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北京伤医事件深度反思,王辰院士PK社科院朱恒鹏

2019-12-27 不详 网络

最近的这起恶性伤医事件,再次激起人们关于什么是医疗服务的本质的话题讨论  王辰,1962年8日出生,呼吸病学与危重症医学专家,中国工程院院士 一 王辰院士:医疗的本质是照护,不是服务 社会有一点误区,认为医患关系的医疗行为好像是一种服务,甚至有点像商业服务,这在根本上是不对的,医疗问题的本质是照护,而不是服务。这个照护和服务在本质和内涵上是完全不同的。 王辰院士的

最近的这起恶性伤医事件(杨文医生事件),再次激起人们关于什么是医疗服务的本质的话题讨论。


有关医疗服务的本质讨论,背后是医疗承担的责任是什么?患者将责任怪罪到医生的头上,是对还是错?!

 王辰,1962年8日出生,呼吸病学与危重症医学专家,中国工程院院士

一 王辰院士:医疗的本质是照护,不是服务

社会有一点误区,认为医患关系的医疗行为好像是一种服务,甚至有点像商业服务,这在根本上是不对的,医疗问题的本质是照护,而不是服务。这个照护和服务在本质和内涵上是完全不同的。

王辰院士的话可谓一针见血。服务与商业、买卖、消费相伴随,照护与关怀、抚慰、治愈相伴生。尽管只有两字之别,却差之千里。

把看病当成买卖和消费的大有人在。前段时间,发生在武汉大学中南医院“医生抢救时剪坏病人衣服遭索赔”事件,患者父亲向医院索赔1500元,后在民警的调解下,患方获赔1000元。这位父亲在接受媒体采访时说:一码归一码,医院提供的是有偿服务。

这样的例子不胜枚举。医者抚慰生命,生命尊重医者,这原本是人世间最美好的关系,却在部分人心中已经异化为了消费关系。很多患者认为,我到医院是花钱看病的,既然花了钱,就属于消费行为。我就是消费者,医生治不好我的病,必须赔钱;工作中有疏忽,必须赔偿;人没救过来,必须偿命。

这样的观点和逻辑是非常荒唐的。在这个世界上,有很多很多的东西都可以交易买卖,唯独人的生命除外。你花了钱可以买来你喜欢的任何商品,但你的生命和健康是花钱就能买来的吗?如果把看病当成商业交易,不仅是对生命的亵渎,也是对医生的侮辱。

医院不是酒店,医护不是服务员,除非你把自己当盘菜。医疗的本质是照护,这样的定位和价值观不仅是医疗行业持续发展的基石,更是人民群众健康得以更好保障的根本。

朱恒鹏主任:医疗的本质就是服务

医疗的本质是什么?是服务。偶尔是治愈,常常是帮助,永远是安慰。这是医疗的本质。

好多医生说我们的患者不理性,我们的老百姓要求太高,治不好病他就打我。其实不是这样,中国人都知道一句话:“生死有命”,“尽人事、听天命”。医生最多是尽人事,但是健康和生命很大程度上是听天命的,就像刚才王院长的PPT展示的,先天基因的作用也超过医疗。老百姓是懂得这个道理的。医生尽心提供服务,能够治愈当然最好,但是如果不能治愈,只要你尽心了,也能让患者对你心存感激,这是医疗行业很关键的一个特征。

但是我们不得不承认,医疗行业公有制主导以后,这个职业开始严重走偏,忽略了它本来是一个服务行业的事实。现在我们把它当成是一个简单的投入-产出关系,我投入了人力、物力、财力,就要得到一个确定的结果。现在国内很多公立医院的院长和医生拒绝承认医疗是个服务行业。我在一个大三甲医院讲课,讲到医疗是个服务行业时,有老大夫站起来反对说,我们怎么能是服务行业,我们怎么能成为端盘子的?这是多么深的误解。但实际上医疗的本质特征真的是服务,做健康产业,服务是核心。

平时我们对于医疗的讨论大多都是围绕技术展开的,我们当然希望技术在促进健康、延长寿命的方面越做越好,但是普通医疗服务的发展历史告诉我们,医疗技术进步对于健康与寿命的贡献是有限的。如何减少患者的痛苦、提高其生存的质量、让人走得有尊严,让人走得不那么痛苦,也是非常重要的。还是那句话,偶尔是治愈,常常是缓解帮助,永远是安慰。

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    2020-11-05 lxg951
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    2020-06-03 周虎
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    2019-12-28 lovetcm

    维稳思想下,医生是最终受害者

    0

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    2019-12-28 junJUN

    院士是学术至高点,也是大家必争之地呀

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    2019-12-27 gggxxxyyy

    净扯没用的!多给高层面提提意见,立立法!保护一下同行才是你们这些大佬该做的!鄙视你们这种旁观者的心态人

    0

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