Mr. Lin deals with a lot of medical disputes every year, and he discovered a phenomenon very early on, most of the patients who have suffered medical disputes or medical damages are low-level people, why is this?
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1. The root cause of medical damage is the irresponsibility of medical personnel.
It can be said that the root cause of the vast majority of medical damages is the lack of responsibility of medical staff, and a few still knowingly commit crimes, simply put, they do not take things that may harm the health and life of patients seriously, such as missing diagnosis due to untimely tracking and reporting of examination results, such as lazy to check on patients, not closely observing changes in the condition resulting in delayed conditions, such as not carefully reading imaging data (CT, B-ultrasound, MRI images) can lead to misdiagnosis or missed diagnosis, such as unnecessary harm caused by ultra-surgical indications, such as missed treatment opportunities due to fear of taking risks and not actively implementing important treatments, etc.
Second, the object of irresponsibility is selective.
In clinical practice, the irresponsible behavior of medical staff is selective, if the patient is a family member of a leader, or a dignitary, or an elite in the industry, the doctor in charge will definitely take it seriously, including the number of leaders and senior physicians to visit the ward will increase, actively arrange examinations, consultations, and formulate treatment plans will be fully discussed, doctors at all levels will carefully read the medical records, the probability of negligence and low-level errors will be significantly reduced, and the probability of medical damage will be significantly reduced. On the contrary, if the patient is a low-level ordinary person, it is a very ordinary patient, and the treatment of it is also a very daily work, and the irresponsible work attitude is reflected in these patients.
Third, the people at the bottom have poor risk awareness.
A considerable proportion of medical damages occur due to excessive medical treatment, low level of medical technology, and poor risk awareness of patients, such as joint degeneration that does not require arthroscopic surgery and is coaxed by doctors to undergo surgery, resulting in serious complications; for example, a patient with congenital heart disease is coaxed by the hospital to undergo the first case of cardiothoracic robotic surgery without inviting an external expert, and dies unexpectedly during the operation; Excessive trust in responsibility, failure to realize the severity of the illness and timely transfer to the hospital, resulting in missed treatment opportunities, etc. There are also some people who do not know enough about their own conditions and are worried about the high cost of medical treatment, so they choose clinics, health centers, county hospitals and other primary medical institutions for treatment. There are many cases of delayed treatment, such as chest pain thought to be stomach disease, went to the clinic to inject stomach protection medicine, the result is myocardial infarction; for example, acute necrotizing encephalitis thought to be a cold, go to the health center for infusion, miss the precious opportunity for treatment; for example, toothache went to several dental clinics, several teeth were extracted and did not get better, only to go to a big hospital to find out that it was maxillary osteomyelitis, because the missed treatment time progressed to purulent meningitis death, and so on. However, as long as these patients have more medical knowledge, more extensive interpersonal relationships, and more treatment channels, they will be able to understand their own conditions, the technical level of the hospital, and the treatment that should be implemented for their own diseases as soon as possible, and they will have more thinking and choices without causing medical damage.
Fourth, the people at the bottom are more concerned about compensation for medical damages.
The people at the bottom are much worse off in dealing with the health crisis and economic crisis caused by medical damage, especially if the medical damage causes the disability or death of the main labor force in the family, or needs huge medical expenses to continue treatment, if the family does not have enough savings, how can they give up the right to compensate for medical damage? Therefore, in practice, it is often the poor patient who tries all his energy to defend his rights, while the patient with good economic conditions will not put too much energy into dealing with medical disputes, because he has more important things to do, even if he has a strong sense of rights protection, he will only hire a lawyer to deal with it, or use interpersonal relationships and hospitals to resolve it peacefully.
In short, "hemp rope is carefully selected and broken" can be used anywhere, because vulnerable people are more likely to be harmed, and I hope that medical staff will care more for the people at the bottom.