Liu Yuanju: Clarifying criminal cases and doctors and patients need to see the systemic factors behind them. These factors are closely related to everyone. They also push doctors to the front line of contradictions, the front line of risk.

At 6 am on December 24th, Deputy Chief Physician Yang Wen, deputy chief physician of the Emergency Department of Civil Aviation Hospital, was hurt by a patient's family in a normal diagnosis and treatment, causing severe injuries to the neck and died unfortunately.

After the incident, on December 28, when answering the issue of basic medical and health and health promotion laws, Zhao Ning, director of the Law Division of the National Health and Health Commission, talked about the female doctor of the Civil Aviation General Hospital was injured and killed, expressing the distress and anger: This is not a matter of medical disputes, but a very serious criminal crime.Zero tolerance for any form of injury.

From the legal level, the murderer committed criminal crime, which was certainly no doubt.But at the same time, the victim of tragedy is a doctor, the murderer is the family of the patient. The relationship between them is a doctor -patient relationship, and the murderer occurs in the hospital.relation.Medical disputes and criminal crimes are different observations of the same case and do not exclude each other. It belongs to the relationship that is both hell; hellip; but also.The two do not need to clarify, there are two levels of things.

Judging from post -processing, the two observations are involved in different fields.The former is qualitatively related to the postponing of specific events and take the judicial approach. This is clear.Judicial procedures are not disturbed and need not clarify.At present, the murderer has arrived in the case, and it will be severely punished by the law.

The latter is related to the inevitable inevitableness, and find the systemic reasons behind the incident.In fact, what you have to do now is not clarified. This tragedy is an extreme example of the tight medical relationship in the medical field in China, but it is an inevitable accident because there are too many similar tragedies.

The tragedy took place on the morning of the 24th and reported on the same day, but after the real public opinion was out of public opinion, after the video was circulated on the 27th, the cold blood and cruelty of the murderer stimulated the public.It broke out in public opinion.Three days from the 24th to the 27th, the reason why public opinion is tepid is because it is not a rare news because of killing medicine and injury.

Data show that from 2001 to 2018, there were 47 medical cases recorded in the case in 18 years, and 50 medical workers were killed, and an average of 3 people died each year.In 2015, the Chinese Physician's practice status released by the Chinese Physician Association showed that 59.8%of medical personnel had suffered linguistic violence, and 13.1%of medical staff had been physical damage.EssenceObviously, this cannot be simply attributed to public security issues or criminal crimes.

There is no doubt that these cases are every criminal case, but each tragedy occurs in the hospital. The victim is a doctor, and the murderer is a patient or family member.This is bound to be a doctor -patient dispute. The doctor -patient relationship under the medical system is the systemic factors behind so many tragedies.

Only the systematic factors will act immediately to solve the current problems.

In addition to most of the obstetrics and gynecology department, the hospital itself is the most sad place on the world and is an extreme place.Under these heavy pressure, some people's emotions are very easy to extreme, and then generate violence.These killing violence did not plan in advance, regardless of consequences, and could not prevent it.But before the atrocities, it can be prevented.The simplest and effective way is to implement security checks in the hospital.

Some people believe that security measures will stimulate the murderous motor. If this is true, then security checks with the helmet, anti -thorn vest, and additional security that are issued to the doctor are the same stimulus effect.The subway security inspection has not become a factor that stimulates the case.

Changes in the medical field are by no means a merit overnight. However, it is difficult to cure, but the standard can be prescribed.The measures to treat the standard should be acting.

More importantly, the systemic factors have motivation, motivation, and deepen the reasons for face -to -face and research.

In the original impression of Volkswagen, this family was completely unreasonable. It refused to accept the reality of the elderly's elderly, and asked the doctor to quickly cure it, but refused all the inspection, but worked with us every day in the rescue room.At the same time, the murderer Sun Wenbin showed extreme and emotional: If my mother did not have a fever, she would kill the doctor.It looks like this is an unreasonable family.This family does show the characteristics of anti -social personality.But the media interviews showed the other side of the matter.Sun Wenbin's sister told the media: Another contradiction between them and the hospital is whether they can turn their mothers from emergency department to hospitalization, but the response obtained is that the hospital has no bed.

As a result, many unreasonable behaviors of family members have also become explained to a certain extent: emergency treatment means that they cannot use medical insurance and need to pay at their own expense.After that, the appeal was hospitalized.However, the hospital has no bed, and the financial situation of the Sun family is not good. The situation of the mother is getting worse. These are stimulating Sun Wenbin.They all spent here, and they lost their family.

Sun Wenbin pointed his finger at the doctor. It originated from his ignorance, from his anti -social personality. He was unforgivable, but the problems he encountered were systematic and that each of us would encounter.

According to industry insiders, elderly cancer patients will greatly consume the medical insurance quota, but the hope of treatment is slim. Under the double tightening curse of the medical insurance and hospital assessment mechanism, the hospital is worried that the medical insurance quota will be used up, so they are unwilling to accept such patients.As long as you search for a little on social media, you will find that medical insurance control fees are by no means a hospital, a regional problem, but a general problem.

What's worse, medical insurance control is not clearly stipulated. If patients lack social knowledge and do not pay attention to news, they cannot understand the reason, and they may point their anger to specific doctors.What can be imagined is that before that, the 95 -year -old old lady family members encountered medical insurance control fees. Is there any problem with the hospital's medicine?

In these cases, at the beginning, in the social media issued by the doctor, they were consciously ignored. Only one family member was completely unreasonable, and then became a simple criminal case.

But the reason is always there, and it will continue to be presented in accidents.In other cases of injuries, it is not difficult to find other systemic reasons.At present, the phenomenon of high labor intensity and long time of primary doctors, 60 patients in diagnosis and treatment of 60 patients a day, will inevitably produce professional numbness, and naturally will not be too good.But the patient is not a machine, not to mention that it is often under extreme pressure. A small misunderstanding and a not listening to a doctor will become the last straw, which will overwhelm the patient's rationality, cause conflicts, and even violent conflicts.Direct victim.

Economist Zhou Qiren calculated that from 1978 to 2005, China's GDP (calculated at the current price) increased by 50 times, and the total social health expenditure increased by 200 times.75%.Although the number of medical staff cannot increase like GDP, the number of doctors per 1,000 in China in 2018 reached 2.59, which is lower than the average (3.3) of the OECD member states.The number of doctors is not actually the rich and the poor reflected, but the proportion of wealth distribution of one country.In 2018, China's total health expenses accounted for 6.6%of GDP. As early as 2013, the proportion of medical and health expenditures in the United States accounted for more than 18%of GDP, and the average level of 34 OECD countries was 8.9%.

Of course, the reasons for the deep level are very complicated, and the solution is not a one -year work, but we cannot ignore these reasons.So if we want to clarify the disputes between criminal cases and doctors and patients, then the systemic factors behind this need to be seen, because these factors are with every old one oldThe people are closely related, because these factors have pushed doctors to the front line of contradictions and the front line of risks.

Therefore, after the tragedy, after mourning, you should face up to those systematic problems. Only in this way can we avoid more tragedies and be called the real mourning of Dr. Yang Wen.From a bigger level, the life of the old and sick, the normality of each family, the medical problems, and the problem of the people have a greater pain than the education issues.

(This article only represents the author's own point of view, responsible editor: Yan Man [email protected])