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日本医生的社会地位

2015-07-02 中国留日同学会总会长 汪先恩 日本新华侨报

上次湖南省副省长郭开朗介绍了湖南某市家属砸烂医院妇产科的事件,问日本有没有类似情况,我惊愕半响,不知道如何回答是好。日本同样有医疗事故,上周就有一位小学生因检查时注射照影剂而立即死亡,事故归事故,媒体也好,专家也好,警方也好,都在客观分析,探讨如何防止再发生,始终没有医闹。日本为什么没有医闹呢?全社会崇敬医生。日本社会把 “老师、医生、律师、议员级别的政治家”等几种职业的人称谓“先生”,议员可能是

上次湖南省副省长郭开朗介绍了湖南某市家属砸烂医院妇产科的事件,问日本有没有类似情况,我惊愕半响,不知道如何回答是好。日本同样有医疗事故,上周就有一位小学生因检查时注射照影剂而立即死亡,事故归事故,媒体也好,专家也好,警方也好,都在客观分析,探讨如何防止再发生,始终没有医闹。日本为什么没有医闹呢?

全社会崇敬医生。日本社会把 “老师、医生、律师、议员级别的政治家”等几种职业的人称谓“先生”,议员可能是临时先生,有位国会议员落选了,如今在银座经营果酒,人家就叫他为社长,而不称先生,医生等则是终身先生。先生本意是后生的前辈,尊长是社会共识,后来不问年龄,把学识技艺见长者尊称为前辈,也就是先生。医生被公认是秀才中的秀才,先生中的先生。

医生限额培养。现在日本全国80个医学部每年总共才招生8846名医学生,每个大学医学部只能招约100名左右,由于医生是相对稳定高收入的崇高职业,竞争非常激烈,只有成绩名列3%的精英学生才有资格报考医学院,而6年高学费高功课的结果,有的还拿不到医师执照,大浪淘沙,培养一个能独当一面的医生需要十年时间,因此社会尊重和爱惜医生这个稀有资源。

医院爱惜医生。疲劳驾驶易出车祸,疲劳诊疗易出事故。很多疾病需要医生反复思考,不断试行才能找到正确的治疗方法,因此需要思考的时间,需要在体力和学识上充电。我所在的大学医院,住院医生一般管5张左右病床,门诊医生每天看10到20个病人,太多了就力不从心。医生处理完事务就回到教学楼,在医院楼里必须紧张仔细对应,而在教室里可以脱掉白大褂,吃点点心,喝点饮料,或谈天,或看书,或研究,完全自己定。医生有松有驰,可以减少差错。

事故解决途径畅通。如遇到医疗事故,通过保险公司或司法,按法律法规文明解决已是社会共识,不会出现暴力责问。医疗事故会登记,定期全国通报,通报的目的不是声讨,而是分析原因,如何避免。

医院有拒诊权。尽管日本社会尊重医生,但还是全力防止个别闹事之徒,医院铭文规定拒诊条例。日本临床医学的权威,皇家及各界精英的主要就诊地顺天堂医院,就张贴了拒诊通告。规定“如有下列骚扰行为,将不能诊疗。对其他患者或医院职员有暴力或暴力倾向;大声狂言或威胁言行,影响其他患者或妨碍医院职员工作;反复提出难以解决的无理要求,妨碍医院职员业务;故意损坏仪器设备或建筑物设备;非治疗或探视而无端进入医院建筑物内或区域内;携带诊疗上不必要的危险品;未经许可,禁止在本院建筑物内及区域内摄影、录像、录音。”大家都在温馨静谧的环境下,听着轻音乐候诊,不要说医闹,如果你大声喧哗就立即被警备员请出去,如有不轨行为的人,警察会立即出动,即使酒鬼想在医院闹也不可能。

医院是救死扶伤的圣地,也是一个高风险的生死界,全世界每个在医院的病人,都有去停尸房还是回自己的住房两种可能,送你回家是医护人员的心愿,但能不能实现只有天知道。病入膏肓,回天无力;不到膏肓也可能出现意外,甚至命赴黄泉,事故的原因有医学本身的局限性错误,有医务人员的失误,有制药仪器方面的问题,也有身体特异的原因。总之医疗过程风险太大,因素复杂,一般速效的往往是最危险的,如静脉点滴绕过消化吸收解毒系统直接入血,风险明显大于服药,大手术风险高于保守治疗。

医学是一个发展中的学问,大多数疾病的治愈方法并未确立,医疗特别是西医的进步往往建立在一部分病人牺牲的基础上,但愿你不要成为牺牲品,这要靠你的选择,你的运气更靠你的养生,你身体好不去医院自然风险小。失败是成功之母,通过医学界和全社会的不断努力,医疗事故会减少,但永远会存在,日本等发达国家也不例外。无论如何,文革遗风的医闹都是野蛮的违法行径,都会增加医疗事故,对于医闹完全能够而且有必要坚决制止,首先政府必须有所作为。

原文标题:日本医生的社会地位,高得令人震惊

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2027565, encodeId=13a4202e565c4, content=<a href='/topic/show?id=caa7e397190' target=_blank style='color:#2F92EE;'>#社会地位#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73971, encryptionId=caa7e397190, topicName=社会地位)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b191324, createdName=marongnuan, createdTime=Mon Nov 09 00:52:00 CST 2015, time=2015-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31832, encodeId=f1413183272, content=国情, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Thu Jul 09 11:45:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=30534, encodeId=cc2b305343f, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Sat Jul 04 15:04:00 CST 2015, time=2015-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1294216, encodeId=898f129421605, content=<a href='/topic/show?id=ca6e592189b' target=_blank style='color:#2F92EE;'>#日本#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59218, encryptionId=ca6e592189b, topicName=日本)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f634250, createdName=chentianping, createdTime=Sat Jul 04 05:52:00 CST 2015, time=2015-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1616612, encodeId=b136161661253, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Jul 04 05:52:00 CST 2015, time=2015-07-04, status=1, ipAttribution=)]
    2015-07-09 cmn

    国情

    0

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    2015-07-04 huaxipanxing

    看看

    0

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