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积水潭医院一医生揽活院外做手术 患者利益受损向谁主张?

2017-08-07 07:02:26   央广网

北京积水潭医院是一家三甲公立医院,其官网显示,朱伟是该院手外科副主任、主任医师。朱伟在接受记者采访时承认,自己确实曾把患者介绍去北京国济中医医院,但他表示之所以这样做,是因为这家医院是积水潭医院的分院。

朱伟:我在这儿的病人是来自全国各地,有些骨折比较急的,我们就介绍去分院。

根据医生朱伟当时留给杨先生推荐其转诊的字条,记者以患者名义拨打了北京国济中医医院一位负责接洽的陈主任电话,他在电话中称两家医院是技术合作。

记者:是北京积水潭手外科朱伟大夫介绍过来的。

陈主任:哦,你好。具体的费用肯定比积水潭要便宜明白了吧?

记者:手术是朱伟大夫亲自做吗?

陈主任:他亲自做,朱主任的病人都他亲自做,谁看的谁做。

记者:咱这医院和积水潭医院是什么关系呀?

陈主任:我们是手外科和手外科的一个技术合作,技术帮扶和合作。

两家医院之间到底是什么关系?是技术帮扶合作还是有隶属关系的分院?记者和杨先生一起到积水潭医院医务部反映这一疑问。北京积水潭医院医患办相关负责人表示,积水潭医院与北京国济中医医院没有官方合作,从医院管理的角度是不符合医院规定的。

那么,杨先生的手术是不是朱伟大夫亲自做的呢?出院时,杨先生拿到的北京国济中医医院手术记录上写着:手术医师丁占云,助手赫少鹏。而杨先生的记忆中,所谓的手术医师丁占云在整个手术过程中都没有出现过。国济中医医院副院长卢晨在接受记者采访时称,朱伟是被聘请来的技术指导,并没有做手术,医院也给了他会诊费。对此,朱伟在接受采访时否认自己拿了会诊费。

在杨先生看来,他的手指骨折术做的并不成功。由于骨折处疼痛依旧难忍,杨先生今年5月份再次拍了X光片。也再次找到积水潭医院医生朱伟进行检查。

杨先生:说我这骨头还是没长上。我跟他说这中指歪着呢,我是往左歪的,他就拿绷带把这中指使劲往右勒。那骨头没接上,往右勒他也勒不过去呀。

对于手术效果,国济中医医院副院长卢晨表示,患者仍在恢复期,不能定性,但可以帮忙找专家为他治疗,并愿意给杨先生一笔安抚金。但直至目前,事情仍未得到解决。

对于杨先生的遭遇,中国卫生法学会常务理事郑雪倩认为:他是在那家医院(国济中医医院)出的问题,按照我国现在的法律,由就诊的医院来承担责任。给他转过去这个行为,如果医生拿了回扣,就是另外的事情,和手术的后果是不是有必然的关系,我们不好判断,只有让专家来判断。如果真拿了回扣,那要从医德医风上来要求他。

记者了解到,积水潭医院相关负责人表示,医院会严肃调查处理,进一步规范科室管理,杜绝这种事情再发生。而丰台区卫生局相关部门也对杨先生表示,对国济中医医院处以计分处罚,杨先生病历上的手术医师丁占云承认没有参与过手术,将对其警告处分。

中国医师协会医疗风险管理专委会常委李惠娟表示,对于医生外出会诊的管理相对宽泛,对医生的处罚有限。而对于患者杨先生,目前仍是痛难忍,气难消。不知自己的遭遇,该由谁负责到底?

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