The notice proposes to improve the police-medical linkage mechanism; medical malpractices, disturbances, etc., medical institutions should take decisive measures to protect medical personnel and incidents; threats, intimidation, and insults of medical personnel must be resolutely stopped and quickly Call the police.
"Police doctors' linkage is a bright spot." Deng Liqiang said that in many "medical troubles" incidents, security can not fully play its role. At this time, the public security organs intervene in the first time to avoid deliberate troubles and protect the personal safety of doctors. .
Liang Haibin, director of the Safety and Security Department of West China Hospital of Sichuan University, believes that police-medical linkage can improve the response efficiency and success rate of emergencies, which is conducive to the advance intervention and effective prevention of medical disputes, and can be a powerful shock to criminals. effect.
At the same time, the notice requires that the safety protection capacity of medical institutions should be comprehensively improved, especially the grassroots medical institutions such as district and county hospitals, community health centers, and township health centers, and concentrate on the prevention of weak links and key departments.
“It is not difficult to find that tertiary hospitals and regional central hospitals are one of the key places for medical disputes.†Deng Liqiang said that such hospitals have a large amount of medical treatment and many difficult diseases. Once the treatment effect is inconsistent with the patient's expectations, it is prone to contradictions. "This time, it is very important to put forward prevention against weak links and key departments."
In fact, the National Health and Family Planning Commission and the Ministry of Public Security have issued the "Guiding Opinions on Strengthening the Construction of Hospital Safety and Prevention Systems". The hospitals should be equipped according to the standard of not less than 3% of the total number of medical staff on the job or one security guard of 20 beds. Previously, there were also hospitals piloted. The 27 public security system leaders in Shenyang were hired as vice presidents of 27 tertiary hospitals. The 14 hospitals in Wuyishan City hired the Municipal Public Security Bureau as the deputy dean.
According to Liang Haibin, in May 2012, Huaxi Hospital of Sichuan University and Wuhou District Bureau of Chengdu Public Security Bureau jointly established the “Huawei Hospital Squadron of Wuhou Emergency Disposal Mobile Brigadeâ€, an emergency squadron composed of 30 people, which has been disposed of in recent years. A number of emergencies have effectively maintained the normal medical environment of the hospital.
Multi-pronged approach to cure the contradiction between doctors and patients
To prevent and resolve disputes between doctors and patients, it is also necessary to adopt a multi-pronged approach and comprehensive treatment.
Notification requirements to further strengthen medical services and quality and safety management. Medical institutions shall promptly do a good job in information dissemination and information communication. If a medical institution commits a crime involving medical crimes, it shall promptly report the relevant situation to the local health and family planning administrative department and report it to the National Health and Family Planning Commission. Among them, if they involve death, serious injury or cause mass incidents, the medical institution shall immediately report to the local health and family planning administrative department and the local comprehensive management organization, and report it to the National Health and Family Planning Commission within 12 hours.
The reporter learned that the practice of medical practice in some medical institutions has yet to be standardized, especially the credibility of the identification agencies and appraisal procedures for medical disputes needs to be improved. Experts suggest that the establishment of a combination of judicial identification and medical accident identification identification procedures, unified institutions, unified personnel, to provide a more just evaluation platform for the handling of medical disputes.
Wang Dong believes that a medical accident identification expert database can be established, and when the medical accident identification needs to be done, the evacuation system is randomly selected and taken into consideration. In the specific operation method, the form of collegiate is adopted, and the medical treatment is fault-free, the degree of injury caused by fault is identified, and the credibility of medical dispute identification is increased.
Liu Wenying and others said that on the one hand, we must improve and improve the hospital's own treatment environment and level, on the other hand, we must guide the public to establish scientific medical concepts. "For a long time, the public has had high expectations for medicine. When confronted with doctor-patient disputes, they are emotionally excited. When they are excited, they cause confrontation. If they are opposite, they will lead to conflict. Therefore, it is urgent to break the 'demonization' and 'deification' of medicine. ."
Experts suggest that the social assistance system be further improved and medical assistance for the needy be strengthened. At the same time, the large-scale sickness insurance for urban and rural residents will be improved, and a multi-level major disease support system will be accelerated to solve the worries of patients.
Remdesivir Intermediate,Remdesivir Api,Remdesivir Powder,Remdesivir Cas 1809249-37-3
Shandong Bolode Bio-technology Co., Ltd. , https://www.bldpharma.com