Recently, the National Health Commission issued the "Notice on Further Strengthening the Management of Complaints in Medical Institutions", one of which stipulates that doctors who face patient complaints may affect their promotion and evaluation.
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1. What is the cause of medical disputes?
The root cause of medical disputes lies in the asymmetry of information in the doctor-patient relationship. Doctors have specialized medical knowledge, while patients struggle to understand the intricacies of medical details. This can easily lead to misunderstandings and controversies. At the same time, the advancement of medical technology has also increased people's requirements for medical quality.
Some patients or family members may also have personal factors that affect their judgment. As mentioned in the case, the patient's family often has a problem with the door of the ward due to misunderstandings, which causes difficulties for the doctor. The asymmetry of the information makes it difficult for doctors to interpret well, which can lead to disputes.
The occurrence of medical disputes is a systemic problem, which is not only restricted by the doctor-patient relationship, but also affected by the subjective consciousness of the individual doctor and patient. It is difficult to achieve fairness simply by asking for a doctor or a patient.
2. Is the suspension appropriate?
The suspension notice from the National Health Commission seems too categorical and could easily cause unfair consequences for doctors. Because not all complaints are true. Some complaints are made due to subjective consciousness and do not represent the real situation of medical quality. Doctors may be punished needlessly for individual complaints.
This will have a significant impact on the motivation of doctors. In the face of possible suspension, it is difficult for doctors to have the courage to give professional advice and only "obey" the wishes of patients to practice medicine, which is not conducive to the improvement of medical quality.
Finally, simple treatment cannot fundamentally resolve the internal causes of the dispute. It is only fair and reasonable to distinguish between complaints and medical problems of different degrees and further investigate the truth.
3. The investigation system that needs to be established
In order to truly and properly resolve medical disputes, it is necessary to establish a sound third-party investigation and handling mechanism.
1. Establish a medical evaluation committee. An independent third-party committee will be formed to conduct an impartial investigation by medical experts, legal personnel, public interest representatives, and other experts.
2. Establish a rigorous investigation process. Publicly solicit relevant materials, investigate and understand the truth in many aspects, ask experts to appraise, listen to it at the same time, and deal with it fairly.
3. Clarify the effect of post-investigation treatment. According to the results of the investigation, the doctor will be given an evaluation or warning, and the false complaint will be held accountable in accordance with the law. Avoid simple suspensions that can affect the doctor's work.
4. Strengthen legal safeguards. Complete relevant laws, explicitly order that third-party investigation results have legal effect, and protect the lawful rights and interests of medical personnel.
5. Strengthen doctor-patient communication. The hospital strengthens patient education, improves public medical knowledge, and promotes two-way understanding of the doctor-patient relationship.
The above investigation system can balance the relationship between doctors and patients, protect the rights and interests of medical personnel and patients, and is more credible and operable than simple suspension measures.
Fourth, take flexible treatment in light of the actual situation
Medical disputes are a complex system project, and it is difficult to properly resolve any biased or absolute approach. On the one hand, hospitals should fulfill their responsibilities for open and transparent medical quality and improve the complaint return visit mechanism. On the other hand, society also needs to understand the professionalism and uncertainty of medical care. Differentiated handling of medical accidents of different degrees is adopted.
It is also necessary to strengthen doctor-patient communication and collaboration. Improve the public's medical knowledge and promote the participation of doctors and patients in medical decision-making. Ideally, the appropriate approach would be to take measures flexibly according to the specific circumstances of the case. For example, minor problems can be mediated within the hospital; Major disputes shall be reported to social medical institutions for investigation; Obvious violations of the law may be pursued in accordance with law.
Only by conducting personalized analysis and processing in the face of specific situations can the legitimate rights and interests of all parties be safeguarded to the greatest extent, and it is also the correct way to solve problems. The occurrence of medical disputes is a systemic problem. Solving it requires coordination between policy, law, health care institutions and the public. This means that the treatment method cannot be one-size-fits-all, but should be based on the actual situation and flexible response, in order to truly seek harmony between doctors and patients.
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