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戴头盔上班!这国医生也很惨呐~

2017-07-05 萌主 MedSci原创

“医疗职业正在经历历史上最困难的时期,它的高尚性岌岌可危。”

先来看几组数据:

56%的医生平均每天睡眠不足7小时;

82.7%的医生感觉工作压力很大;

46.3%的医生担心遭遇医暴;

57.7%的医生希望能在医疗机构内配备安保人员……

看上去很像中国的数据吧?告诉你,这是印度医学会(Indian Medical Association,IMA)统计的最新数据。

7月1日是印度的医师节,IMA之所以选择在这一天公布这些数据,是因为印度最近的行医环境实在不容乐观。



比如上面这幅动图就曾在印度社交媒体上走红。当时,一名年轻的住院医生正在电脑前工作,一个头戴绷带的病人走过来,与医生对峙、推搡,并抄起椅子砸向医生。



还有这张动图,一群家属在病房中围攻一名住院医生,这名小医生最终被活活打死。

印度曾在今年3月连续爆发3起性质恶劣的医暴事件,一时间,印度医务工作者群起罢工抗议,这一系列新闻甚至“惊动”了BMJ(英国医学期刊)。



“医疗职业正在经历历史上最困难的时期,它的高尚性岌岌可危。”IMA名誉秘书长RN Tandon博士说,“对于未来,这里的医生都表现得不满、焦虑,而且没有安全感。”

戴头盔以示抗议

BMJ将印度医暴猖獗的原因归结为两点:对医疗系统的误解,以及对医疗结果的过高期待

印度有公费医疗制度,但人口众多,公立医院常常“人山人海”,体验很差;私立医院虽然数量多、收费较欧美也低得多,但考虑到印度的贫困人口,“借钱看病”依然是常态。

而同时,印度的医疗水平,放眼世界是不差的,媒体积极地报道着种种医学进步,导致人们对医院的期待越来越高,但印度文盲比例依然不低,因此医护人员与患者的沟通成本高得惊人。

2017年以来,已经有数以万计的印度医生走上街头;6月6日,德里医学会甚至号召其下属医院、护理院及其他医疗机构关闭急诊以外的所有服务,直到下午2点,以示不满。



一些尚在工作的医生则通过头顶头盔等方式表示抗议。



专业保镖进驻医院?这不是最迫切的需求

全世界都关注到了印度的医闹,印度难道不自觉吗?

当然不是。

事实上,从2007年起,印度就有18个邦通过法律保护医务工作者免受患者及其家属袭击,马哈拉什特拉邦住院医师联合会甚至要求政府允许医生持枪自卫,并出台法规,限制陪护家属数量不超过2人。

但是根据BMJ的评价,“这些法律起到的作用不大,需要执行得更加严格。”

同时,医院的安保力量也在加强,一些财力雄厚的集团甚至自己聘请了专业保镖进驻医院,防止出现暴力事件。



但在BMJ专家看来,以上这些措施都是“治标不治本”,医生一天学不会同患者及家属构建信任,一天不能消除患者对医院的误解,伤医事件就一天不会停止。

“最理想的情况是,医生能够和患者的整个家庭建立信任关系,但我们近几年着实看到不少医生只专注于自己的‘技术世界’,这就导致了医生与患者的社会关系脱节。”

“我们强烈谴责对医生的伤害,不过医生们也需要自我反省。要恢复医生作为普通人与医学科学之间的桥梁作用,这是当前最迫切的需求。”

参考资料:

Avinash Supe:Violence against doctors cannot be tolerated http://blogs.bmj.com/bmj/2017/03/29/avinash-supe-violence-against-doctors-cannot-be-tolerated/

Violence against doctors:Delhi Medical Association calls for‘bandh’on June 6 http://www.hindustantimes.com/delhi-news/violence-against-doctors-delhi-medical-association-calls-for-bandh-on-june-6/story-5kzK71MwTOowe9gLwhZ0MP.html

Majority of Indian doctors fear violence,are stressed,says Indian Medical Association http://www.hindustantimes.com/health/majority-of-indian-doctors-fear-violence-are-stressed-says-indian-medical-association/story-sN9rHa6rziLCjd15DJUoxJ.html

Doctors protest in Delhi;demand safer work space,stringent protection law http://www.hindustantimes.com/delhi-news/doctors-to-go-on-strike-in-delhi-in-demand-for-safer-work-spaces/story-RY3LEqVWkmEu8vyUtyZCdL.html

《印度医闹触发全国罢工,医院聘专业保镖保护医生》

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  1. [GetPortalCommentsPageByObjectIdResponse(id=239352, encodeId=6da72393523a, content=医患关系的解决需要更多的国家强有力的法律支持., beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/nVMLr1AgPVPqCvgGl1CbPiaOLBkYK6c3zXpECMkZ0VzfbnYGFnWQ9xOly0XibiceTVGKdMJVAbX2TEz9Yt6uxvvJQ/0, createdBy=a8411981495, createdName=1e183db5m33(暂无匿称), createdTime=Fri Sep 01 15:25:19 CST 2017, time=2017-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218928, encodeId=8cc2218928d6, content=要提高民众的教育水平, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Ne59unJiaEKVBVsw2H5iaLnmLt108lIrJ6YTqVphNiao7iaUJuuRE3xickhLErmQ99C3vF1zsf7DKXibuAQLOMjy7cgqj/0, createdBy=a8102049538, createdName=Medsci0421, createdTime=Wed Jul 05 21:56:01 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218926, encodeId=3c4e218926e7, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=418d1603809, createdName=jiuling, createdTime=Wed Jul 05 21:30:43 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218919, encodeId=6acc2189197a, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Jul 05 20:30:11 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218910, encodeId=a10e21891012, content=现实太残酷,医生太难当, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Wed Jul 05 20:09:29 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218900, encodeId=ab20218900a2, content=这个可以啊,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Jul 05 19:12:34 CST 2017, time=2017-07-05, status=1, ipAttribution=)]
    2017-09-01 1e183db5m33(暂无匿称)

    医患关系的解决需要更多的国家强有力的法律支持.

    0

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    2017-07-05 Medsci0421

    要提高民众的教育水平

    0

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    2017-07-05 jiuling

    学习了谢谢分享

    0

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    2017-07-05 changjiu

    学习了,谢谢

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=239352, encodeId=6da72393523a, content=医患关系的解决需要更多的国家强有力的法律支持., beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/nVMLr1AgPVPqCvgGl1CbPiaOLBkYK6c3zXpECMkZ0VzfbnYGFnWQ9xOly0XibiceTVGKdMJVAbX2TEz9Yt6uxvvJQ/0, createdBy=a8411981495, createdName=1e183db5m33(暂无匿称), createdTime=Fri Sep 01 15:25:19 CST 2017, time=2017-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218928, encodeId=8cc2218928d6, content=要提高民众的教育水平, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Ne59unJiaEKVBVsw2H5iaLnmLt108lIrJ6YTqVphNiao7iaUJuuRE3xickhLErmQ99C3vF1zsf7DKXibuAQLOMjy7cgqj/0, createdBy=a8102049538, createdName=Medsci0421, createdTime=Wed Jul 05 21:56:01 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218926, encodeId=3c4e218926e7, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=418d1603809, createdName=jiuling, createdTime=Wed Jul 05 21:30:43 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218919, encodeId=6acc2189197a, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Jul 05 20:30:11 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218910, encodeId=a10e21891012, content=现实太残酷,医生太难当, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Wed Jul 05 20:09:29 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218900, encodeId=ab20218900a2, content=这个可以啊,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Jul 05 19:12:34 CST 2017, time=2017-07-05, status=1, ipAttribution=)]
    2017-07-05 杨利洪

    现实太残酷,医生太难当

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=239352, encodeId=6da72393523a, content=医患关系的解决需要更多的国家强有力的法律支持., beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/nVMLr1AgPVPqCvgGl1CbPiaOLBkYK6c3zXpECMkZ0VzfbnYGFnWQ9xOly0XibiceTVGKdMJVAbX2TEz9Yt6uxvvJQ/0, createdBy=a8411981495, createdName=1e183db5m33(暂无匿称), createdTime=Fri Sep 01 15:25:19 CST 2017, time=2017-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218928, encodeId=8cc2218928d6, content=要提高民众的教育水平, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Ne59unJiaEKVBVsw2H5iaLnmLt108lIrJ6YTqVphNiao7iaUJuuRE3xickhLErmQ99C3vF1zsf7DKXibuAQLOMjy7cgqj/0, createdBy=a8102049538, createdName=Medsci0421, createdTime=Wed Jul 05 21:56:01 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218926, encodeId=3c4e218926e7, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=418d1603809, createdName=jiuling, createdTime=Wed Jul 05 21:30:43 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218919, encodeId=6acc2189197a, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed Jul 05 20:30:11 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218910, encodeId=a10e21891012, content=现实太残酷,医生太难当, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Wed Jul 05 20:09:29 CST 2017, time=2017-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=218900, encodeId=ab20218900a2, content=这个可以啊,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Jul 05 19:12:34 CST 2017, time=2017-07-05, status=1, ipAttribution=)]
    2017-07-05 虈亣靌

    这个可以啊,不错

    0

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