Survey background:
The medical ethics of health system has not only become a hot topic of public opinion in recent years, but also an important issue in deepening health reform and rectification. With the development of economy and the continuous improvement of people's living standards, people pay more and more attention to their own health problems. Medical ethics has aroused widespread concern. Medical ethics education is an important part of hospital management under the new situation, an important and urgent task faced by hospital ideological and political workers, and also an important content of socialist spiritual civilization construction in health system.
Purpose of investigation:
In order to understand the current situation of medical ethics of medical workers, reveal the existing problems and their influencing factors, and explore solutions, such as strengthening ideological construction, perfecting management system, accepting social supervision, relying on scientific and technological progress and increasing investment. Pay close attention to the construction of medical ethics and promote the sustainable development of health undertakings.
Survey content:
Through questionnaires and individual interviews with the masses, future doctors (medical students) and doctors themselves, we can understand the current medical ethics. About doctors' service attitude and receiving red envelopes.
Investigative steps:
1: Grouping and creating topics
2. Design the questionnaire and distribute it.
3. Statistics and analysis
4. Write investigation reports and papers.
Survey results: presented in the form of survey reports and papers.
Medical ethics questionnaire (for medical staff)
1, what do you think of the medical ethics in society now?
It's good. B: Good. C: Just so-so. d； poor
2. What's the attitude of the doctors you met towards the patients?
A: Very serious and responsible. B: more responsible. C: generally responsible for d; neglect of duty
3. Is the medicine prescribed by the doctor you met expensive?
A: Very suitable. B: It's usually very expensive. D: it's very expensive
4. What do you think of doctors?
A: inaccessible b: serious c: approachable d; annoying
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A patient needs first aid, but he has no money. At present, the practice of hospitals is generally
A: Saving people must be very important. B: Maybe save people first. C: wait for d while saving; No money to say.
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6. Do you think there is a problem of "expensive medical treatment" at present?
A: Yes. B: It's a little expensive, but it's tolerable. C: it does not exist.
7. What do you think of the phenomenon that doctors receive "red envelopes"?
A: You shouldn't accept it, which increases the burden on patients. B: You should accept it. It's the patient's wish. C: I can't help it. Don't send a "red envelope" for fear that the doctor will not treat it wholeheartedly.
8: You
Medical ethics questionnaire (medical students)
1. Understand the value of medical staff after SARS;
A. lofty and great B. his work is beyond reproach C. it needs to be improved
2. Does SARS affect your life and study attitude?
A. Great influence B. Little influence C. No influence
Do you think skipping classes between classmates is serious?
A. Very common B. Less C. Almost none.
What do you think of the medical ethics in the present society?
A is very good, B is very good, and C is generally poor.
5. Is the medicine prescribed by the doctor you met expensive?
A is suitable for B. Generally, C is more expensive, and D is very expensive.
What kind of doctor do you want to be in the future?
A is inaccessible, b is serious, c is approachable, and d is annoying.
7. A patient needs first aid, but he has no money. What will you do in the future?
Must be saving lives. B may save people first. C will save lives while waiting for d to have no money to say.
8, if your basic medical rights and interests are damaged, your attitude is:
Firmly defend your rights. B fight for it. If not, forget it. C won't even fight for it.
9, the hospital whether there is a phenomenon of arbitrary charges:
Does a have a B?
Medical ethics questionnaire (for doctors)
1. Did the medical staff you contacted receive a "red envelope"?
A: Yes, B: No,
2. Are there any "big prescriptions" or "big examinations" among the medical staff you contacted?
A: Yes, B: No, C: I heard that there is.
3. Do you think medical skills or medical ethics are important for doctors nowadays?
A: Medical skill B: Medical ethics
What do you think is the root of the high cost of seeing a doctor now?
Hospital fees are too high. B: The equipment of drug dealers and the goods provided by manufacturers are expensive, which leads to the high cost of medical treatment. C: Others.
What do you think are the main factors that affect the current basic medical insurance benefits in our city?
A, payment rate level B, payment base level C, social and economic development level D, national policy
6. What medical ethics problems do you think are common in hospitals at present?
A, big prescription B, induce patients to do all kinds of unnecessary tests C, drug abuse
D, accepting kickbacks e in drug purchase and sale, billing commission f in medical and health services, accepting red envelopes, etc.
7. I hope that the government will introduce policies or solutions to solve the problem of difficult and expensive medical treatment (multiple choices).
A, reduce drug price b, examination fee c, treatment fee d and hospitalization fee.
E, increase financial input f, completely separate medicine from medicine g, establish "civilian hospital" h, and control medical ethics.
I, integrating medical resources j, hospitals providing better services k, strengthening the supervision of hospitals.
Data statistics and analysis:
50 copies of Medical Ethics Questionnaire1were actually distributed, and 4 1 were recovered.
50 questionnaires on medical ethics were actually sent out and 48 were recovered.
50 questionnaires on medical ethics were actually sent out and 47 were recovered.
1. Did the medical staff you contacted receive a "red envelope"?
A: Yes (95%, 38 people); B: None (5%, 2 people).
2. Are there any "big prescriptions" or "big examinations" among the medical staff you contacted?
A: Yes (70%, 28 people); B: None (2.5%,1); C: It is said that there are (27.5%, 1 1 person).
Do you think there are fake and inferior drugs at present?
A: Yes (90%, 36 people); B: None (0%, 0 people): C: Less than before (10%, 4 people).
In terms of medical services, what do you think of the current drug price level in our city?
A: high (80%, 32 people) B: acceptable (20%, 8 people) C: low (0%, 0 people)
What do you think is the root of the high cost of seeing a doctor now?
A: The hospital charges are too high (75%, 30 people) B: The equipment of drug dealers and the goods provided by manufacturers are expensive, resulting in high medical expenses (20%, 8 people) C: Others (5%, 2 people).
6. What medical ethics problems do you think are common in hospitals at present?
A, large prescription (20%, 8 people) b, inducing patients to do various unnecessary tests (55%, 22 people) c, drug abuse (2.5%, 1 person).
D, receiving kickbacks (10%, 4 people) e, receiving billing commission (5%, 2 people) f, receiving red envelopes (5%, 2 people) g and others (2.5%, 1 person) in medical and health services.
The first question, 95% of the respondents think that medical staff receive red envelopes, which shows that most medical staff have unhealthy medical ethics.
The second question, most investigators think that doctors have made a big prescription or made a big examination, which shows that there are problems in medical ethics and it is necessary to improve the moral quality of doctors.
The third question, 90% of the respondents think there are counterfeit drugs and inferior drugs, and 10% people think it is less than before, which shows that counterfeit drugs are widespread. It is still necessary to strengthen legal supervision.
The fourth question, the vast majority of respondents think that the drug price in our city is too high. I think government departments and hospitals should negotiate with each other to control high drug prices.
The fifth question, 75% people think that the cost of medical treatment is too high, so I think hospitals should control the fees reasonably so that patients can afford good doctors.
Sixth, the common medical ethics problems in hospitals include inducing patients to do unnecessary examinations, prescribing prescriptions, accepting kickbacks in drug purchase and sale, and so on. Therefore, I think hospitals should charge reasonable fees and doctors should establish good medical ethics, so as to give patients good treatment and get social recognition.
Medical ethics papers
Medical ethics requires people who provide medical services to have good morality and work style. The minimum requirement of medical ethics is professional ethics, that is, respect for patients, responsibility for patients, and serious and standardized medical behavior from beginning to end. High standards of medical ethics and ethics require extreme enthusiasm for patients, extreme responsibility for work and technical Excellence. Medical ethics, medical style, humanity and benevolence are closely linked, and there are good traditions at all times and all over the world.
Legend has it that Sun Simiao, the drug king of the Tang Dynasty, met a tigress, opened her mouth to block the way, and her followers thought that the tiger was going to bite, and ran away one after another, but Sun Simiao saw that the tiger had an unspeakable disease. It turned out that this tigress had no food for several days and could not feed her two cubs. In desperation, she ate an old lady. One of the old woman's hairpins got stuck in the tiger's throat. It turned out that the tiger blocked the way to seek medical treatment. Sun Simiao risked being bitten and reached for the foreign body, and the tiger left happily. A few days later, Sun Simiao passed by here on his return trip, and the tiger and tiger cub were waiting to meet him at the roadside. This story first shows that even if the tiger that eats people is sick, the doctor will treat it, not that people are sick; Secondly, even a man-eating tiger will respond politely to charity. In fact, this should be the basic principle of medical ethics, medical style and doctor-patient relationship. Ms. Nightingale in Britain exhausted her family property and life to start a nursing career; Bethune's spirit is well known. In China, there have been countless people's good doctors with noble medical ethics, such as Lu, Zhao Xuefang, Hua Yiwei, Wu and Yu. There are also a large number of medical scientists with noble medical ethics and outstanding achievements. Huang Danping and Wang Dekun of our hospital can be said to be representatives of them. These models set a good image for medical staff, set an example for medical staff to learn, and promoted the spiritual civilization construction of the country.
Morality is the thought and code of conduct of medical staff in medical activities. It is like a mirror, which allows us to compare our every move at any time and be cautious in our work.
First of all, "serving the people" is the key for medical staff in the process of medical and health service activities. Its core is to respect and care for patients, create a cordial and harmonious medical environment, and form a doctor-patient relationship of equality and mutual understanding. Just like Dr. Wu, who won the "National Science and Technology Award", he has worked hard in the front line of medical services and medical research for decades and achieved fruitful results. When talking about his understanding of his 50-year medical career, he said: "As a medical staff, professionalism is very important. Dedication means being loyal to one's duties, loving one's work, taking patients as the center, and relieving patients' pain wholeheartedly. Keep improving your work. Extremely responsible for patients, indifferent to fame and fortune, caring for patients, willing to contribute. "On the medical front, there are many such excellent medical workers. It is they who form the' main body' of medical and health services and become the model and example of every medical worker.
Secondly, the medical and health service industry is a special industry. It is a whole closely related to people's lives and consists of many "parts". No matter which "site" goes wrong, patients may pay precious lives as a price. Each of our medical staff is that part. Every medical worker, whether you are a doctor, a nurse, a medical technician or a nursing worker, is a hospital.
However, with the continuous development of human science and technology, medicine, as an important part of modern science, has also made great progress. New knowledge, new ideas and new tools are emerging one after another, which puts forward new challenges and requirements for our work. However, what you learn in school alone can't keep up with the progress of the times. We are required to receive continuing education, be rigorous and realistic, strive for progress, study medical skills and strive for perfection. Only by constantly updating your knowledge level can you keep up with the times.
As a medical staff, the work is very hard. I always bear great mental pressure, and I am often criticized by patients and their families, and I don't understand and cooperate. However, when the tug-of-war with death finally won; When the patient who is paralyzed in bed can stand firm; When a painful expression is replaced by a relaxed smile, as a medical worker, the satisfaction and joy can't be described in words. Is to find your own life value and experience the happiness in the ordinary. A casual greeting from Lu Yu and a sincere smile at the meeting virtually narrowed the distance between us and the patients. We give them the courage and ability to overcome diseases, and they make us confident and sublimate in ordinary life ... Indeed, no matter how the times change, how medicine advances, and how to save lives, humanitarianism will remain the highest criterion pursued by medical staff all their lives, and it is also the benchmark for action that we should always remember!
I still remember/kloc-the oath nightingale left with a lantern more than 0/00 years ago: I sincerely swear before God and the congregation: I will be pure and loyal to my duties all my life, try my best to improve the professional level of nursing, do not take harmful drugs for harmful things, carefully keep the secrets of patients and their families, and wholeheartedly assist doctors in diagnosis and treatment and strive for the welfare of patients. Swear; curse
Doctor. What a sacred profession. Have the title of angels in white. However, please look at our society now, and how many doctors still retain their responsibilities and medical ethics as doctors. I like the sentence in the White Giant Tower: I have the first concern for the patient's life. Yes, the most important thing is not money, nothing else, but the patient's life. When the patient has the courage to walk into your operating room, he has entrusted his life to you. This is your responsibility, and you have an obligation to cure the patient. Instead of delaying the patient's emergency time because of his trivial matters.
Being a doctor is hard work. I often stay up until the early hours of the morning, so doctors are a profession that everyone fears, a profession that everyone loves, and an absolutely high-paying profession. I once read an unremarkable news about a baby who was born only a few months ago and lost his life in a children's hospital because of the doctor's delay. Their parents knelt down to the doctor three times and begged, and the answer they got was always: "He's fine. He just had an anti-inflammatory injection, and the swelling didn't subside so quickly. " (Actually, BB's sore was swollen at that time. At last, the doctor delayed the whole day, and the baby died in the tears of his parents.
Cruel ... anyone would say that. Doctor's parents, why can some people be so indifferent? When others entrust their lives to you, you can watch it end so coldly. ...
Devote oneself to one's duties and dedication; People-oriented, tireless; Taking care of patients is a relative; Self-discipline, rejecting red envelopes; Abide by discipline and refuse kickbacks; Persistent pursuit, Excellence; Honest service, win the trust of the people; Actively explore, reform and innovate the unique code of professional ethics with dedication as the core, always remember the oath of "where health lies, life depends on each other" made by predecessors, and "try our best to eliminate human diseases, help improve health and safeguard the sanctity and honor of medical skills. Heal the wounded and rescue the dying, work tirelessly and pursue persistently. " Understand the responsibility of medical ethics construction, consciously accept social supervision, improve service attitude, and be a medical staff satisfied by the masses.
There are 1 1 people in our group. Through questionnaire survey, individual interviews and personal experience, the results from different departments and different people were obtained. According to individual interviews, the reasons why patients and their families are satisfied with the medical ethics of affiliated hospitals are as follows: first, medical staff are strict with themselves and try their best to be patient-centered; Second, the results show that 74% of patients or their families can see it conspicuously, and 82.6% can see the medical ethics construction suggestion box set up by the hospital. In addition, regarding whether medical staff should receive red envelopes, although 9 1.3% thought that they had not been exposed to the phenomenon of receiving red envelopes in affiliated hospitals, when asked about the reasons, they thought that it might be common to receive red envelopes in operating rooms. Moreover, about 49. 15% people think that not giving red envelopes is for fear that doctors will not treat them wholeheartedly.
To sum up, the medical staff in the affiliated hospital have good medical ethics. From the cause analysis, I draw the following conclusions: First, the implementation of one-to-one individual nursing can effectively improve the service level of medical staff, but there is a problem of limited human resources. Second, whether the hospital management system is sound or not also affects medical ethics. Third, the hospital should strengthen the technical training and knowledge expansion of medical staff from its own level to form a good medical ethics. Fourth, the different responsibilities, rights and obligations of various departments in the hospital will indirectly affect the medical ethics.
In the face of the grim situation, our group raised several concerns: First, check the consciousness to see if we have established the purpose of serving people's health and the patient-centered service consciousness; Second, check your duties to see if you are loyal to your duties and love your job; The third is to check the work style to see whether the service behavior meets the requirements and whether the masses are satisfied; Check the system to see whether the rules and regulations are sound and whether the implementation is in place; Check the discipline to see if there is any violation of the eight industry disciplines proposed by the Ministry of Health. Through self-examination and patient's reflection, the problems found are corrected in time or dealt with seriously.
Solution: 1 Improve system construction and improve management efficiency. Rules and regulations are the guarantee. 2. Establish a system of self-examination and self-correction and improve the work in time. 3. Rely on scientific and technological progress to realize management modernization and solve the problem of medical ethics. 4. Renew ideas and conform to the understanding of market competition mechanism. .5 Increase the input of superiors and appropriately improve the treatment of medical staff. 6. Establish perfect laws and regulations to regulate medical activities,