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  1. #1
    NewHope is offline Senior Member
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    Default Editing this "long" article

    The article seems a bit long, so I decide to divide it into two parts for the convenience of your editing.
    Thank you. :D

    Resolution to resolve the tension between doctors and patients --
    breaking monopoly and inputting multiple capitals

    (1)


    The tension between doctors and patients is one of the major puzzledoms of China's medical industry. It is a multilayer issue which has been popularly concerned by all circles of the society. The Jul.29, report, A Cold-blooded Hospital in Henan, by South Weekly, and another report, 'White Wolf' Instead Of 'White Angel', That Is What People Call A Doctor Nowadays, by China Youth Daily on Aug.3, along with other articles have made the issue a hot topic.

    Firstly, facing a man at death's door who was called 'anonym', a hospital in Henan tried hard to save the man at the beginning, and then the hospital discarded the man and caused his death. In the incident, there is something wrong with some members of the hospital; the doctors concerned have blasphemed the ethic of their profession.Every one's life is unique with its irrepeatability and unsubstitutability.The right of survival is heaven-sent. Anyone, esp.a doctor should awe the sanctity of a life. The third item of China's Bylaws of Medical Organization Management explicitly stipulates that the tenet for a medical organization is to relieve the pain and save the lives of its patients and to serve people for their health.'Mercy','Kindheartedness', 'Humanitarianism' and 'To save a life wholeheartedly' are the heavenly laws for doctors, and is the bottom line of their profession. The term 'White Angel' which reflected a highly moral evaluation has now been darkened gradually by public opinions, even been faded up as "A wolf with white coat" (for short as "White Wolf"). Basically, that is because the doctors have passed the bottom line.

    An organization should have its tenet and insist the tenet, regardless of being a profit organization or a nonprofit one. In the process of running its business, the organization should treat the tenet as its top rule when profiting collides with the tenet and when economy and ethic cannot be combined together.In other words,the foundation of the policy to deal with the colliding doesn't base on the rational calculation of the cost and profit, rather, it rests with the organization's credo and tenet. The commonweal quality that public health undertakings possess requires the commonweal quality of a hospital. A hospital cannot mainly target profiting. Even profit hospitals, including state-run and private hospitals, should carry out humanitarianism to relieve the pain of its patients and save their lives.
    No ambiguity and waver be allowed on the tenet.

    Rationally speaking, the troubles between doctors and patients now tend to increase. The troubles, except those caused by hospitals, are caused by the society and some patients. For example, some patients made troubles with no reason; yet some media which exaggerated some medical negligence cases fueled the tension. Among them, the doctors usually became a helplessly weak group. Many-several-time revised Bylaws of Dealing with a Medical Negligence demands doctors to produce evidence, while the bylaws -- the system that reverses the producing evidence for medical responsibilities -- obviously incline to the patient side. In fact, a patient, the patient's family and the society should give hospital and doctors some more tolerance and understanding, and should have some more scientific sense. First, the relationship between a doctor and its patient is not simply a relationship between a seller and its customer. but a relationship between buddies, and the common enemy of the buddies is diseases. In the tension and conflict between the two, there will be no winner. Second, medicine is a sophisticated speciality. There are some uncertainties in the process of treatment. All the time along the treatment, failure is possible. At present, it is accepted that the rate of exact diagnoses is only 70% both at home and abroad, while the rate of successfully saving patients in an emergency treatment is also only 75%. Patients should not have too high expectations towards the result of their treatment. Third, because some patients, like the 'anonym' in the incident 'Cold-blooded Hospital', who delaied to pay or were unable to pay their treatment fees, have made hospitals run badly. They have dragged the hospitals into a dilemma -- if a hospital saved a patient who is unable to pay, who will save the hospital when the hospital is in its economic crisis? As a matter of fact, hospitals now are overloaded by the responsibilities which should be born by civil administrations or civil charities according to their functions.

    (To be continued)

  2. #2
    NewHope is offline Senior Member
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    (2)

    And then, systematically speaking, the tension between doctors and patients is essentially caused by the contradiction between 'limited medical outlays and limited resources of medical services' and 'increasing and a-certain-extent overinflated demands for medical care'. The ultimate resolution for the tension is that the medical care system should fit the orientation of socialization. We should insist on the diversification of the principal part of investments, to break the monopoly in the medical industry, and to veritably introduce the market mechanism into it. By actively introducing social, civil and international capitals into the industry, to create a medical care system new and more effective for our society. Thereby, to extend the coverage of medical services and intensify imbursing the disadvantaged groups, making the collocation of medical resources fit to the demands of medical care.

    To defuse the tension between doctors and patients, we should set up and consummate some long-term supporting mechanisms.

    1) Communication Mechanism The credit crisis widely exists in our society. Different groups lack of confidence one another. In the past, the opposition even confrontation between doctors and patients, and the violences happened in hospitals, most of these were caused by the patients' nonconfidence towards the doctor group. The communication between doctors and patients is necessary for diagnosis, and is also indispensable in hospital management.

    2) Buffer Mechanism Even in the US, with its developed medical care system and diversified intermediary systems, also has the contradition between doctors and patients. Nevertheless, the social workers from the intermediary organs professionally do their intermediary works for doctors and patients, to make a buffer zone between the two. Besides, excellent legal aid system and insurance companies help resolve the contradiction. The insurance companies would pay its policy holder after court decided the quota of compensation when the court received the medical negligence examination report dilivered by hospitals.

    3) Risk Management Mechanism(VMM) The key of the medical venture management is to verify facts, not to condemn any person; the pivot of VMM is to find out the problems and leaks in the management system of a hospital, and is to research if there are some unscientific issues in the managment system, so as to essentially resolve the problems and leaks. The medical venture management also requires that we should set up a substantial time limit for the investigation into medical negligence, and restrict the quota of the hospital's compensation and guarantee the rationality of the compensation.

    4) Elimination Mechanism We should intensify the competitions between hospitals according to the rule of survival of the fittest. Competitions can urge medical organizations to better the quality of their services and to cut the cost of medical treatment, thus relieving their patients' burdens. In addition, we can consider to take punishment measures according to a doctor's infraction record or demerit record, and withdraw the doctor's licence if necessary. By creating a nationwide database, to pick out incompetent doctors and other medical workers who hold a licence. The contents of the database include the records of licence-withdrawing and other significant punishments, also including of the results of disposal and court judgment regarding medical negligence.

  3. #3
    Tdol is offline Editor, UsingEnglish.com
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    I'mposting this to keep the thread active. I'll read it as soon as I have a break.

  4. #4
    Tdol is offline Editor, UsingEnglish.com
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    The tension between doctors and patients is one of the major puzzledoms of China's medical industry. It is a multilayer issue which has been popularly concerned by all circles of the society. The Jul.29, report, A Cold-blooded Hospital in Henan, by South Weekly, and another report, 'White Wolf' Instead Of 'White Angel', That Is What People Call A Doctor Nowadays, by China Youth Daily on Aug.3, along with other articles have made the issue a hot topic.

    OK- here's a start. You can't use 'puzzledoms'- you could say 'puzzles'. Use 'mulilayered' or , better, 'multifacteted'. Instead of ' which has been popularly concerned by all circles of the society' say 'that concerns society at all levels'. 'Hot topic' is not very formal- how about a 'contentious issue'.

  5. #5
    Tdol is offline Editor, UsingEnglish.com
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    Default Re: Editing this "long" article

    Firstly, faced with a man at death's door, who remains anonymous, a hospital in Henan tried hard to save the man at the beginning, and then the hospital discharged (?) him and caused his death. In this incident, there is something wrong with some members of the hospital; the doctors concerned have broken the ethics of their profession.Everyone's life is unique. The right of survival is heaven-sent. Anyone, especially a doctor should be in awe of the sanctity of a life. The third item of China's Bylaws of Medical Organization Management explicitly stipulates that the tenet for a medical organization is to relieve the pain and save the lives of its patients and to serve people for their health. 'Mercy','Kindheartedness', 'Humanitarianism' and 'To save life' are the absolute laws for doctors, and the bottom line of their profession. The term 'White Angel' which reflected a highly moral evaluation has now been darkened gradually by public opinions, even been faded up as "A wolf with white coat" (for short as "White Wolf"). Basically, that is because the doctors have passed the bottom line.

  6. #6
    NewHope is offline Senior Member
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    Thnaks for beginning to edit, Tdol.

    (1) It seems the word "puzzledom" is rarely used, my dictionary might be compiled by some old pedants. Drop it according to your opinion.
    (2) "Multilayer" can be an adjective, according to my dictionary. But "multilayered" sounds better, I just could find it out in my dic. Well, online search helped to find it out.
    (3) "Discharge" -- No, they secretly carried the patient on a car (the patient has been seriously injured on his head in a car accident) and discarded him in the middle of nowhere.

  7. #7
    Tdol is offline Editor, UsingEnglish.com
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    Quote Originally Posted by NewHope
    (3) "Discharge" -- No, they secretly carried the patient on a car (the patient has been seriously injured on his head in a car accident) and discarded him in the middle of nowhere.

  8. #8
    Tdol is offline Editor, UsingEnglish.com
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    Default Re: Editing this "long" article

    An organization should have its tenet and follow the tenet, regardless of being a business or a nonprofit organisation. In the process of running its business, the organization should treat the tenet as its top rule when profits clash with the tenet and when economics and ethics cannot be reconciled.In other words,the foundation of the policy to deal with the collision shouldn't be based on the rational calculation of the cost and profit, rather, it should rest with the organization's credo and tenet. The commonweal quality that public health undertakings possess requires the commonweal quality of a hospital. A hospital cannot mainly target profits. Even profit making hospitals, including state-run and private hospitals, should carry out humanitarianism to relieve the pain of its patients and save their lives.
    No ambiguity and waver be allowed on the tenet.

    BTW commonweal is a bit old fashioned.

  9. #9
    NewHope is offline Senior Member
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    So use "public welfare" instead of commonweal?

  10. #10
    NewHope is offline Senior Member
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    Sadly, there is no one who wants to edit any paragraph of the article.

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