Medical accidents are common in foreign countries.
German doctors are not as "reliable" as expected. DPA quoted experts as saying that in 20 15 years, there will be 40,000 to170,000 misdiagnosis incidents in Germany. According to the report released by the German Patient Safety Alliance (APS) in April this year, there are about 3,000 medical accidents in which doctors forget surgical gauze or cotton balls in patients every year. In addition to carelessness, doctors' ignorance of patients' complications is also an important cause of medical accidents. According to the research results of Chucharin, an academician of Russian Medical College, in 20/4 years, misdiagnosis is the cause of death in 0/2% hospitals in Russia/KLOC.
It can be seen that even in countries with more developed medicine, medical accidents occur from time to time, which is not a rare phenomenon in China.
How do patients defend their rights? Mediation is an effective way.
Since its establishment in 2006, the independent patient consultation service in Germany, funded by the German Supreme Federation of Statutory Medical Insurance, has been providing patients with free, neutral and independent consultation services. Patients can defend their rights through three channels.
The first is to ask for help from your own health insurance company. All medical insurance companies have service offices that provide medical malpractice consultation. After patients suspect that they have been misdiagnosed, they can contact the medical insurance company for help as soon as possible.
The second is to appeal to the mediation office of the medical association where the misdiagnosed doctor is located. The mediation office usually sets up an expert group to identify and investigate accidents and mediate medical disputes out of court from the perspective of civil disputes. But the disadvantage is that it takes too long, usually about one and a half years.
Third, if out-of-court mediation fails, you can also resort to the law and sue the doctor. But this kind of lawsuit usually takes longer, about three or five years to get a result.
From this perspective, the first two channels are free and the process is relatively fast. However, if the rights are still not guaranteed, the law will always be the last guarantee.
Japan has established an independent medical accident evaluation arbitration institution and a medical compensation liability insurance system. In the event of a doctor-patient dispute, patients can help coordinate through the China Life Center and reach a settlement with the hospital; Arbitration or legal proceedings can also be conducted through the medical dispute settlement Committee.
How to harmonize the doctor-patient relationship after dispute mediation?
The key to alleviate the contradiction between doctors and patients lies in strengthening communication and establishing mutual trust between doctors and patients. This is the common sense of all countries. It is most important to strengthen communication, establish mutual trust and clarify the obligations and rights of both doctors and patients. Medicine is not only a science, but also a anthropology. In 20 12, the American Federation of Medical Colleges reformed the entrance examination for medical students, and put forward that "empathy" is the "pillar" of the doctor-patient relationship.
As a whole, medical care has team consciousness. I'm annoyed at the long wait at Houston Medical Center. When the nurse saw this, she hurried forward to explain and appease him, and his anger subsided. In addition to nurses who can answer questions for patients from a professional perspective and eliminate hidden dangers in advance, hospitals also have social workers with master's degrees to help patients solve various difficulties. For example, chatting with patients, buying daily necessities for patients, and even asking the federal government or state government to pay for patients who can't afford medical expenses.
Protecting patients' privacy is a top priority. Zhang Ning, a professor at Sidon Hall University School of Medicine in the United States, believes that protecting patients' privacy and respecting every patient is the premise of establishing mutual trust between doctors and patients. In the United States, doctors must ask the patient's permission before touching the patient's body, especially if they want to check the private parts, they must first tell the patient, "Can I listen to your heart and lungs now and touch your abdomen?"
The language of medical staff is also more rigorous. In Russia, rudeness can also be a reason for patients to apply for rights protection, so doctors pay great attention to using appropriate working terms. In order to be closer to the patient, the first sentence of the doctor's consultation is not "What's wrong with you?" But "what happened to us?" Between diagnosis and treatment, the doctor will also talk to the patient about his family.
The Manual of Medical Ethics of the Japanese Medical Association clearly stipulates the obligations of doctors and the rights of patients. For example, patients have the right to know their condition and treatment plan. Even if the patient is seriously ill, such as cancer, the doctor must tell the truth.
Ensure the reasonable treatment of doctors. American doctors have high professional threshold, high economic income and social status, and the cost of violating professional ethics is also high. Therefore, they cherish their hard-won position and are not easy to take risks because of petty profits such as "red envelopes". In Japan, besides members of parliament, teachers and judges, doctors are one of the few professions that are honored as "Mr.", which shows the high social status of doctors.
How to prevent and treat medical violence?
To avoid the occurrence of "medical violence", doctors need to proceed from their own moral construction, treat every patient strictly according to procedures and humanization, and fundamentally ensure the normal doctor-patient relationship.
In Japan, the popularity of medical knowledge is very high, and the government helps people become "smart patients". Medical safety support centers and 380 consultation windows have been set up in 47 prefectures and counties and 6 1 urban areas, with doctors and experts sitting in the town to help patients solve their confusion during medical treatment.
In order to prevent vicious violence in the United States, hospitals will hire * * to take charge of security, and their wages and benefits will be paid by hospitals. They are on duty with guns 24 hours a day, staring at hundreds of monitors everywhere and patrolling every corner. If you find "medical trouble" and take it away without asking the reason, you will be arrested and even sentenced to jail. At the same time, the medical treatment process in the United States also makes it difficult for troublemakers to start. When a patient sees a doctor, the nurse first takes him to the examination room to measure his weight and blood pressure, then goes to the examination room, puts on his examination suit and waits for the doctor. There is a three-color sticker outside the clinic: "red" means that the doctor is receiving a consultation, please don't enter; "Yellow" means that the patient is preparing and cannot enter; "Green" means that the patient is ready and waiting for the doctor. In the whole process of seeing a doctor, "the murder weapon is not easy to bring in, and it is not easy to escape after killing."
Rational allocation of medical resources can create a good environment for harmonious doctor-patient relationship and facilitate patients to seek medical treatment. Japan has done very well in this regard. Japanese doctor