Excessive examination and treatment is the root cause of doctor-patient conflicts, what is your opinion on this?

Hello everyone, I am a doctor, I have been in the hospital as a patient before, then I stand in the general public's point of view to talk about my views.

The subject said excessive examination and treatment, in the hospital does exist this problem, we can not deny, we should look at this problem.

First of all, let's share a case: when I was in college, I did a part-time job off-campus, and one day a student came to class with a bruise on her head, and I asked her how she was, and she said she slept and got up and bumped into the bed. She said she could take time off work and go to the hospital. I said it was not necessary and that she would be fine after some rest. But she went to the hospital anyway, and the doctor took a CT scan and prescribed medication to invigorate blood circulation and remove blood stasis, which cost her more than 500 yuan. I'm sorry to say that these tests are completely unnecessary.

In the past, doctors were respected, but now the doctor-patient relationship is really tense, especially some reports of medical malpractice, which has exposed the problem even more.

I think the current doctor-patient relationship is often due to the following reasons:

First, the doctor or nurse treats the patient's attitude of indifference or unfriendly, I have encountered the doctor's unfriendly attitude towards me in the process of hospitalization.

Secondly, excessive checkups and treatments are serious. The friends around me said, cold once to the hospital to spend at least a few thousand, hospitalization tens of thousands of dollars, the general public a month's salary is only a few thousand dollars it, really can not afford to be sick.

Third, the doctor explained to the patient related to hospital problems simple and rough. The patient's knowledge of medical care is extremely scarce, and medicine takes the absolute initiative, the patient wants to get the doctor's more medical knowledge as well as medical advice, but the doctor gives the patient too little, for example, bar, only a few minutes of the consultation process, how can this be diagnosis and treatment of satisfaction?

Fourth, the patient's expectations of medical treatment are too high. The problems that medicine can solve are very few, but the patient wants to live longer, which is a contradiction in terms.

Fifth, the pressure of the social environment, some friends have some negative emotions, in the sick even more exacerbated this negative emotions, the face of the doctor's attitude is not good, radicalization of their own.

I think this is the solution:

Second, the establishment of the evaluation system of the doctor's attitude, by the patient to the doctor scores.

Third, increase the investment in health insurance, so that the public can afford to see the disease.

Of course, some people say that in order to put an end to medical malpractice, we need to impose heavy penalties on medical malpractice. I personally do not support this, because only blocking not dredge is not a good way to solve the problem, we should face up to the problem, to solve the problem of the pain points, in order to fundamentally eliminate the recurrence of medical malpractice. I also hope that we have more understanding of the doctor, after all, everyone is not easy, right?

The above is my stand in the perspective of a general public to publish the views. I am a medical worker, doing AIDS prevention and treatment work, my patients or counselors are more like me, because I am very friendly to them, and can listen to their good or bad ideas. So I also hope that all medical workers can be a little bit better to the patients, the heart is flesh, no one is a bad person at the beginning.

Excessive tests and treatments are just a symptom of the doctor-patient relationship. I think the deeper problem is the positioning and development of the medical institutions themselves within the existing system, towards a dead end.

Because my late wife had cancer, I have had more than three years of interaction with hospitals and doctors to discover a certain understanding of hospitals and doctors. I now objective position to say my feelings. If there is something wrong, please correct me!

First of all, the patient. A small illness is a big problem, the big disease is very expensive to death! The people are sick, go to a small hospital for fear of misdiagnosis, go to a large hospital for fear of queuing! Not blood tests is ct filming, diagnosis of the last prescription is not need to take drugs, do not need to play two shots, do not need to hang some water, do not need to be hospitalized, "recommended" you hospitalized! In short, it gives the impression that since you are here, you should pay more! There is health insurance that will pay more, I am also "responsible" for your health. This is the feeling of the patient!

In fact, the hospital is quite difficult! Hospitals not only have to be responsible for their own patients, hospitals also have to managers, the public due diligence! Each hospital has its own safety indicators, in case of misdiagnosis of the death of a person, the hospital's entire medical staff will receive implicated. This is the driving force behind the hospital's desire to use the best medicine and cure the patient as quickly as possible. In fact, this point can still understand the hospital, but the hospital also need to develop, also need to promote, also need to assess the merits. Through the promotion of reputation, in order to bring in more high-quality talent (doctors), through the development of better medical conditions, in order to better serve the patients. Then the question arises - where does the money come from? In the past, it was medicine that supported medicine, but now it is examination that supports medicine! But medicine for medicine has not been completely disconnected. So the feeling is not only more expensive than before, but also more tortuous and more troublesome than before.

As for doctors, I think they are not easy. Every day to face a lot of outpatients, but also to face the inpatient bed patients; not only to sit down to write the paperwork, but also on the operating table knife; not only to treat the patient to save lives, but also to summarize the case, scientific research and innovation, really not easy. The reason why the doctor and the patient's contradictions sharp confrontation, on the surface is the doctor is not patient enough, in fact, is the performance of the doctor's excessive pressure! There are several pressures:First, the time pressure, the doctor's time is not only and death to grab time, but also and the task to grab time, and the evaluation of time, and promotion to grab time, and thesis to grab time;Second, the responsibility of the pressure mentioned above. One day to face a large number of patients, in case of medical errors, themselves, their colleagues, the hospital are implicated, the pressure of this responsibility can not be small. Third, career promotion pressure. Want to promote, then you have to complete the hospital and the Health Planning Commission issued various indicators. This is the hospital's revenue-generating targets! This is the place where patients and doctors are most likely to have conflicts!

I have seen a medical scene, probably the situation is a patient coughing and fever, the doctor let the patient take an ultrasound, the doctor found a small shadow, so let the patient took a color ultrasound, this time showing that there is no problem, so the doctor in accordance with the inflammation of the prescription, the patient is not happy! The doctor said then continue to check it, the patient is even more reluctant! The doctor said that the next check, the patient is even more reluctant to do so.

This incident gives me reflections is the patient and the hospital (doctor) both in the health and money tangle. Although the hospital (doctors) in a responsible attitude to suggest that the patient review, to eliminate the hidden danger of the original intention is good, but can not be excluded to check the fact that the income generation, so in the final analysis is still the problem of money.

The development of hospitals, the remuneration of medical staff, the renewal of medical equipment, the maintenance of medical venues, medical scientific research, is not the main burning money. If we can solve the problem of hospital development funds needed from the system, so that hospitals and doctors at ease in the treatment of patients and academic research, more low-cost drugs, less check. I think this is the ultimate way to fundamentally solve the conflict between doctors and patients!

By the way, the drug companies and instrument vendors also have nothing to do with the contradiction between doctors and patients. I'd like to talk about it later!

I went to the province's largest hospital to see mouth ulcers, because I live near the hospital, the results of the experts to me to the worst cancer on the inducement, so you think there, but also said that must be hospitalized, the provincial hospital experts have said, then hospitalized, the results of hospitalization on the first day of a variety of costs of 5,300 yuan, I'm a laid-off workers more than 50 years of age, the cost of this cost can be into the affected by the hospital the next day day day, the day is not bright, I want to take advantage of the hospital doctors have not yet seen. I want to take advantage of the hospital doctors have not been working to check the room, I took a taxi to an ordinary municipal hospital and then look at the taxi to go, registered first, the results of this doctor said, this is the most common disease, do not take medication will be good, is a few days longer, prescribed more than 60 rounds of medicine, I immediately took a taxi back to the hospitalized provincial hospital discharged home, and the results of more than a week well. I was holding the hospitalization invoice, hate to kill the heart have.

The treatment of humerus fracture, may be 60,000 yuan, may also be 1000 yuan!

From the fall on September 20 to the present, writing this article, my right hand is still hanging, right arm "helmet flinging armor", wearing a heavy external fixation support.

I think my own personal experience to explain this problem, more convincing?

Not black, not blowing, just a faithful record.

Chinese medicine hospital does not give treatment

The morning of September 20, traveled for many years I sadly folded in the field of a hotel toilet 。。。。。。

A face up to face heel but inexplicably fell off the right arm humerus.

After checking in the local hospital, the doctor let me choose conservative treatment or surgical treatment.

After consideration, I decided to return to Beijing for treatment after simple fixation, and my first choice was a famous Chinese hospital in Beijing for conservative treatment.

All the way back to Beijing, but in the Chinese hospital received a blow.

The emergency doctor said my fracture is very serious, they do not have the ability to treat, you must hurry to the best orthopedic hospital in Beijing 。。。。。。.

I'm not sure if I'm going to be able to get a good deal on this, but I'm sure I'll be able to!

Later, I understood why they did this, but at that time, I was scared by the doctor.

Conservative treatment is no longer an option.

The $60,000 surgery fee made me a little confused

We didn't dare to delay, we immediately rushed to the most famous orthopedic hospital in Beijing, and hung up the emergency room.

The doctor looked at the X-rays we brought, and easily said, "It's a small operation, not serious.

The doctor said, "It's not serious, it's a small operation."

The doctor was scared by the Chinese doctor, and his heart was a little more steady.

Then I took a sheet printed with the adherence process and started to do the pre-surgery physical examination.

The visit took about five minutes, during which time there were other patients coming in and out, and the doctor was so busy that he did not say a few words.

After the checkup, it was agreed that we would be hospitalized for surgery in three days, pending the results of the nucleic acid test.

We asked about the cost of the surgery and were told that the deposit would be $10,000.

We estimated that the cost of treatment should be within this range, not too expensive.

Three days later, we were successfully admitted to the hospital, during which a doctor came to find a family member to sign, and a doctor came to find a family member to sign, as if the family was downstairs in a tent.

In the evening, there was a thunderbolt from the sky, and the nurse suddenly informed me: tomorrow morning at nine o'clock, let the family bring 60,000 yuan of surgical fees.

I was a little confused.

Decision and apprehension

In order not to disturb the rest of the people, I took the phone and ran to the building.

First, I notified my family to prepare for the surgery, which was easy, the big deal was to swipe my credit card first.

Then it was to inquire about what the 60,000 dollars were all about.

The caregiver is very knowledgeable, smiled and said an imported steel nail 6000 yuan to 7000 yuan, the surgery will cost 50,000 to 60,000 yuan.

Every week the hospital at least 1,000 operations.

The doctor on duty asked if there are domestic steel nails, the answer is imported.

I asked my insurance company friends to check the reimbursement rate, and it was 65% for the domestic ones and very low for the imported ones.

I was afraid I would have to pay tens of thousands of dollars out of pocket.

Then, I've been harassing my friends, taking X-rays and asking them to find someone to ask if they can treat it conservatively.

One night, I kept surfing the net, thanks to the Internet.

The next morning, the dean himself checked the room, to me here no words: this is nothing to say (sic)

Friends of the news also returned: recommended conservative treatment.

Hesitation again and again, financial obsession I resolve: discharge!

How much is the hard work of three doctors worth?

I was saving for a rainy day, I hung up the next day in Beijing, another famous orthopedic hospital number, not to use.

Before I was discharged from the hospital, the doctor said responsibly: I have to give you a good adjustment before you can be discharged, I can not let you out of the hospital without giving you treatment.

I tentatively asked if they could give me conservative treatment, and the doctor agreed.

So in the spirit of one thing does not bother two masters of the surprise, on the treatment of this!

It's also annoying to have to change hospitals again.

The doctor suggested that I do not play the cast to do a support, but is self-pay, more than 1000 yuan, this cost is acceptable.

Then there were three doctors to do the brace, which took about three hours and delayed lunch.

When installing the brace, it took about three minutes for me to get my bones straightened out, and I took an X-ray after the brace was installed, and it was in a very good position.

The appointment was reviewed in a week and I was discharged home with a brace costing $890.

Now I understand why TCM doctors don't take this job.

The material cost of steel nails is tens of thousands of dollars, a few doctors are busy half a day in support of the cost of 890 yuan, the craft is really not worth money.

In fact, there is excessive medical care?

In a few days, the fracture will be four weeks, and I feel okay.

At least I can use my right hand to write on my phone.

I don't have to use my left hand like I did a while ago.

In terms of personal feelings, objectively speaking, there are pros and cons to surgical treatment versus conservative treatment.

As the humerus is longer, it is not easy to fix it, which I did feel, and at the initial stage, a sneeze would feel a little tugging.

It is a fact that the surgical treatment of the inability to take care of themselves is short, the immobilization is good, and the certainty is great.

But it is also more harmful to the body, and also involves the question of whether to remove the steel nails in the future.

Conservative treatment recovery time is long, unexpected factors, recovery is not good to cause the consequences of functional damage.

The advantage is to save money and less harm to the body.

Frankly speaking, it must be said to have been overmedicated, I am afraid the controversy is not small, especially the doctors are certainly not support this view.

Things in the world are inherently complex and not black and white.

I don't think it's a case of being over-medicated, it's a case of different perspectives!

I'm still a bit uncomfortable

From my own personal experience, there are at least a few points that are worth exploring.

First of all, the patient's right to know, from my personal experience

this is not satisfactory.

The Chinese medicine hospital took a simple shrug, under the alarmist, very serious to scare me away.

The orthopedic hospital, on the other hand, didn't even let me choose whether to treat it conservatively or surgically, and just let me follow the surgical process.

As for the treatment program and cost, no one told me.

Don't tell me that the hospital can't do this, I can take responsibility for what I said, it's all true.

Secondly, the choice of materials, according to my later inquiries, many other hospitals in Beijing can choose to domestic steel nails or imported steel nails, which is directly related to the proportion of reimbursement of health insurance!

If you can't choose, the patient is likely to pay tens of thousands to tens of thousands of dollars more out-of-pocket.

Third, the consultation process is unreasonable, good thing I am a broken arm, I can walk to complete the examination process like walking a monkey, if the leg is injured, it will be tortured to death.

Hospitalized can not go out but do not know when to look for family members, it seems that the family has been outside 24 hours waiting for the call.

These situations make the patient and the family may end up being very unhappy and emotionally compromised.

So the doctor feels that his hard work but can not be thanked, the patient is also a belly grumble really can not find gratitude.

Each other feel wronged.

I have a good body, basically, colds are rare.

I've never been in a hospital before, and I've heard a lot about it.

This time, I personally felt once, quite speechless.

Doctors are actually good doctors, regular hospital doctors can still be trusted, Putian does not count.

Hospitals naturally have hospital difficulties, doctors also have the right to pursue a better life, can not be completely blame.

I hope that in the future, the feeling will be better and better!

My mother recently often diarrhea, go to the hospital to see a doctor, the doctor gave a checklist, electrocardiogram, ultrasound, gastroscopy, and ct, after checking spent nearly 2,000, the doctor said ct checklist a little bit of kidney stones, the other no problem, or not to do a colonoscopy it, the doctor treats the disease is a professional, we do not understand, but the existence of that is reasonable, so the doctor is to treat the disease by exclusion in case this is a signal that what is the big disease! Signal, a check can see very clearly, no problem, directly everyone is relieved. But I think that the check is not wrong, the doctor is not wrong, check a series of costs incurred why so high, well, your equipment is a cost, but the cost recovery of public hospitals is not the patient only to pay the cost of consumables, and other free of charge? Health care reform is imperative, not a problem, and then who is responsible. Because too many families, sick, treatment is the family broke up. Before I saw a news, a rural 50-year-old man was sick, learned that hundreds of thousands of medical costs, that is, to throw himself into the river, hundreds of thousands of crushing the ordinary people.

Is excessive screening the root cause of the conflict between doctors and patients?

It can be said that one of the contradictions between doctors and patients, excessive medical care is certainly not deserved, this is an unethical behavior, if too much may constitute a fraud, but the reality is that only a very small number of doctors in the minority of violation of medical ethics, the personal interests of the first to make the patient to bear some unnecessary expenses, an additional increase in the burden, which should be conscientiously condemned and to make a profound introspection, and should be more wake up! The first thing you need to do is to get your hands dirty and get out of the way.

Doctors are a special profession, saving lives is the vocation, doctors and patients should be mutual amount of mutual concessions, *** with the maintenance of order in the medical field, so as to achieve a win-win situation.

The relationship between doctors and patients is tense, excessive medical care is certainly a key factor, take my own a ring removal surgery!

I went to the hospital in the spring of 2015 to try to remove the ring, and the slow process tortured me to eat and sleep. A **** went 6 times, but did not take off, every time I go to give me blood tests, do ultrasound drink 2 bottles of mineral water, and so feel urine can not hold, called my number to do ultrasound, and so really into the removal of the ring, regardless of outpatient, or inpatient hospitalization due to the doctor's limited level of professional and technical expertise, and even expand the mouth of the uterus of the medicine did not put it in, it is simply not possible to carry out the removal of the ring, and so I tossed my disheartened not to mention, scared! The first thing you need to do is to get a good deal of money to pay for the services you need.

Later, a friend who helped himself to a job recommended a town gynecologist, a friend said that her mother was also in the hospital where I took off the ring was not taken off, all kinds of scare, and then it was recommended to go to the town hospital to successfully take off the ring.

After receiving her advice, I didn't eat, quickly find my female classmates to accompany me to the town hospital with the bus, to the town hospital to find the doctor I'm looking for, she disinfected medical kits, hospitals don't have a disposable medical kits, the doctor put a good dilatation medicine for me, told me and my classmates to go out to walk for dinner, after lunch.

My classmates and I ate a good meal, skipped a while back to the town hospital, the doctor told me to go on the delivery bed, with a variety of medical equipment to remove the ring, there is a lag in the middle of the doctor is also tired and sweaty, and after some efforts, the ring was finally removed, I thank the medical technology of the town hospital doctors, to relieve me of the biggest worry, did not have to carry out any examination, save a lot of money, good service attitude, the patient's mood is relaxed. The patient's mood is relaxed.

A good doctor is a patient's relative. The doctor's skill is to alleviate the patient's worries.

Two weeks ago, my mother kidney stones, go to the hospital, after registering the doctor asked no two sentences, and then ultrasound, ct, blood test, urine test, a set of down to spend no money is a small matter of stone pain ah, seven o'clock in the morning on the queue to register to noon to say that the lithotripsy, lithotripsy can not be set, said the next time the appointment, the person played the painkillers pain can not afford to straighten out, which is not a pitiful people? Will not ultrasound to see what is going on how to drop how to drop not good, blood and urine test results out slow, the results do not come out does not affect the treatment ah, have to wait for the results to come out to cure, mom temperament good gas have to be ancient said that this wait to wait for people who can not stand to die of pain counting on who, and then take the prescribed medication to go to the clinic of the neighborhood to find acquaintances to infuse on the liquid only to ease the. To wait in the hospital that it does not give when the infusion on it. It's really a pity that I didn't find someone I knew! Also blame me for not looking for acquaintances thought last year my son is also a stone but very small, find an acquaintance to an ultrasound immediately said to go to the pharmacy to buy stone particles at home to drink water pop on the line, the process of less than ten minutes, and then go home for two days on the good. This time thought also so simple that know so pit! After relief to go to the city's larger hospitals and find an acquaintance to find a more professional acquaintance, half a day to solve the problem, this more professional said there is no need to do ct or something, there is no need ah.

On this point, I clearly remember my year for organizing notes excessive, resulting in cervical spondylosis caused by double dry eyes. By the work of busy, from the hospital is also closer, colleagues said you go to see it! I went to the hospital, it was a white-haired old lady doctor received me, asked me how, I said every morning at 8:00 or 9:00 am eyes always astringent, old lady doctor said directly to shoot the cervical spine it! I said I'm busy, if you want to be sure, prescribe me medication! In fact, it's better to take a picture of the right! But the old lady doctor smiled and really gave me the medicine, and in a few days it really got better! Thank you for understanding at the same time, we doctors also need to strengthen the training of medical skills, do not always rely entirely on the instrument, as they say, is your doctor in the doctor or the instrument to see the disease? Need to check of course must be, not necessary to check why to waste the patient's money for innocent? No wonder the repair store to repair the car also follow your practice, the patient in front of your smile are double pain ah! Sickness pain heartache! The first thing that you need to do is to get your hands on a new car, and then you'll be able to get your hands on a new car, and then you'll be able to get your hands on a new car! ......

Indeed, there is a certain reason, now the hospital is a visit to the doctor to routine routine inspection, so excessive see patients must check, is bound to lead to the patient questioned that the doctor is to make money, this is also because of the hospitals to the doctors on the implementation of the prescription to make money, excessive inspection of the patient on the road to the medical contradiction, but also the same let Doctors grow selfishness, affecting professional ethics.

In ancient times, the famous physician magpie can use: "look, smell, ask, cut" to confirm the diagnosis of the disease, the current doctors do not learn this point? I think:

First: must need to check the diagnosis of the disease, must take the check this way, which can not be doubted and denied, and the patient collusion on the line.

Its: general small diseases do not have to let the patient for this or that complexity of the full range of checks. Often small illnesses will spend hundreds of dollars in examination fees, the people how to afford! This will undoubtedly lead to the patient and the doctor's thatched shield, the emergence of excessive violence.