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美媒称中国医生“不够专业” 或破坏医改进程 你们怎么看?

2015-04-08 佚名 参考消息

参考消息网4月4日报道 据4月1日发表在美国《新英格兰医学杂志》周刊上的一篇文章,在中国试图改革其医疗保健体系之际,有一个问题可能破坏这一进程,那就是中国医生缺乏职业精神。 据美国《华尔街日报》网站4月2日报道,文章的两位作者——美国全国公民基金会的戴维·布卢门撒尔和哈佛大学的威廉·肖写道:“缺乏广泛拥有的、传统的职业精神,这令中国创建一支其领导人和民众都信任的医疗保健队伍的努力变得复杂。”


原题:美媒称中国医生“不够专业” 或破坏医改进程)

参考消息网4月4日报道 

据4月1日发表在《新英格兰医学杂志》上的一篇文章,在中国试图改革其医疗保健体系之际,有一个问题可能破坏这一进程,那就是中国医生缺乏职业精神。(分析NEJM:中国医改的四个教训 )

据美国《华尔街日报》网站4月2日报道,文章的两位作者——美国全国公民基金会的戴维·布卢门撒尔和哈佛大学的威廉·肖写道:“缺乏广泛拥有的、传统的职业精神,这令中国创建一支其领导人和民众都信任的医疗保健队伍的努力变得复杂。”

报道称,过去,中国的医院和医生从开特定的药品中获取提成,而且大体上提供医学检查和服务比提供医生咨询得到的收入多得多。研究全球医疗保健体系的经济学家威廉·肖表示,这些经济因素导致医生过多地开昂贵的药物和影像检查,以及不必要的住院。他们说,这样的趋势会破坏职业精神以及将患者的需求放在自己的需求之前的伦理原则。

在中国,这些做法使得患者不信任医生,导致针对医疗保健服务提供者的暴力事件时有发生。

报道称,中国政府一直在采取严厉的措施解决药品价格问题,以及给医院和医生的回扣问题。这是其改善医疗保健体系努力的一部分。威廉·肖说,但长期来看,要改变整个体系,调控价格和控制利润将不会起作用。

相反,中国需要通过任命有强烈职业精神的“示范”人物来领导医疗机构和医院,促进医疗行业的自我监管,从而设定道德指南。

威廉·肖说:“我的基本观点是,长期来看,如果没有职业精神,中国将不会解决利用患者获取收入这一问题。”

注:不过《参考消息》这篇新闻翻译得实在差强人意,建议大家看原文吧。或看:NEJM:中国医改的四个教训 

原始出处:

David Blumenthal, William Hsiao, Lessons from the East — China's Rapidly Evolving Health Care System,N Engl J Med 2015; 372:1281-1285April 2, 2015DOI: 10.1056/NEJMp1410425

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    2017-12-13 1e145228m78(暂无匿称)

    学习了谢谢作者分享!

    0

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    2015-12-09 cmn

    政府

    0

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    2015-12-09 cmn

    作为

    0

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    2015-06-17 zhouanxiu

    悲哀

    0

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    2015-04-10 lecoo

    当做一个参考。。

    0

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content=看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150602/IMG556D2C119C3EC8067.jpg, createdBy=e2ea89702, createdName=gongzuozhong, createdTime=Thu Apr 09 09:32:00 CST 2015, time=2015-04-09, status=1, ipAttribution=)]
    2015-04-10 吴颖

    中国医生有的是中国精神,你不能理解别瞎说

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yz0JbjHQ7nicJU7lHMOu0Itf3Zv3VBzEvK3k4AFPBXhiaxIRNGVI33GicoRXQEjkaasjdlWKwZuwcyhDP9Jibqt5ct/0, createdBy=f1281613275, createdName=zhouanxiu, createdTime=Wed Jun 17 19:37:00 CST 2015, time=2015-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20084, encodeId=d72f2008441, content=当做一个参考。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=lecoo, createdTime=Fri Apr 10 13:24:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20058, encodeId=a7a220058f6, content=中国医生有的是中国精神,你不能理解别瞎说, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3r6Ir8EADbw8kut6NgpfYKrksLd7rsf9GSZGCUZkpHosu8Jsibzk64KSuO8dFfOW7J5kW4bjib4eI/0, createdBy=d0201619051, createdName=吴颖, createdTime=Fri Apr 10 08:40:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286509, encodeId=8f50128650946, content=<a href='/topic/show?id=ebac3442063' target=_blank style='color:#2F92EE;'>#医改#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34420, encryptionId=ebac3442063, topicName=医改)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3e9205, createdName=tidiq, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1526861, encodeId=ac901526861c3, content=<a href='/topic/show?id=894221e3566' target=_blank style='color:#2F92EE;'>#中国医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21735, encryptionId=894221e3566, topicName=中国医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f511780919, createdName=nakerunner, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20003, encodeId=411d20003f3, content=其实我认识的大多数中国医生还是很有职业精神的,但是在中国目前这个大环境下还是有个别……作为一个小实习生已对医改无感,过几年再回头看吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=xiaosanshu, createdTime=Thu Apr 09 09:43:00 CST 2015, time=2015-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20002, encodeId=021920002d7, content=看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150602/IMG556D2C119C3EC8067.jpg, createdBy=e2ea89702, createdName=gongzuozhong, createdTime=Thu Apr 09 09:32:00 CST 2015, time=2015-04-09, status=1, ipAttribution=)]
    2015-04-10 tidiq
  8. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21735, encryptionId=894221e3566, topicName=中国医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f511780919, createdName=nakerunner, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20003, encodeId=411d20003f3, content=其实我认识的大多数中国医生还是很有职业精神的,但是在中国目前这个大环境下还是有个别……作为一个小实习生已对医改无感,过几年再回头看吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=xiaosanshu, createdTime=Thu Apr 09 09:43:00 CST 2015, time=2015-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20002, encodeId=021920002d7, content=看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150602/IMG556D2C119C3EC8067.jpg, createdBy=e2ea89702, createdName=gongzuozhong, createdTime=Thu Apr 09 09:32:00 CST 2015, time=2015-04-09, status=1, ipAttribution=)]
  9. 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objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21735, encryptionId=894221e3566, topicName=中国医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f511780919, createdName=nakerunner, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20003, encodeId=411d20003f3, content=其实我认识的大多数中国医生还是很有职业精神的,但是在中国目前这个大环境下还是有个别……作为一个小实习生已对医改无感,过几年再回头看吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=xiaosanshu, createdTime=Thu Apr 09 09:43:00 CST 2015, time=2015-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20002, encodeId=021920002d7, content=看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150602/IMG556D2C119C3EC8067.jpg, createdBy=e2ea89702, createdName=gongzuozhong, createdTime=Thu Apr 09 09:32:00 CST 2015, time=2015-04-09, status=1, ipAttribution=)]
    2015-04-09 xiaosanshu

    其实我认识的大多数中国医生还是很有职业精神的,但是在中国目前这个大环境下还是有个别……作为一个小实习生已对医改无感,过几年再回头看吧

    0

  10. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3yz0JbjHQ7nicJU7lHMOu0Itf3Zv3VBzEvK3k4AFPBXhiaxIRNGVI33GicoRXQEjkaasjdlWKwZuwcyhDP9Jibqt5ct/0, createdBy=f1281613275, createdName=zhouanxiu, createdTime=Wed Jun 17 19:37:00 CST 2015, time=2015-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20084, encodeId=d72f2008441, content=当做一个参考。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=lecoo, createdTime=Fri Apr 10 13:24:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20058, encodeId=a7a220058f6, content=中国医生有的是中国精神,你不能理解别瞎说, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3r6Ir8EADbw8kut6NgpfYKrksLd7rsf9GSZGCUZkpHosu8Jsibzk64KSuO8dFfOW7J5kW4bjib4eI/0, createdBy=d0201619051, createdName=吴颖, createdTime=Fri Apr 10 08:40:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286509, encodeId=8f50128650946, content=<a href='/topic/show?id=ebac3442063' target=_blank style='color:#2F92EE;'>#医改#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34420, encryptionId=ebac3442063, topicName=医改)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3e9205, createdName=tidiq, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1526861, encodeId=ac901526861c3, content=<a href='/topic/show?id=894221e3566' target=_blank style='color:#2F92EE;'>#中国医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21735, encryptionId=894221e3566, topicName=中国医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f511780919, createdName=nakerunner, createdTime=Fri Apr 10 06:32:00 CST 2015, time=2015-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20003, encodeId=411d20003f3, content=其实我认识的大多数中国医生还是很有职业精神的,但是在中国目前这个大环境下还是有个别……作为一个小实习生已对医改无感,过几年再回头看吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=xiaosanshu, createdTime=Thu Apr 09 09:43:00 CST 2015, time=2015-04-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=20002, encodeId=021920002d7, content=看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150602/IMG556D2C119C3EC8067.jpg, createdBy=e2ea89702, createdName=gongzuozhong, createdTime=Thu Apr 09 09:32:00 CST 2015, time=2015-04-09, status=1, ipAttribution=)]
    2015-04-09 gongzuozhong

    看看文中的链接吧:《NEJM:中国医改的四个教训》//m.capotfarm.com/article/show_article.asp?id=80d149064c9

    0

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