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How to strengthen the construction of medical ethics and strive to build a harmonious doctor-patient relationship
"Without virtue, you can't become a doctor". The construction of medical ethics is an important work in the construction of socialist spiritual civilization and an important part of building a harmonious society, which is directly related to the image, survival and development of medical and health departments and the health and life safety of patients. In the new era of rapid social and economic development and deepening medical reform, we should pay more attention to the construction of medical ethics, standardize medical ethics with good medical ethics, shape a new image of medical staff, build a harmonious relationship between doctors and patients, and make every effort to promote the orderly and healthy development of health undertakings.

(1) Deepen ideological understanding and build medical ethics.

In recent years, the county health administrative departments and medical and health units have attached great importance to professional ethics education and professional ethics construction. Education guides the majority of medical staff to put people's health and life safety in the first place, be fearless in times of crisis, face up to difficulties, obey the overall situation, shoulder heavy burdens bravely, fulfill their duties, love their posts and work hard, and effectively protect the people's health and life safety in the county.

While seeing the achievements, there are also problems that cannot be ignored, which are mainly manifested in the following aspects: the service quality of a few medical units and medical staff is not high, the service attitude is not good, the sense of responsibility is not strong, and the interests of the masses are ignored; Medical institutions collect fees in disorder, medical staff take kickbacks and receive red envelopes. Unhealthy practices and violations of laws and regulations in the field of pharmaceutical purchase and sale are serious; Medical disputes and accidents occur frequently, and the relationship between doctors and patients is tense. We must face up to the problem, understand the situation clearly and fully understand the necessity and urgency of strengthening the construction of medical ethics.

1. Strengthening the construction of medical ethics is an objective requirement for the development of health undertakings in the new period. At present, China's health industry is facing the competition and challenge of market economy. The world outlook, outlook on life and values of medical staff are constantly changing, and traditional medical ethics are severely tested. In this context, the party and the state have included strengthening the construction of medical ethics as an important work in the medical and health field in the new period. The report of the 18th National Congress of the Communist Party of China clearly stated that it is necessary to improve the service ability of medical and health teams and strengthen the construction of medical ethics. The "Twelfth Five-Year Plan" for Health Development also clearly requires: strengthen the construction of medical ethics and establish a good image of the health industry. We must fully understand the importance of strengthening the construction of medical ethics and regard it as a major event in the county's medical and health field at present and in the future, and achieve practical results.

2. Strengthening the construction of medical ethics is an important part of building a clean government. Medical and health work faces the whole society and involves thousands of families. Medical ethics is the main embodiment of healthy morality. The success or failure of the construction of medical ethics is not only related to the reputation and rise and fall of the medical and health industry, but more importantly, to the image of the party and the government, to the people's hearts and to social harmony. From a political perspective, we must incorporate the construction of health ethics and medical ethics into the overall situation of building a clean and honest party style, deeply understand, attach great importance to and conscientiously implement it, focus on solving outstanding problems in medical ethics of medical staff, focus on solving hot and difficult problems strongly reflected by the masses, continuously improve the consciousness of the majority of medical workers to practice in a clean and civilized manner, build a strong ideological and moral defense line, and prevent and reduce unhealthy practices in the health industry.

3. Strengthening the construction of medical ethics is the meaning of building a Millennium happiness. Zhang Aiping, secretary of the county party committee, proposed at the 10th plenary session of the 12th county party committee that we should promote development and upgrading, speed up the green rise, and concentrate on building a happy millennium. Imagine a constant medical dispute, and medical incidents often occur for 10 thousand years. Are you happy for 10 thousand years? Is it a happy year to see a doctor who is difficult, expensive and full of complaints from the masses? In my opinion, happiness must be a harmonious relationship between doctors and patients, and it must be a year when people's health and life safety are effectively guaranteed. Therefore, we must unify our thinking with the decision-making arrangements of the county party committee and the county government, constantly strengthen the construction of medical ethics, effectively improve the level of medical services, and provide a strong medical guarantee for building a Millennium happiness.

(2) Take measures at the same time, and make concerted efforts to build medical ethics.

To carry out the construction of medical ethics, we must focus on solving the outstanding problems in the current style of health system, effectively improve the overall quality of all medical and health workers, enhance the people's recognition and satisfaction with the health industry, and constantly improve the medical and health service capacity, service level and good image of the health industry.

1. Strengthen education, pay attention to guidance, and work hard on medical ethics education. First, pay attention to professional ethics education. Educate medical workers to establish a correct outlook on life and values, inherit the traditional virtues of doctors, abide by the professional ethics of doctors, improve their professional quality and spiritual realm, and establish noble medical ethics and good medical style. In particular, it is necessary to strengthen the pre-job medical ethics education and training for newcomers in the health system, and educate them to establish a correct world outlook, outlook on life, values and the purpose consciousness of saving lives and serving the people wholeheartedly. The theme education activities of medical ethics in the county are aimed at strengthening the construction of medical ethics, comprehensively improving the professional ethics and professionalism of medical workers, and promoting medical service attitude, service quality and service level to a higher level. The second is to pay attention to typical demonstration education. In recent years, a number of advanced models have emerged in our county's health system, such as Shao, a national outstanding rural doctor in He Qiao Village, Peimei Town, and Qi Hailin, a candidate who moved the top ten people in the Millennium in Wangshang Village, Qibu Township. They are all the pride of the county's health system and are examples for us to learn. This year, the "most beautiful doctors and nurses" discovery and selection activities will be carried out in the county, with the purpose of vigorously publicizing people and things around them who practice medicine with noble medical ethics and integrity, giving full play to the leading and exemplary role of advanced models, and promoting the construction of medical ethics to a deeper level. The third is to pay attention to the education of laws and regulations. Organize medical staff to seriously study national health laws and regulations, learn technical operation norms, and learn hospital rules and regulations, so that medical staff can know and understand the law, abide by laws and regulations, professional ethics and quality and safety. Fourth, pay attention to warning and vigilance education. Educate the majority of medical staff with typical cases investigated, and enhance their awareness of law and discipline and public morality. Combined with typical cases such as international pharmaceutical giants GlaxoSmithKline, Sanofi's bribery case in China, Fuping kidnapping case and commercial bribery case in Gaozhou People's Hospital of Guangdong Province, warning education was carried out to cultivate medical staff's awe of law and discipline, consciously resist the influence of various wrong ideas and bad social atmosphere, and strive to be model practitioners and active promoters of noble medical ethics.

2. Strengthen management, strengthen constraints, and work hard on the mechanism of medical ethics. The first is to establish a responsibility system for the construction of medical ethics. County-level health administrative departments and various medical and health institutions focus on establishing a responsibility system for the construction of medical ethics with the main leaders in charge and division of labor. Sign the target responsibility letter at all levels, so that the task is decomposed into departments and the responsibility is clear to individuals. At the same time, actively explore the establishment of a long-term mechanism for the construction of medical ethics, and constantly improve the scientific, targeted and effective construction of medical ethics. The second is to improve the medical ethics evaluation system. Seriously sum up the successful experience and effective practices of medical ethics construction, improve the evaluation system of medical ethics, explore evaluation methods, establish evaluation files, take the evaluation results of medical ethics as an important basis for annual assessment, evaluation and promotion of professional titles, implement the one-vote veto system of medical ethics, and push the construction of medical ethics further. The third is to implement the supervision mechanism of medical ethics. By employing medical ethics supervisors, setting up report boxes and complaint telephones, and accepting the supervision of higher authorities, brother units, news media, NPC deputies, CPPCC members and the masses, the construction of medical ethics will be continuously improved.

3. Improve quality, standardize service, and work hard on the content of medical ethics. The first is to strengthen business knowledge learning. Nowadays, knowledge is changing with each passing day. If you don't learn and master new knowledge, you can't keep up with the times. The majority of medical workers should persist in learning theory, strengthening literacy, learning business and strengthening skills in various ways, carry forward the dedication to heal the wounded and rescue the dying, and improve their ability to heal the wounded and rescue the dying. All health and medical units should guide, encourage and create conditions to support the study of cadres and workers. The second is to improve the quality of medical services. Seriously implement standardized quality service, start with standardizing service facilities, service processes, service behaviors, service quality and service standards, carry out standardized quality service activities in medical and health units, and build an all-round quality monitoring system. The third is to strictly regulate medical service behavior. Adhere to the treatment due to illness, rational drug use, reasonable inspection and reasonable charges, cut off the direct interest relationship between medical institutions and medical personnel and drug sales, and reduce the burden of medical expenses for the masses. Conscientiously implement the national essential drug system, strengthen the management of medical institutions' fees, carry out special inspection of medical service prices, and correct and prevent arbitrary charges. Actively promote the centralized procurement of medical consumables, reagents, especially high-value medical consumables, urge medical institutions to gradually establish an open, transparent and democratic decision-making management mechanism for the procurement and use of large-scale medical equipment and high-value medical consumables, and reduce the inspection costs of large-scale equipment. The fourth is to strengthen internal comprehensive management. Actively promote medical openness and widely accept social and mass supervision. Improve the patient's choice of doctors, hospitals, hospitalization expenses list system, medical charges and drug price publicity system and inquiry system. Further implement the rules and regulations on physician assessment, technical access, pharmaceutical affairs management, infection control, blood management, medical waste disposal, medical disputes, fire safety, doctor-patient communication, etc. So that hospital management can keep up with the pace of medical technology and social development. Especially for those staff who do not abide by the rules and regulations and job responsibilities, hospitals should dare to manage and punish them to ensure the real implementation of the rules and regulations of the unit.

(3) Organization and leadership are more powerful, and the construction of medical ethics is implemented.

Carrying out the construction of medical ethics is an important work involving the overall situation of health work and an important carrier for the majority of medical workers to devote themselves to the Millennium happiness construction. It is of great significance and arduous task, which is related to the overall image and long-term development of health undertakings. It is necessary to strengthen leadership, implement responsibilities, organize meticulously, and earnestly implement all the work to ensure the effectiveness of the construction of medical ethics.

1. Implement leadership responsibilities. There used to be an old saying that "the wind is above, the customs are below". There are good and bad styles in a place or an industry. First of all, it depends on leaders and teams. To strengthen the construction of medical ethics, the county health bureau and the "top leaders" of all medical and health units are the first responsible persons, who should personally grasp and take overall responsibility, and truly realize ideological understanding, arrangement and deployment, leadership responsibility and work implementation. Correctly handle the relationship between the construction of medical ethics and the development of health undertakings, incorporate the construction of medical ethics into the overall work deployment, make overall consideration with business work, make overall plans and make overall considerations, and promote it in a coordinated manner. Insist on combining the reform and development of health care with the construction of work style, and always put the construction of medical ethics throughout the whole process of health care development.

2. Strengthen supervision and inspection. Health system is a "window" industry and also a service industry. We should take the initiative to accept the supervision of society, the masses and public opinion, attach great importance to the hot and difficult issues strongly reflected by the masses, conduct special analysis, and make rectification within a time limit. The county health bureau effectively strengthens supervision and guidance, and adopts various forms such as unannounced visits, regular inspections and follow-up inspections to ensure that the work does not go through the motions. Resolutely give informed criticism to units that are poorly implemented and become a mere formality; Those who do not perform their duties seriously and cause adverse effects should be strictly investigated for responsibility. Strive to strengthen the construction of medical ethics, so that the cadres and workers of the county health system are touched, pressured, motivated, motivated and motivated.

3. Strict accountability and investigation. In recent years, the county health bureau and various medical and health units have also formulated many rules and regulations on the construction of medical ethics, but the implementation is obviously insufficient, and some even become a mere formality. It can be seen that there are not many systems, and the key lies in strict implementation. The county health bureau and the leaders of medical and health units must deal with people and things that violate discipline and discipline in this system and this unit impartially, without favoritism, severely investigate and deal with them without mercy. Problems such as prescription, billing commission, random inspection, arbitrary charges, "red envelopes" and "kickbacks" will be investigated and dealt with according to law and will not be tolerated. If the outstanding medical ethics problems are not investigated in time, the responsibility of the unit leaders shall be investigated first.

Strengthening the construction of medical ethics is a long-term, systematic and complicated project. It is necessary to closely focus on the goal of "personnel have a new atmosphere, the industry has a new image, work creates a new situation, and the masses enjoy new benefits", unify their thinking, seek truth from facts, solidly promote the construction of medical ethics, and strive to promote the sustained and healthy development of the county's health undertakings and realize the grand goal of building a happy Millennium.