The Changjiang River Daily: " management of clinical route " How reliable it can be

The Changjiang River Daily: " management of clinical route " How reliable it can be
" South Daily " reports: 39 above- second -class hospitals in Shenzhen will launch a pilot project in the clinical route and manage, namely the hospital sets up a set of standardized modes of making a diagnosis and treats the procedure to a certain disease, patient, since entering the hospital, all checks, treats, uses medicine etc. and has rule to follow, can stop great prescription, haphazard charging act to a certain extent. According to what Ministry of Public Health announce in succession>, " scheme of managing pilot work of clinical route ", 12 provinces (market) in the whole country 50 hospitals pilot at 22 piece speciality 112 number development pilot projects clinical.
"I bought in Shanghai 8 years ago, can arrive when reaching 80 yuan of hotel at the airport, drivers charged 120 yuan of my around the way, the reason is that I do not know which way to take. Clinical route management to want, let doctor and even patient, know common disease, see more treatment roads to the disease " This is that right that hygiene of Shenzhen and Deputy Director of Family Planning Commission of people make four tigers " The route " Piece vivid liken. As to abominable curing wind perplexing, patients of the injury for a long timing, this undoubtedly can be regarded as a wisp of dawn too; Standardization, standardization that the hospital makes a diagnosis progressively, it is a direction of social progress even more.
However, I store some doubts to this still heart. " Guangzhou Daily " just produced a big news: The breathing machine stops causing patient's going into a coma deeply and last death in flat ICU a long time, responsible for doctor busy, see at that time hot slices of " the the intersection of time and panda " and claim oneself has no responsibility firmly. If " management of clinical route " The pilot project gets to this hospital meeting accident, the accident can escape by luck, because " route " Perhaps can not be in charge of medical ethics at all.
The public has condemned the medical problem seriously for many years, this is various factor interaction, a kind of comprehensive environment accumulated over a long period, interweaved and become. Taken the image of the taxi to liken, I can't help associating it with another scene too: The city " The public transit has priority " Have already proposed, it is one of the concrete measures to set up the special passway for the bus. However, totally isolates and can not do the special passway of public transit at all in fact with the other passways. If one city traffic jam, management confused, so-called these meaning " the public transit will have priority " It is nearly an empty verbiage. In fact, " management of clinical route " The pilot project is setting up in the similar environment, distinguish only: One is comprehensive traffic environment of the city, one is a comprehensive medical environment including medicines production and circulation, life style of the hospital, doctor's operation current situation. Can well imagine, all sorts of drawbacks and shady deal existing in medical operation for the moment, at any time may interfere with, occupy, stop up this piece, it places into special passways of hope to be " The clinical route " .
The mode of making a diagnosis and treating the procedure or speaking the procedure that sees the doctor, and increasingly automated, intelligent and even nobody modern production line never will be the same thing, people for, subjective factor in being leading position. The system problem is not solved fundamentally, doctor's normal job spirit and working enthusiasm have no way of changing, put on a seemingly transparent one them " The route " Sum is meticulous " The standard " Within, can't totally responsible for patient too.
It becomes doctors to be to make conscience, and which side lean towards some conscience, doctor oneself clear most only, " route " Perhaps can not find at all. The medical ethics problem was not solved fundamentally, even on the surface large prescription, arbitrary charge have reduced even disappeared, however, the illegitimate benefits will seek the new, more obscure realization way. Seek medical advice morally with system concern or " The principal aspect of a contradiction " Look, the system is a key factor. I never think the doctor makes medical ethics lost at the beginning, the majority is forced by the system, it is environmental pollution in the long-term operation, twist.
" management of clinical route " Can launch a pilot project and even popularize by a large scale, but it still has " gives temporary relief " Trace; Really solve the medical problem of our country completely, should make a decision from " get a permanent cure " Start with. (with the duckweed)
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