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Recently, some netizens broke the news that in a hospital in Suzhou, Jiangsu, a female patient's medical record had an obviously inappropriate diagnosis such as "long foreskin", which sparked heated discussions.
This incident reflects that the problems of disharmony between doctors and patients and information asymmetry in mainland medical services are still prominent. How to improve the doctor-patient relationship and improve the transparency of medical information is an urgent problem to be solved in the process of medical reform.
The lack of doctor-patient relationship leads to a decline in the quality of service
A good doctor-patient relationship is an important cornerstone to ensure the quality of medical care. At present, there is a rift in the doctor-patient relationship in the mainland, patients have distrust of doctors, and doctors are hostile to patients. This is mainly due to:
The deterioration of the treatment environment and the fact that patients often encounter problems such as long queues and overworked doctors, resulting in shorter communication time between doctors and patients and difficulty in building trust in interactions.
The professionalism of some medical staff needs to be improved, their attitude is not friendly enough, their language is not appropriate enough, and they are unable to obtain the understanding and cooperation of patients.
The health literacy ability of patients is uneven, and some patients lack a correct understanding of professional knowledge such as the condition and treatment plan, resulting in anxiety, doubt and other emotions.
The lack of doctor-patient relationship has led to a decline in the efficiency of medical services and an increase in doctor-patient disputes. How to improve the doctor-patient relationship requires hospitals to further improve the quality of medical services by optimizing the diagnosis and treatment process and improving medical ethics and style.
Information asymmetry exacerbates the contradiction between doctors and patients
In the process of medical services, there is obvious information asymmetry between the two sides because doctors have more professional knowledge and patients are at a disadvantage of weak information acquisition. Once there is a medical error, the lack of transparency will exacerbate the conflict between doctors and patients.
Some hospitals are not active in health education and disease notification, resulting in patients' unclear understanding of the disease and treatment. Medical expenses are not transparent, and some hospitals have problems such as arbitrary charges and duplicate charges, which will also cause dissatisfaction among patients.
The handling of medical accidents is not standardized, some hospitals do not support the patient's second diagnosis and treatment opinion, and the information is not disclosed, which leads to the intensification of disputes. Strengthening information disclosure and improving transparency is of great significance to protect the rights and interests of patients and reduce doctor-patient disputes. A sound information disclosure mechanism can also urge hospitals to standardize medical behavior and improve service quality.
Heavy medical tasks affect the quality of service
At present, the shortage of personnel in grassroots hospitals and the imbalance in the ratio of doctors and patients have not been fundamentally alleviated. In this context, doctors undertake heavy medical tasks, and it is difficult to give enough time and energy to patients, resulting in problems such as too short consultation time and file errors.
This kind of high-intensity working state not only seriously affects the health of doctors themselves, but also easily causes the decline of medical quality. This "long foreskin" incident is likely to be a file error caused by the doctor under time pressure. At the same time, overworked doctors are also more likely to suffer from burnout and worsen attitudes towards patients.
In order to improve this predicament, it is necessary to continue to increase the investment of manpower and financial resources, especially to strengthen the construction of grassroots hospitals, expand the scale of the contingent of practicing physicians, and gradually improve patients' sense of access to medical treatment.
Establish a scientific path for medical reform
It can be seen that the tension between doctors and patients, the lack of transparency of information and the shortage of medical resources are the important reasons why it is difficult to improve the quality of medical care in mainland China. This requires health care reform policymakers to start from the following aspects:
Transform the hospital management model and further improve the service level, such as implementing time-based outpatient services and extending consultation hours, so as to improve the efficiency of medical treatment.
Improve the construction of medical ethics and medical style, cultivate the professional professionalism of doctors, and establish a patient-centered service concept. Strengthen doctor-patient communication, adopt personalized health education methods for different patients, and improve patients' medical participation.
Establish unified standards for diagnosis and treatment and fees, improve the information disclosure and supervision mechanism for medical expenses, and reduce the uncertainty of medical service prices.
Improve the medical safety management system, strict accident reporting and disposal procedures, and protect patients' right to know and the right to appeal. Accelerate the training and introduction of medical and health personnel, rationally allocate primary medical resources, and gradually narrow the gap in medical standards between regions.
Medical reform is a complex system project, which needs to form a joint force in many aspects such as policy promotion, regulation construction, and resource investment in order to make substantial progress. At the same time, a sound medical ethics and standardized diagnosis and treatment process are also crucial, which need to be consciously practiced by medical staff to repay the trust and support of patients with better medical services.
The whole network has been opened to protect rights, and plagiarism is not allowed, and offenders will be prosecuted. Thank you for your understanding and cooperation!