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医生“揽私活”被暂停执业资格 盘点各国如何避免医患冲突

2017-08-11 14:41:38   央广网

央广网北京8月11日消息(记者管昕)据中国之声《全球华语广播网》报道,近日,中国之声报道了北京积水潭医院一名主任医师涉嫌为民营医院“揽活”的事情。北京积水潭医院昨天下午公开回应称,涉事医生早在今年3月就已被严肃处理,暂停其执业资格三个月,同意当事医生停止延退的申请,为其办理了退休手续。此外,院方还承诺称,将持续为患者复查直到其完全康复,并加强科室管理,杜绝类似违规行为再次发生,这是积水潭医院首次对外披露此事的处理结论。

北京一名患者向中国之声反映称,他去年12月因右手中指骨折,在北京积水潭医院手外科挂号求诊,主治医生称当时做手术需要排队等候,推荐他去北京国济中医医院进行手术,声称北京国济中医医院是积水潭医院分院,并且承诺会亲自做手术。然而,当该患者到达该医院时,却发现是一家民营医院。而最终,该患者的手术也并非积水潭医院的医生主刀,而是由北京国济中医医院的另一位医生做的,而且术后至今,该患者手指都没有恢复正常。

积水潭医院针对此事的回应称,北京国济中医院和积水潭医院没有合作关系,当事医生的行为不符合医院相关转诊规定,当事医生建议患者转至该院,并在没有办理会诊手续的情况下前往该院指导患者手术,违反了相关规定。积水潭医院有关部门的负责人表示:“不符合医院的的相关转诊规定,所以我们才给他这个严重的处理。这个转诊绝对是个案,不是所有大夫都干这事。医院有这种双方合作的,我这如果床位紧张,你也同意,那就可以,就像现在医联体的合作模式。”

积水潭医院通报中介绍,患者的伤情属于粉碎性骨折,损伤导致患者局部软组织损伤严重,容易出现术后延迟愈合或者不愈合的状况。手术没有达到患者的预期效果,患者对手术效果不满意,按照《侵权责任法》规定应当由为患者实施手术的北京国济中医院承担赔偿责任,患方应该和北京国济中医院通过协商、调解或者诉讼等渠道依法维护自身合法权益。

放眼海外,其他国家如何避免医生与所属医院的利益冲突?

首先看澳大利亚。在澳大利亚,医学专家大部分集中在大型国立医院,尤其是大学附属医院。受聘于公立医院的专家被授予私人执业的权利,并具有按照基本的医疗服务费向有私人保险的病人收费的权利。这些专家也可以在自己的诊室或私人医院开展一些基本的私人项目,还可以作为出诊医生在其他公立医院执业,以合同的形式按照服务项目或者按次收费。但是多点执业的医师,在私立部门执业的服务量不应超过政府规定的最大额度。

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