Experts question the patient on value
Today, the hospital at all levels of the "experts" to enable patients to have some doubts about the three large class hospitals, small rural hospitals, the experts really do have better skill? With these questions, this reporter began an investigation.
Do not be superstitious expert patient
The survey found that some hospitals there are many experts out the little-known insider.
Some experts are "endurance", who
On experts, since there is no uniform national standard, it does not mean that professors, associate professors and other technical titles, it does not mean master, doctoral qualifications. Therefore, experts can only be a folk who have the professional expertise of a honorific. Is generally believed that experts should be dedicated to a particular job and those who study and quite accomplished. Medical experts, of course should be the treatment of certain diseases, professional expertise. This is the scarcity of experts in this, but now in many hospitals, "experts" do not lack. Some hospitals in order to attract patients to their doctors do not have the qualifications of experts to package the "certain experts" Zuozhen, a city in Henan province's municipal hospital that dental total of eight doctors, and public posting of the "expert doctors "reached six. In those small hospitals, for every one "expert" even more numerous.
Even in some large hospitals, not all experts are "true." Now the hospitals have to comply with such an unwritten rule: Where have these titles, deputy director of medical doctors, can be identified as "experts", can take an expert patient. However, the existing job classification, assessed by way of a director of the physician and deputy director of the physician, does not mean they have the clinical ability to solve difficult cases. Many so-called experts, but by endurance boil out of the clinical level is often the attending physician with the GOP is almost the same. There are many sections of the Division Director, although the rise to the director of administrative functions, but the technology has not yet promoted to the title "Deputy High", in order to facilitate the "expert patient" Zuozhen, hospitals altogether to a "low vocational high school recruits," attending physician shake themselves become deputy director of the physician. Become "experts." Some hospital specialists, only to large hospitals had specialist training. Also taking a hospital, select a number of wrinkles and more elderly long beard posing expert doctors.
Money flooded out of interest to experts
For those eager to treat the patients, the hospital specialist outpatient course of choice. And because experts outpatient clinic registration fee is much higher than normal, or even 10 times higher, hang a No. 30 yuan, 50 yuan, 80 yuan, or 300 yuan, so that those patients with daunting financial difficulties.
Experts are now out-patient general hospital overcrowding almost every day, many patients are directed at experts to go, wanted to spend more money to buy peace of mind. Patients with this kind of psychological disorder just to meet a number of hospitals run specialist clinics. Income and inspection commission of experts, see a doctor how many are related, so the significance of expert medical care has changed. Some people lamented, now the "expert patient" has become some of the hospital a new "economic growth."
Specialist out-patient "assembly line" operations
There misdiagnosis risks
Wang is a specialist out-patient was diagnosed with diabetes and hypertension, heart disease patients. 8 years, she had pressed the "experts" in the diagnosis of eating numerous antihypertensive drugs and hypoglycemic agents, 8 years been a physician discovered that she is suffering from pheochromocytoma (an adrenal gland tumor). This case once again raises questions about the current hotbed of specialist clinics, diagnosis and treatment of a hurry a few minutes really can diagnose the exact cause of the patient. According to the physicians say, he asked the experts completed before the patient after diagnosis, because very little day-patients, he did not immediately prescribe medication to patients, but asked in detail about the situation from the other patients. After careful examination, found that patients who suffer from diabetes is not simple, but pheochromocytoma secondary diabetes. Now the patients after tumor resection after recovery. The attending physician that the medical treatment to a patient, not only to ask the patient's main symptoms, hidden symptoms, but also the history of past medical history and diagnosis, while the necessary medical examination, usually takes more than 15 minutes. In the present case, the experts look at out-patient one day or even a hundred eighty-seven patients, as an "assembly line" operations, like. Experts not for everyone asking for detailed and comprehensive, objective reasons most of the experts diagnosed a hurry to prescribe a few minutes to solve the problem. As a result, misdiagnosis is inevitable phenomenon.
How do experts read out in the end
Registered the wrong subjects, and experts into "lay"
Mr. Zhao's children 6 months to grow a recent series of forehead acne How many pieces of small white family was particularly anxious, hurried to the children's hospital. Only general hospital dermatology clinic, but medical experts out there, Mr. Zhao did not hesitate to hang a number of experts. Overcrowding can be an expert patient, waiting for more than an hour before discharged to, experts looked at the child's situation, or suggestions to the skin examination. Results dermatology medical examination and told the young Mr. Zhao, because the baby caused by intake of balanced nutrition, there is no right, just appropriate some vitamin supplements can be.
The so-called experts are not omnipotent, if it is truly an expert, that would only show that he was a professional or even a have a deeper study of a disease, but compared to other branches of the disease, perhaps the layman. In other words, medical experts could not see skin diseases such as skin of the general practitioners, even a layman. Therefore, we must choose their strengths and their own expertise disease expert counterparts. Even experts in the same family also have their own strengths as a gastroenterology specialist, and some expertise in the treatment of liver cirrhosis, and some expertise in the treatment of liver cancer. With the general surgeons, and some specialize in cancer surgery, cancer surgery, some good, some are good at vascular surgery. With a dental expert, and some expertise in the extraction, some specializing in fillings, and some expertise in the denture, some are specialized in maxillofacial surgery. Therefore, only fully understand the expert's expertise before they can better choose their own experts. Generally to the hospital's consulting expertise of the experts help desk inquiries. Be experts in the hospital lobby bar of understanding, but also more understanding of the hospital's Web site can also be introduced by patients or through mutual acquaintances about the work in the hospital.
Best to look at the common newly diagnosed patient
Ms. Lee often joint pain recently, her daughter with her to Medical College hospital. To cure his mother's illness as soon as possible, his daughter hung 50 most expensive checkups special needs specialist out-patient fee. I did not expect that the number of experts ranked early in the morning there are more than 40 people, inside and outside the consulting room full of people. In desperation, they hand out in the expert line up, while they spent 5.5 yuan hung up a general orthopedic clinic. Fewer patients attending general, the doctor asked in detail about, the first one opened a few tests to further determine the condition. Mother and daughter waited until 12 o'clock finally discharged to a well-known experts in diagnosis, but experts asked about the condition, the first while opening a few and a few undifferentiated general out-patient laboratory.
No. medical experts who will hang, this is not desirable, particularly new patients. Whether expert or general practitioner, faced with the patient first of all have to understand the condition, medical history, carry out the necessary checks. Many diseases have been a test examination, imaging studies and other supplementary examination before we can get a clear diagnosis and treatment, which doctors can do general work. So sick patients, the best first general out-patient newly diagnosed, after inspection, or no clear diagnosis of incurable diseases, to find experienced professionals, which patients, can save the cost and number of experts linked to line up the waste of time, do not delay diagnosis and treatment.
To be well prepared
Specialist outpatient more, each patient is unlikely to make a long chat with the experts, so the limited time patients should talk to the expert condition accurately, it is best to do to prepare in advance. You may wish to see a doctor before you make a list of the main symptoms, sick time, whether there are incentives in place to bad habits, my medical history, family history, history of exposure to infectious diseases, and efficacy of treatment received which record how problems . These experts are ready and then look out, saving time and omission does not occur, but also conducive to an accurate diagnosis and treatment of a doctor. Many cities are now more than two hospitals in a single examination report is usually common. Remember when the doctor is ready to bring all medical records, according to chronological order is good, experts can be made by reference to medical records of the correct diagnosis, but also conducive to an expert on the disease continuous observation and analysis. This can also reduce unnecessary re-examination, save time and money. In addition, the statement history when you make the most painful, the most urgent need to address the condition, then tell the doctors with concise, focused, said disease, then according to the doctor's questions, one by one to answer, you made it clear that doctors could hear clearly thinking on Diagnostics clear.
In the limited time
As much as possible with experts
Experts not only to answer questions truthfully, but also to the expert as much as possible about their condition. For example, "I have what disease? Might cause that? Why eat this medicine? How to eat? Have no side effects? Medicine to take finished how do? Much time would be better? There are other possible treatments you ? in the future should pay attention to? when the doctor again? best experts to question their own one-time medical consultation. Remember, when the experts when others do not see the doctor interrupted to ask questions, then questions arise allow experts and other patients revulsion.
Do not underestimate young doctor
Most people think that old doctor experienced, good, expert senior experts naturally better. But now the hospital's deputy director of a number of young physician or chief physician, they usually have high academic qualifications, so they have a high level of knowledge and technology and to master the world's latest medical concepts, medical technology, so some of them Diagnosis and treatment of difficult and severe cases may Jiyaqunfang come from behind, because they are young and do not miss the opportunity to seek treatment. If you are suffering from surgical diseases need major surgery, then select an expert surgeon in the most appropriate, because this age extensive clinical expertise, skilled operative, eyes do not flower, do not shake hands, move cleanly. If circumstances permit, you can also asked the hospital to let the old experts to guide surgery.
Newspaper correspondent Wei Yiming