Violence against doctors in China
2014; Elsevier BV; Volume: 384; Issue: 9945 Linguagem: Inglês
10.1016/s0140-6736(14)61439-2
ISSN1474-547X
Autores Tópico(s)Health Services Management and Policy
ResumoI am grateful to The Lancet for their Editorial “Violence against doctors: Why China? Why now? What next?”1The LancetViolence against doctors: Why China? Why now? What next?.Lancet. 2014; 383: 1013Summary Full Text Full Text PDF PubMed Scopus (125) Google ScholarWhy China? Because China spends only 3% of the world's total health expenditure on 20% of the world's population. Scarcity of funding is the root of the problem. The government has not spent enough money on doctors’ salaries, forcing some of them to prescribe more drugs to make a living.Why now? Because the health-care reform in China2Liu Y Su Y Li H et al.The past and present of government funded healthcare in China.http://blogs.bmj.com/bmj/2013/11/14/yueju-liu-et-al-the-past-and-present-of-government-funded-healthcare-in-china/Google Scholar (since 1993 in cities and 1980 in rural areas) has been a complete failure. After the establishment of the People's Republic of China on Oct 1, 1949, Chairman Mao Tse-tung and the Chinese central government created a health-care system that was fully paid for by the government for all the people working for state-owned units or cooperatives.2Liu Y Su Y Li H et al.The past and present of government funded healthcare in China.http://blogs.bmj.com/bmj/2013/11/14/yueju-liu-et-al-the-past-and-present-of-government-funded-healthcare-in-china/Google Scholar This system effectively ensured that basic medical needs were met.3Hesketh T Wei XZ Health in China: from Mao to market reform.BMJ. 1997; 314: 1543-1545Crossref PubMed Scopus (73) Google Scholar Unfortunately this system was followed by an unsuccessful health-care reform after the economic reforms in the 1980s.What next? President Xi Jinping and Premier Li Keqiang's government needs to increase health spending. They have done a lot of work in the establishment and improvement of the New Rural Cooperative Health Insurance System, to manage simple diseases at township-level and county-level hospitals. This could help doctors in provincial and high level hospitals not to see up to 100 outpatients a day, and focus on the treatment of difficult and complicated diseases.In conlusion, I think a harmonious doctor–patient relationship will surely come in the next 10 years with the hard work of the current government.I declare no competing interests. I am grateful to The Lancet for their Editorial “Violence against doctors: Why China? Why now? What next?”1The LancetViolence against doctors: Why China? Why now? What next?.Lancet. 2014; 383: 1013Summary Full Text Full Text PDF PubMed Scopus (125) Google Scholar Why China? Because China spends only 3% of the world's total health expenditure on 20% of the world's population. Scarcity of funding is the root of the problem. The government has not spent enough money on doctors’ salaries, forcing some of them to prescribe more drugs to make a living. Why now? Because the health-care reform in China2Liu Y Su Y Li H et al.The past and present of government funded healthcare in China.http://blogs.bmj.com/bmj/2013/11/14/yueju-liu-et-al-the-past-and-present-of-government-funded-healthcare-in-china/Google Scholar (since 1993 in cities and 1980 in rural areas) has been a complete failure. After the establishment of the People's Republic of China on Oct 1, 1949, Chairman Mao Tse-tung and the Chinese central government created a health-care system that was fully paid for by the government for all the people working for state-owned units or cooperatives.2Liu Y Su Y Li H et al.The past and present of government funded healthcare in China.http://blogs.bmj.com/bmj/2013/11/14/yueju-liu-et-al-the-past-and-present-of-government-funded-healthcare-in-china/Google Scholar This system effectively ensured that basic medical needs were met.3Hesketh T Wei XZ Health in China: from Mao to market reform.BMJ. 1997; 314: 1543-1545Crossref PubMed Scopus (73) Google Scholar Unfortunately this system was followed by an unsuccessful health-care reform after the economic reforms in the 1980s. What next? President Xi Jinping and Premier Li Keqiang's government needs to increase health spending. They have done a lot of work in the establishment and improvement of the New Rural Cooperative Health Insurance System, to manage simple diseases at township-level and county-level hospitals. This could help doctors in provincial and high level hospitals not to see up to 100 outpatients a day, and focus on the treatment of difficult and complicated diseases. In conlusion, I think a harmonious doctor–patient relationship will surely come in the next 10 years with the hard work of the current government. I declare no competing interests. Violence against doctors: Why China? Why now? What next?China's National People's Congress ended on March 13. The event is important not only as the sole annual country-wide gathering of political representatives, but also because it marks the first full year in office for President Xi Jinping and Premier Li Keqiang, so gives a sense of the new government's priorities. The theme of deepening reform was repeated frequently. Nowhere is this required more urgently than for health care. Deterioration of doctor–patient relationships has emerged as a highly visible risk to China's ambitious health-care reform. Full-Text PDF
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