Two-way re­spect is cru­cial for suc­cess­ful treat­ment

China Daily (USA) - - CHINA - SHIHAOYING

Shi Haoying, 40, worked as a physi­cian in the car­diac clinic at Shang­hai Gen­eral Hospi­tal for 13 years, and is now a co-founder of a pri­vate clinic in the city

Pa­tients’ dis­trust of doc­tors can some­times hin­der a physi­cian’s abil­ity to help them. The level of trust dis­played by pa­tients and their will­ing­ness to co­op­er­ate with a doc­tor of­ten has an in­flu­ence on the out­come of their treat­ment.

Doc­tors al­ways want to help pa­tients to im­prove their health through var­i­ous means, but no­body can guar­an­tee a 100-per­cent re­cov­ery. Some­times a doc­tor has a rad­i­cal ap­proach in mind to treat a case, but if the pa­tient doesn’t show much trust, the doc­tor may not even men­tion the pos­si­ble op­tion be­cause they don’t want to cause trou­ble for them­selves.

Med­i­cal treat­ment al­ways in­volves uncer­tainty and there are risks in any treat­ment plan. For ex­am­ple, a doc­tor may be con­fi­dent that a sur­gi­cal plan may have an 80 per­cent prob­a­bil­ity of suc­cess, but there is al­ways the chance that the surgery may not solve the prob­lem. Doc­tors are also hu­man be­ings, and no­body is will­ing to be phys­i­cally at­tacked or sued in the courts.

Doc­tors and pa­tients must face all the risks to­gether be­cause mu­tual trust is the foun­da­tion of med­i­cal de­vel­op­ment.

One ad­van­tage pri­vate hos­pi­tals en­joy is that the doc­tors have ad­e­quate time to com­mu­ni­cate with their pa­tients. That’s re­ally im­por­tant be­cause it means we can gain com­pre­hen­sive knowl­edge of the pa­tient’s con­di­tion and ex­plain the treat­ment op­tions and their pros and cons.

Recog­ni­tion of the value of the med­i­cal ser­vices pro­vided by doc­tors in public hos­pi­tals is re­ally low. The money they earn, ex­clud­ing “gray in­come” from pre­scrip­tions

Doc­tors are also hu­man be­ings, and no­body is will­ing to be phys­i­cally at­tacked or sued in the courts.”

Shi Haoying

and spon­sored use of med­i­cal equip­ment and in­stru­ments, doesn’t even be­gin to re­pay their years of ed­u­ca­tion and in­ten­sive work. Forex­am­ple, an emer­gency treat­ment may cost less than 200 yuan ($30). I think the prices are in­con­sis­tent with the value of the ser­vices pro­vided.

We have to build a good sys­tem to en­cour­age doc­tors to con­tinue their work — only in this way, will we see more top tal­ent join­ing med­i­cal teams.

A screen­shot of the TV doc­u­men­tary se­ries Ren­jian­shi shows sur­geons per­form­ing an op­er­a­tion at a hospi­tal in Shang­hai.

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