Sunday, May 20, 2012

The hospital cuts patient's good lung and leaves the disease lung by mistake Relative complain 25 difficult to demand the statement year

The hospital cuts patient's good lung and leaves the disease lung by mistake Relative complain 25 difficult to demand the statement year
25 year ago,whose name is by mistake Ren Zhang, patient of lung cancer, been large one for hospital in Fujian Province and lungs fine excise, and leave the disease lung. Zhang Ren and pass away after,family of him complain whether have hospital lasted defendant's seated everywhere at 2003. First instance it go through this case, second instance,recently Ren Zhang and family receive by Fuzhou city intermediate court to last rulings of acquittal to review application of it again.
The incident is returned 25 years ago
At the end of 1983, Zhang Ren and cough, take the blood in the phlegm, check to the internal medicine department clinic of a large hospital two in our citying, find the cancer cell on the phlegm slide, is in hospital subsequently.
The result that the fibrous bronchus mirror of the hospital checks is " One section of tumour possibilities is great outside the lower leaf of left " ; It is reported that pathology is checked " Differentiate scale's cancer high " ; The X-ray examination report thinks " Left the intersection of lung and lower the intersection of leaf and nearly the intersection of centre portion and possibility most loud cancer " When.
On January 28 of the same year, the hospital and implemented and cut open the chest to ascertain the operation for a benevolence. After the thorax is opened, the doctors have not touched to lump. Doctor Su of the operator checks according to the skill, excise the lower leaf of left lung.
Operation later,Zhang Ren and phlegm last cancer cell in slide again; Dept. of pathology carries on continuous cut sections for microscopic examination to the lower leaf sample of left lung, has not found the cancer cell.
At the end of March of 1984, Zhang Ren and transferring from one hospital to another in Shanghai, found that belonged to " calibre bronchus scale's shape cell cancer of the leaf in the right of lung " . The doctor tells the early scale's cancer operation has the best therapeutic effect, is better than electrotheraph and chemotherapy far, but the existing situation can't have an operation any more.
May 29, 1986, Zhang Ren and leaving this world.
To this medical incident, the department of public health of Fujian Province judged for " made a reservation to misdiagnose, cut by mistake " in November of 1987 .
Because the hospital disagrees with appraising the malpractice, is limited to the legal provision at that time, the court is unable to accept this dispute. Until 2003, the court of drum block did not accept this " offering as a gift case of lung cancer " formally according to relevant new regulations .
The court goes through several to examine Think ultra prescroption
In all previous court's trial, the hospital insists: According to relevant legal provisions, during the lawsuit prescroption that the bodily injury is compensated for is one year. This dispute has already passed for 20 years, has already exceeded lawsuit prescroption, so the plaintiff lost right of winning a lawsuit.
Zhang Ren and several daughter but think over these 20 years complain they whether do one's utmost everywhere to advocate, so has not exceeded lawsuit prescroption. They have put thick several materials of university degree in order, is getting rid of and recording that is misdiagnosing relevant evidences collected after the accident happened on that for this, mostly about them over the years to medical circle, press, procuratorate, court, the intersection of province and the intersection of person who can disappear committee and evidence that numerous departments report situations.

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The hospital declines taking medicines It is difficult for experience of the people in Chengdu to have an injection

The hospital declines taking medicines It is difficult for experience of the people in Chengdu to have an injection
The people in Chengdu seek medical advice in but the experience hospital nearby " The professional etiquette " ,There are deeper difficult problems in community's hygiene development at the basic level
Key suggestion
Overstaffed in the large hospital, it is asked that it is difficult on the first, but the community medical organization at the basic level is desolate, there are very few callers. In order to solve this problem, the new medical reform scheme just issued will accelerate the construction of urban community hygiene service organization and put in the important position. The scheme proposes, will newly build, transform the community health Centers of 3700 cities and 11,000 community health stations in the whole country in 3 years.
But a trouble which citizens met recently in Chengdu has put forward deeper question to community's medical treatment. Citizens Miss Chens enclosed two institutes in the west in China recently to write a prescription, but went over community hospital and all kinds of hospitals in one block of districts, but no would like to accept non- our institute medicine. Reporter investigation find, refuse, inject non- the intersection of our institute and medicine, become the intersection of Chengdu and all kinds of " professional etiquette " of hospital already .
Citizens are disturbing
The west of China must run to have an injectioned to guard 3 hospitals
House live in, rise very much Miss Chen of way have, rise the intersection of way and the intersection of hygiene and service centre, the intersection of Chengdu and children's hospital and private Yongkang hospital very much by the house. But three hospitals all refuse to inject the west of China to enclose the needle medicine that two institutes prescribed for her son, only hit medicine of our institute. Helpless, take a taxi taking children to China's west clinic and have an injection after Miss Chen only comes off duty every day. Miss Chen says helplessly: "Does not recommend to community's hospital to go to a doctor, why even needle hit? "
The reporter investigates
Refuse to inject non- our institute medicine to become " The professional etiquette "
The reporter finds after surveying over 10 hospitals of city subsequently, the situation absolutely not case which Miss Chen meets.
Community's hospital: Must have an injection" Transfer to the prescription "
Located in blue and green sheep's health center for women and children of the district to promote the medical service centre of South Road community very much, several nurses hear it is the medicine which the exterior hospital prescribed, say distinctly on the attitude at once: "We only inject medicines of this hospital. We hospital have, stipulate how many medicines to type outside where one responsible for clearly. " A nurse's still fine heart is proposed, if think it inconvenient, can " transfer to the prescription " ,That is to say that a brass-wind instrument is hung in community's hospital, and then let the doctor here make a prescription again, then take medicines in our institute, can have an injection here with every day in this way.
The bridge China revitalizes the community health Center to say while accepting reporter's telephone consultation too to form a cluster, they inject medicines " Not externally " ,Only use one's own medicine.
The hospital at city level: Not one generation of notes is " The professional etiquette "
In the intersection of Chengdu and the intersection of children's hospital and clinic, one women doctor say hospital stipulate clinic admit this hospital prescription that doctor turn on only too, medicine that the dispensary of this hospital appeared. A doctor of the president hot line on duty says on the same day of children's hospital in the city, it is actually to refuse to take the place of the note the convention of every hospital, can be regarded as an unwritten " professional etiquette " too . Subsequently, reporters consulted the hospital of city two and three hospitals by phone again, received the same answer finally. A staff member of two hospitals of outpatient Offices says, do not accept it is a kind of " self-protection " of the hospital .
It expresses clearly either that does not accept medicine in addition that the institute of the People's Hospital of city of high state runs to a staff member.
Private clinic: The Ministry of Health has regulations
Unless not all right in community hospital, getting not all more right in hospital,hospitals and clinics private private should may? I had never expected, is rising in Yongkang hospital of the crossing very much, the nurse who receives Taiwan refuses the requirement that a reporter takes the place of the note resolute and decisively. In a private clinic of water-powered roller river, a woman doctor refuses the requirement that a reporter takes the place of the note too.
In over 10 hospitals of Chengdu where the reporter investigate, the only exception is one pair of community health Centers of bridge. The doctor here says: "So long as there are invoice and doctor's prescription of the hospital, can prove the source of the medicine, except that penicillin,etc. has medicines of allergic response, the regular medicines can all be hit. "
Behind the news
The Ministry of Health: " principle " Awkward and predicament of the back
Then, take the place of the note as to the hospital, is there a express provision in management in Municipal Health Bureau, as the responsible institution?
Health bureau: The hospital should take the place of the note to commonly used medicine in principle
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Saturday, May 19, 2012

Does the hospital set up the office of relationship between doctors and patients not just? Need tripartite efforts

Does the hospital set up the office of relationship between doctors and patients not just? Need tripartite efforts
A few days ago, Ministry of Public Health released" the hospital complained management " (draft) ,Require the hospital to set up the office of relationship between doctors and patients or appoint the department to undertake to complain the management in the hospital in unison, complain that receives at the same time " Tell responsibility system for the first time " . Solicit one opinion, has caused the discussing warmly of every large hospital, citizen, net friend of Chengdu immediately." office of relationship between doctors and patients " Establishment,on earth can improvement present relationship between doctors and patients? The reporter carried on some investigations yesterday.

Current situation: The medical dispute makes the hospital have a headache
One of the most troublesome things of the hospital that the medical dispute is undoubtedly to make. Until Ministry of Public Health issue the policy, first Chengdu, two, three hospital and doctor of traditional Chinese medicine enclose hospitals of the first, second and third such as the courtyard,etc. already form a whole set of mechanisms of handling relationship between doctors and patients. A municipal a Peng XiaoHong, secretary of hospital, says, the hospital has a records that complains one, will reflect the patient's situation, telephone, demand to write down to every department. Generally reply in 3 to 7 days, deal with the same day in a lot of things. And the city two hospital, the appeal that each department can handle patients, after accepting patient's appeal, and then give to the relevant department and deal with according to the need.
Hospital: Expect to put up the platform of relationship between doctors and patients
In the draft that Ministry of Public Health issues, require the hospital to set up the office of relationship between doctors and patients or appoint the department to undertake to complain the management in the hospital in unison, complain that receives at the same time " Tell responsibility system for the first time " . According to the draft, the appeal administrative department of the above- second -class hospital, should allocate full-time staff members in principle, and feedback to the complainant relevantly and handle the situation or handling suggestion within 15 workdays. "If can erect the existing mechanism, let the relationship between doctors and patients have a unified department to solve, accord with the development demand of the hospital very much. " A administrative staff of two hospitals says, this is an essential channel of survival and development of the hospital.
Citizens: The office is set up in the hospital not just
Yesterday, the draft evoked for a period of time and discussed warmly in citizens, the netizen, many readers throw into the hot line and discuss one's own view animatedly. Many people have set up and queried to the office of relationship between doctors and patients in the hospital. "In the relationship between doctors and patients, the patient belong to weak person, contradictory between doctors and patients, there should be a just and fair third party to appraise awarding. " An angle new statement of reader, if this office is set up in the hospital, will unavoidably not be just and sound.
Some citizens reflect, sometimes see the doctor to meet the dispute to look for the hospital to complain in the large hospital, the school either paying no attention to, or tow time. Readers think, the office of relationship between doctors and patients may perform practically no function after setting up, the patient may encounter the situation never heard of since then after complaining. Net friend " fruit fruit " Say: "I propose whether can set up a corresponding relationship between doctors and patients in the consumers' association to work
The room, specially deal with the medical dispute. " But there are net friends subsequently to think, the relationship between doctors and patients is a civil legal relation, not covered by " consumers protect the law ".
Expert: Doctors and patients are harmonious to still need tripartite efforts
Sichuan the intersection of university and the intersection of China and west the intersection of public health and institute's hygiene manage teaching and research chief of the office Professor Liu Yi to think, after setting up the special office of relationship between doctors and patients, contribute to accepting complaints in unison, investigate, verify the fact, gather, analyze regularly that complains information, improve the relationship between doctors and patients. The issue of the draft is to the attention of the relationship between doctors and patients at present. But he thinks, only the school strengthens one's own management on one hand, strengthen the establishing of medical ethics and atmosphere, citizens improve the understanding of medical care, the government strengthens the bad and behavioral blow of making a noise to medicine etc., build a better environment of seeking medical advice, could change the present relationship between doctors and patients.
Reporter king Tong XingYan great wild intern's forest is gentle and beautiful With the enhancement of health consciousness, people pay more and more attention to with the life closely bound up health problem, such as the food security, medical treatment is ensured, medical information,etc., healthy life should be from understanding information begins!More excellent health information please enter:News channel
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Does the hospital see someone in mortal danger without lifting a finger to save him to fine?

Does the hospital see someone in mortal danger without lifting a finger to save him to fine?
In order to meet the grand occasion of the Asian Games, revise already apparent 1996 edition " medical management rule of social first aid of Guangzhou " that has fallen behind promptly in Guangzhou, revise the draft of " regulations " and solicit the public opinion on the websites of legal system office of the government of Guangzhou publicly recently. Among them stipulate, undertake in front of the courtyard the medical organization of first aid task can't refuse to rescue and accept urgent, endangered, the heavy sick and wounded for medical treatment with any excuse, otherwise can fine 20,000 yuan at most. (see " Guangzhou Daily " for June 23)
The hospital must fulfil the humanistic obligation as the medical organization healing the wounded, rescue the dying, this is determined by particular working property, no one can change without authorization. However, there are quite a lot of hospitals, in the face of the patient who called, especially critical patient, not only does not sue and labour actively, keep it outside of the door instead, trace it to its cause, only the person that has come has no money, set up horses to develop into for service aims of people " Serve for RMB " ,And inclined to grow in intensity.
To be strict, there is no fault by method of the hospital, pay the money and see the doctor, right and proper, without money, to drawing the salary, can not afford medicines from the hospital that is propped up charging. Some " the heart is kind " Hospital,pay first because in advance medical fee,and some patient or escaping from by fee sedulously, or unable to pay the hospitalization cost at all, cause the expenses that the hospital pays first to cross the Rubicon, in order to survive, often see someone in mortal danger without lifting a finger to save him, doctors and patients' aggravation of contradictions. In order to ask the society to be harmonious and steady, the national responsible institution requires many times, the lofty mission that the medical organization must undertake and heal the wounded, rescue the dying consciously, can't see someone in mortal danger without lifting a finger to save him, but in the relevant expenses handle problem, because of lacking practicality, there is no strong tied mechanism, a lot of hospitals only turn a deaf ear to, ignore.
Guangzhou takes the lead in revising the medical management rule of social first aid now, want to stipulate to the hospital seeing someone in mortal danger without lifting a finger to save him, find that fines the lesson with 20,000 yuan once, this trick is really efficacious, on the bottom not to dare to affirm, but one point is definite, if does not subsidize " suffers the loss " that the hospital happens in the course of succouring fundamentally ,I'm afraid it is difficult to be effective, after all once some critical patients rescue in advance, maybe 20,000 yuan is far from enough, " protect " for oneself ,The hospital would rather probably be punished, this absolutely not author will guess subjectively. The injured finally one can only be patient and relative. It is obvious, the penalty can not really solve the practical problem once and for all, doing a good job increases " create income " for the related departments yet Channel.
See someone in mortal danger without lifting a finger to save him as to the hospital, must suit the remedy to the case, only strengthen the government to the subsidy of the first aid hospital in front of the courtyard, the hospital does not have worry, could start well and end well to the patient. Really need to fine, should stipulate clearly too, penalty volume is given to the patient refused to manage without exception, could reflect the intentions of the related departments in this way, I hope so.
Author: Li ZhongQing
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Friday, May 18, 2012

The hospital makes pharmaceuticals by oneself to await " Stress the tight encirclement "

The hospital makes pharmaceuticals by oneself to await " Stress the tight encirclement "
The Times is reported on December 7 (reporter Susan) A few days ago, Beijing Chinese medicine office announced one criticized 30 kinds of " small plaster " Return to the hospital of Beijing, draw the attention of people to traditional preparation of hospital. The reporter knows today, in Jinan, because curative effect is precise, cheap, some hospital preparations are well received by citizen, but because such factors as examination and approval, Chinese medicinal materials rise in price, the hospital controls oneself pharmaceutical is reducing progressively. The expert says, " small plaster " Come back, still need a series of support on policy. I had a piece of cold before it was still very vigorous that hospital preparation reduced citizen's demand by a wide margin ", get hospital buy one mixture that hospital make by oneself, very effective after wiping out, and very cheap. My grandson caught a cold too in the last period, I remembered that kind of medicine, but found the hospital has already stopped production after consulting in the hospital. " Old man Zhao sighs with deep feeling, such a good medicine stops production, it is really a bit regrettable.
In fact, this is only a epitome. One hospital person in charge in Jinan tells reporters, heyday, this hospital controls oneself pharmaceutical has 140 multi-type together, but only stored 59 kinds at present. "This of ours already can be regarded as a good one, in hospital of a lot of the first, second and third, some drug manufacturing rooms have already been cancelled, the preparation that some produced stops production greatly. "
Medicine head of the department Zhang HongXing of institute of traditional Chinese medicine of Jinan introduces, hospital preparation can generally be divided into chemical medicine preparation and traditional Chinese medicine preparation, mostly pill, break up, lotion, red concocted according to the classical prescription of some old docters of TCM. Because it has " Simple, relieve oneself, test, honest " Characteristic,at clinic very much welcome patient. For example this institute treats chronic pharyngitis " Join dragon pill " ,Treat the intersection of cold and mixture of cold, bring down a fever mixture,etc. present the in short supply situation frequently.
The too strenuous to please cost of hospital preparation rises and urges even more " The declining trend "
HongXing Zhang claim Chinese medicinal materials price rise at present, medicine the intersection of food and dual-purpose with health care result traditional Chinese medicine rise very much terrible especially, pairs of flower, Radix Notoginseng, the intersection of crown prince and the intersection of person who join and the intersection of traditional Chinese medicine and price even double 4 fivefold; This make hospital make pharmaceutical by oneself very loud to strike. "Some of us control oneself pharmaceutical is completely sustaining losses in business and selling now, we have already applied to rise in price, but not got the permit yet. " HongXing Zhang say institute this control oneself the intersection of pharmaceutical and about a dozen of average price at present, over to make pharmaceutical by oneself more 20, much lower than commercial medicines. Because cost rise, now until preparation assign the pharmaceutical factory take the place of Engineer in the courtyard a lot of hospital, this was allowed, but need to examine and approve through the related departments.
It is reported, August of 2005, " registered management of medical organization preparation " (tentative) Appear on the stage, make strict regulation in area, facility, environment to the drug manufacturing room of the hospital,etc., have raised preparation threshold and cost greatly. "Put into and reciprocate proportional, it is inevitable to shrink. " One hospital person in charge says like this.
In addition medicine supervise department examine and approve strict, because old doctor retire " unique plaster " It is a reduced reason of hospital preparation too to leave no successor etc..
Benign development that the preparation question remains to improve experts to give an idea
Undeniable, compared with products that regular pharmacy enterprises produce, the hospital makes pharmaceuticals by oneself really there is a quality criteria on the low side, name unstandard, the prescription is unreasonable, question of making unstandardly etc. of making the law in simple, preservation terms and term of validity with unidentified technological parameter. While giving an interview, some doctors think that it is " put off easily by a slight risk " not to answer ,Because some questions can well be improved. Make the disappearance of pharmaceutical by oneself, is unfavorable to new medicine to research and develop, purchase medicines to choose to bring the inconvenience for citizens especially.
How to let hospital preparation go on the way of benign development? The expert thinks, can unite with several hospitals, jointly build a large drug manufacturing room in an apparatus advancement, technical staff's hospital with high quality, preparation produced is for the patient of many hospitals to use. Have so not only can improve the confused current situation of hospital preparation reduced the wasteful use of resources but also, also solved the patient's problem of using medicine.
Meanwhile, Zhang HongXing still reminds, citizens buy hospital preparation to need to firmly believe Shandong medicine and supervise the lot number of the department, if has got preparation without any lot number, should be careful. In addition, indication, usage consumption, attentive matters,etc. that patients should inquire the medicine carefully before taking medicines, security of guaranteeing to use medicine.

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The hospital makes medicines by oneself good and cheap and receives the favorable comment Because the upward scale of the cost shrinks

The hospital makes medicines by oneself good and cheap and receives the favorable comment Because the upward scale of the cost shrinks
It cold, appetite of granddaughter fine, every meal take several, auntie Tong wants to save children's health care to hold some ones that promote appetite as a rule " Urge long fairy " ,The granddaughter has already eaten it several times, the result is good. Can reach the children's health care of the province to ask, " urge long fairy " Not for sale.
The medicine whether the intersection of province and children's health care make medicine by oneself, can not buy outside, because the medicine room of the hospital is carrying on the transformation this time, after finishing in transformation, could continue the supply. This let auntie Tong that piece getting anxious on the heart, " reach hospital other ask, watch, transfer to, wipe out, wipe out, think while being appropriate while being other. "
Like auntie Tong, keep thinking about " old Hangzhou " where every hospital makes medicine by oneself Not a few. They all say, it is not expensive that the hospital makes the price of medicine by oneself, curative effect let people rest assured too, it is absolutely good and inexpensive.
Good and cheap, it is wide to receive patient's favorable comment
Take children's health care of province letting auntie Tong bear in mind constantly " Urge long fairy " Come to say, it is a kind of zinc oral liquid amino acid sulfic acid, it is a kind of health product, can regulate internal supersession to be balanced, promote the growth of infant and pre-school children, the price needs only a dozen yuan, some like products sold for thirty or forty yuan want material benefit to be many than on the market.
In the intersection of province and institute of traditional Chinese medicine, make by oneself every day consumption a large one compound sand of promise Fluorine star drip the liquid of nose most in the medicine again, the consumption, more than of No. 1000 Branch, each one sells for only 1.2 yuan (capacity is 5 ml) every month ,Used mainly for treating rhinitis and anaphylactic rhinitis. Popular the intersection of autonomy and medicine have big blue and green particle and compound celestial clever to disappear the intersection of disease and particle spleen compound. The former is old president Yang JiSheng's prescription, it is very good to treat the result of influenza, just ten many yuan for a box; The latter can disperse the depressed liver-energy and regulate the flow of vital energy, used for treating mammary gland disease, unit price is more than 20 yuan. "Because the prescriptions of these medicines are all doctors in summarizing when practised medicine out for many years, the public praise in the patient is very good. " Save the traditional Chinese medicine room rate director of institute of traditional Chinese medicine to tell reporters.
Hangzhou the intersection of city and first the People's Hospital manage, split lotion, principal ingredients urea, come and treat the skin of trick to chap, taste is well smelt too, a lot of " old Hangzhou " It will go to the hospital to mix two boxes once turning cold, protect the skin of hands, the foot, the old and the young of the whole family can all use, every box is 100 grams, the price needs only 15.5 yuan, the result does not have worse hand protector frost than those big tags.
Mixture of cicada shellfish of the institute of traditional Chinese medicine of the intersection of Hangzhou and city is when traditional Chinese medicine preparation used for treating cough, asthma, reducing phlegm to regulate the flow of vital energy, in short supply to the winter of autumn. These preparations, all made according to the classical prescription that the past dynasties old docter of TCM stayed, curative effect is precise, some old patients have already eaten for many years.

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Thursday, May 17, 2012

Hospitals should all line up to pay the fees to row prices while registering Worried that one calorie disposes of these now

Hospitals should all line up to pay the fees to row prices while registering Worried that one calorie disposes of these now
Citizens are using the all-purpose card to register, inquire.
The hospital of new bridge took the lead in launching the all-purpose card and serving the terminal station yesterday, other hospitals would launch this system too, see quickly how to use
You go to the bank to handle the business, see that stands in a long queue and can turn round to take the card and deposit and withdraw on ATM plane by oneself; And you go to the hospital to see the doctor and go to a doctor, stand in a long queue above, can only choose to wait quietly many times. If a card can let to register to pay the bill become as convenient as ATM, how good it will be!
First Chongqing use the intersection of the public and urban all-purpose card, register hospital launch in new bridge 11 self-service terminal yesterday such as service not paying the bill in hospital. In the future, should serve terminally and popularize it to every large hospital of the whole city, citizens only need to supplement with money nearby, can go to all hospitals to go to a doctor.
How should to hold the urban all-purpose card to see the doctor?
Upgraded edition in the urban all-purpose card of the public which the hospital launched of the new bridge yesterday, is known as " open card of the health country " . Hold this card, what procedure pass to see the doctor? Please see 5 steps on the right.
It is convenient to pay the fees, how is the invoice given to me?
Let it be, launch the system of going to a doctor yesterday, save, register, line up, row price, line up, pay the fees, line up 3 links. We only need to move the finger, lack much trouble on the plane as depositing and withdrawing in the bank by oneself.
Need to especially remind, the above-mentioned fourth step will also be simplified at the end of next year, each doctor of clinic of hospital of new bridge will set up the server on desk, after the doctor opens the prescription, you can deduct the fee automatically, but does not need oneself to brush the fee of button after getting medicines in the dispensary.

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