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对话老医生:是什么塑造了现今的医疗环境?

2017-05-17 13:13:49   

最近医疗行业又出了不少事,医闹、医院暴力、医护人员猝死,不过这些事已经不算什么新闻了。也许,在很长一段时间内,这样的医疗环境将会成为一种常态,也许几十年,也许一百年。

老医生谈医疗环境

近日,与一位七十几岁的老医生聊天,老人家非常感慨的说:过去的医疗环境可不是这样的,这才几十年过去而已,就变得这么糟糕。

老人家说,他们年轻的时候,早上开早会,护士都会交代一下,哪一床的经济比较困难,然后大家一起凑点东西帮忙。那时候,这样的事是常态,医生和护士对病人都很关心,而反过来,病人对医生护士也非常信任。就算是出了事情,病人抢救无效,家属也会非常感谢医生奋力抢救,而如今呢,医生护士抢救病人的时候,家属很可能会拿着手机拍照取证,以备对薄公堂。

为什么前后几十年,差距会这么大?

医患本该是战友,是同志,但如今医患关系却变得如此复杂,究竟是为什么?

老人家说:现在的技术、药品等方面确实都提高了,可是在这个过程中,医疗却被过度的商业化了。红包、回扣现象的暴发,导致老百姓对医生的信任感、认同感降低。红包和回扣,在几十年前,那是无法想象的事情。医生为了经济利益,到处为药企走穴宣传,更是无法想象的事情。

商业的本质就是追求利益,由于错误的导向,把医疗过度商业化了。

医疗行业商业化之后,很多低价药由于利润空间小,没人愿意生产使用,导致许多低价药被消灭。而药价虚高成为最近二三十年来媒体最常报道的话题。

医疗行业商业化之后,很多有正义感的医务人员,由于不愿意接受红包和回扣,而被人排挤、打压。导致很多人的才华和抱负得不到施展。

医疗行业商业化之后,追求利益成为了医院的第一任务,每年的绩效成为医院院长及各科科主任是否能连任的考核指标。医院开会,强调最多的往往都是手术量、门诊量、周转率、年收入,却极少强调每年多少病人被治愈,多少病人治疗无效,多少病人死亡。

商业化的好处,是医院不断的扩张,设备越来越好,病房大楼越来越多,而病人也越来越多,如此,医院越来越欢迎商业化。同时,很多的医务人员,在商业化的过程中尝到了甜头,特别是某些大医院的个别医务人员,在这个过程中,收入剧增,如福建省某著名结直肠外科专家,据说没有六千红包不上手术台,真是让人震惊。

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